Herpes is spread
through direct contact.
So, a genital herpes
infection will stay
in the area it originated
unless transferred
elsewhere via direct
contact or skin-to-skin
transference. Herpes
won't just show up
on its own somewhere
else on the body.
Because herpes is
spread through direct
contact, it is important
to avoid contact with
infected areas. If
a herpes infection
is not localized,
further complications
may occur. Herpes
is equally common
in males and females.
HSV-1
can cause genital
herpes, but it more
commonly causes infections
of the mouth and lips,
so-called "fever
blisters." HSV-1
infection of the genitals
can be caused by oral-genital
or genital-genital
contact with a person
who has HSV-1 infection.
Genital HSV-1 outbreaks
recur less regularly
than genital HSV-2
outbreaks. Most of
the people who are
infected with HSV-2
have no symptoms of
disease or they do
not recognize their
symptoms. Only about
one third of people
who first become infected
with HSV-2 have symptoms.
These symptoms often
include fever, headache,
genital pain, genital
discharge, and blisters.
Even if you have no
symptoms, genital
herpes can be diagnosed
by testing your blood
for an antibody to
HSV-2. When signs
do occur, they typically
appear as one or more
blisters on or around
the genitals or rectum.
The blisters break,
leaving tender ulcers
(sores) that may take
two to four weeks
to heal the first
time they occur. Typically,
another outbreak can
appear weeks or months
after the first, but
it almost always is
less severe and shorter
than the first episode.
Although the infection
can stay in the body
indefinitely, the
number of outbreaks
tends to go down over
a period of years.
Once
the virus infects
you, it moves from
the skin or membranes
around the genitals
to the central nervous
system, where it remains
for life. The virus
can “wake up”
or reactivate to cause
a recurrence of the
disease. When reactivation
occurs, the virus
travels down the nerves
to the skin. It may
cause blisters, genital
itching, tenderness,
burning, tingling,
or redness, but it
usually just makes
copies of itself with
no symptoms.
Diagnosis
of Genital Symptoms
Because
many patients with
genital herpes have
atypical symptoms
or culture-negative
genital lesions, HSV-2
infection can be challenging
to diagnose. To aid
in the diagnosis of
genital symptoms,
type-specific HSV-2
serology tests should
be available in conjunction
with virological tests
in clinical settings
where patients are
evaluated for STDs.
Serology tests may
be useful for the
following clinical
presentations: (1)
culture-negative recurrent
lesions, (2) history
suggestive of herpes
or atypical herpes
in the absence of
genital lesions, (3)
suspected primary
herpes or first presentation
of genital symptoms,
if culture or antigen
detection testing
is negative or not
available. Because
it takes up to six
weeks for most patients
to develop antibodies,
negative test results
are less reliable
when they are conducted
soon after acquisition.
Frequently
Asked Questions for
Herpes Genitalis
How
common is Genital
Herpes?
Results
of a nationally representative
study show that genital
herpes infection is
common in the United
States. Nationwide,
at least 45 million
people ages 12 and
older, or one out
of five adolescents
and adults, have had
genital HSV infection.
Between the late 1970s
and the early 1990s,
the number of Americans
with genital herpes
infection increased
30 percent.
Genital
HSV-2 infection is
more common in
women (approximately
one out of four women)
than in men (almost
one out of five).
This may be due to
male-to-female transmissions
being more likely
than female-to-male
transmission.
How do People
Get Genital Herpes?
HSV-1 and HSV-2 can
be found in and released
from the sores that
the viruses cause,
but they also are
released between outbreaks
from skin that does
not appear to be broken
or to have a sore.
Generally, a person
can only get HSV-2
infection during sexual
contact with someone
who has a genital
HSV-2 infection. Transmission
can occur from an
infected partner who
does not have a visible
sore and may not know
that he or she is
infected
HSV-1
can cause genital
herpes, but it more
commonly causes infections
of the mouth and lips,
so-called "fever
blisters." HSV-1
infection of the genitals
can be caused by oral-genital
or genital-genital
contact with a person
who has HSV-1 infection.
Genital HSV-1 outbreaks
recur less regularly
than genital HSV-2
outbreaks.
Is
Genital Herpes Serious?
HSV-2 usually produces
only mild symptoms
or signs or no symptoms
at all. However, HSV-2
can cause recurrent
painful genital sores
in many adults, and
HSV-2 infection can
be severe in people
with suppressed immune
systems. Regardless
of severity of symptoms,
genital herpes frequently
causes psychological
distress in people
who know they are
infected. In addition,
HSV-2 can cause potentially
fatal infections in
infants if the mother
is shedding virus
at the time of delivery.
It is important that
women avoid contracting
herpes during pregnancy
because a first episode
during pregnancy causes
a greater risk of
transmission to the
newborn. If a woman
has active genital
herpes at delivery,
a cesarean delivery
is usually performed.
Fortunately, infection
of an infant from
women with HSV-2 infection
is rare. In the United
States, HSV-2 may
play a major role
in the heterosexual
spread of HIV, the
virus that causes
AIDS. Herpes can make
people more susceptible
to HIV infection,
and it can make HIV-infected
individuals more infectious.
|
|
Also see Living with
Genital Herpes
|
Genital
Herpes Picture
 |