Herpes Treatment Information
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Herpes Treatment
- in order to understand the most
appropriate herpes treatment you need to have a general
understanding of the herpes virus. Presented below is detailed herpes
information including the symptoms of herpes, the diagnosis of
herpes, herpes pictures, as well as, genital herpes treatment options,
etc.
Herpes Simplex
When individuals
refer to herpes simplex they are primarily concerned with two prevalent
types, HSV-1and HSV-2. There is a common belief that HSV-1 attacks above
the waist and is responsible for cold sores, while HSV-2 attacks below
the waist and is responsible for the genital lesions. However, both
herpes viruses HSV-1 and II can cause herpetic lesions on the oral mucosa
and the genital region. Herpes HSV-1is primarily the cause of recurrent
cold sores while HSV-2 are generally responsible for the genital lesions.
This brings up the common question can herpes HSV-1 be passed to a partner
during oral sex? Yes, HSV-1 herpes can be passed during oral sex.
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HSV-1 infections
are tiny, clear, fluid-filled blisters that most often occur on the
face. Less frequently, HSV-1 infections occur in the genital area. Type
1 may also develop in wounds on the skin.
There are two types
of
herpes infections termed primary and recurrent. Primary is the first outbreak
if blisters, whereas, recurrent represent the secondary outbreaks that
occur at various intervals after the primary lesions appear. Although
most people when exposed to the virus get infected, only 10% will actually
develop lesions when this infection occurs. The lesions of a primary
infection appear two to twenty days after contact with an infected person
and can last from seven to ten days.
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The number of blisters
varies from one to a group of blisters. Prior to the blisters appearing
there may be a prodromal period were the skin may be very sensitive
or actually itch. Once the blisters appear they can be very sensitive
and painful and eventually break permitting the fluid inside the blisters
to ooze and crust.
The
herpes lesions from
the primary herpes infection general heal completely without leaving a scar.
However, the herpes virus that caused the initial infection remains
dormant in the nerves cells of the body. The virus can remain dormant
for years or recurrent infections can occur at various intervals. Recurrent
infections may occur in the same location or a nearby site. The recurrent
infections tend to be milder than the primary infections and are often
related to stress, fevers, sun exposure, menstrual periods etc.
The following
herpes pictures represent common lesions associated with herpes HSV - 1
Common Ulcers
Associated With Herpes HSV-1

Herpes HSV-2 virus
is primarily responsible for the herpetic lesions in the genital area.
These lesions are characterized by the formation of painful fluid-filled
blisters on the genital organs of both men and women. Genital herpes
is spread via sexual contact from person to person via oral, vaginal
and anal sexual activity. Contrary to popular myths one does not contract
the herpes virus from toilet seats, swimming pools, door knobs, etc.
HSV-2 herpes viruses
has recurrent infections very similar to the recurrent infections described
for the HSV-1 virus. Recurrent infections may occur in the same location
or a nearby site. The recurrent infections tend to be milder than the
primary infections and are often related to stress, fevers, sun exposure,
menstrual period, etc.
The prevalence of
herpes HSV-2 infection in Europe alone has been estimated
by the Centers for Disease Control and Prevention that some 21.1% of
the population of individuals ages 18 years and older had antibodies
to herpes HSV-2. This means that some 45 million Europeans have been
exposed at some point to the herpes simplex HSV-2 virus.
HSV-1 and HSV-2
can be found and transmitted from the herpetic lesions. However, the
herpetic lesion does not have to be present for an individual to become
infected with the virus. The virus is contagious when their are no apparent
lesions present. An individual almost always acquires an HSV-2 infection
during sexual contact with someone who has a genital HSV-2 infection.
HSV-1 causes most infections of the mouth and lips, however, an individual
can acquire HSV-1 in the genital area secondary to oral-genital sexual
contact.
HSV-2 may produces
only mild symptoms or an individual may be asymptomatic. However, HSV-2
can also cause extremely painful recurrent genital lesions. The HSV-2
infection can also cause complications in individuals who are immune
compromised.
The HSV-2 virus
can also cause fatal infections in infants if the mother is shedding
virus at the time of delivery. Woman who have active genital lesions
at the time of delivery, will have to undergo a cesarean section in
order to prevent their newborn from being infected with the virus.
Most individual
infected with genital herpes are asymptomatic, they are not aware that
they have acquired the virus. However, after a dormancy period the initial
presentation of the virus can be very painful. The first episode will
usually occur within two weeks after the initial contact with the virus.
Women can experience
a very severe and painful primary infection. Herpes blisters first appear
on the labia majora (outer lips), labia minora (inner lips), and entrance
to the vagina. Blisters often appear on the clitoris, at the urinary
opening, around the anal opening, and on the buttocks and thighs. In
addition, women may get herpes blisters on the lips, breasts, fingers,
and eyes. The vagina and cervix are almost always involved which causes
a watery discharge. Other symptoms that occur in women are: painful
or difficult urination (83%), swelling of the urinary tube (85%), meningitis
(36%), and throat infection (13%). Most women develop painful, swollen
lymph nodes (lymphadenopathy) in the groin and pelvis. Approximately
one in ten women get a vaginal yeast infection as a complication of
the primary herpes infection.
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Men usually experience
the herpes blisters on the penis but can also appear on the scrotum,
thighs, and buttocks. Fewer than half of the men with primary herpes
experience the constitutional symptoms. Some 30% to 40% of men have
a discharge from the urinary tube. Some men develop painful swollen
lymph nodes (lymphadenopathy) in the groin and pelvis. Although less
frequently than women, men too may experience painful or difficult urination
(44%), swelling of the urinary tube (27%), meningitis (13%), and throat
infection (7%).
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The following
herpes pictures represent common lesions associated with herpes HSV - 2
Common Ulcers
Sssociated With Herpes HSV-2

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Recurrent Herpes Outbreaks
Recurrent herpes outbreaks
vary amongst different individuals. However, most individuals have between
six to ten herpes outbreaks per year.
Following an outbreak
the herpes virus then travels to the nerve cells where the virus remains dormant.
Currently, it is unknown why the virus becomes active again. However,
the recurrent infections tend to be milder than the primary infections
and are often related to stress, fevers, sun exposure, menstrual periods
etc.
You should know that the virus may be active
without the presence of the typical lesions. During these times, small
amounts of the virus may be shed at or near places of the first
infection, in fluids from the penis, vagina, mouth or from lesions that
not that noticeable.
Antiviral medications
such as Valtrex will significantly reduce the number of outbreaks and
the duration and severity of symptoms once an outbreak occurs. Shedding
of the virus during these periods may not be noticeable if there is
no pain or increased sensitivity in the region. However, you may be
at increased risk to spread the virus to your partner at this time.
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Some 80% of all
case of genital herpes remain undetected. Studies show that a high percentage
of individuals that become infected from an undiagnosed partner. Therefore,
proper diagnosis is essential in controlling the spread of the virus.
The virus often
goes undiagnosed secondary to a wide range of symptoms associated with
the infection or there is an absence of any visible lesions or symptoms.
Many individuals are often embarrassed and distressed and do not seek
medical help.
Herpes Treatment
Valtrex will decrease both
the frequency and the severity of herpes outbreaks. Valtrex is the drug of
choice for herpes infection and can be taken by
mouth (orally). Although Valtrex is the most recommended medication for treating herpes infections
by doctors,
other medications are also prescribed:
Valtrex is effective
in treating both the primary infection and recurrent outbreaks. When
taken orally, Valtrex reduces the healing time, virus
shedding period, and duration of the ulcers associated with the herpes
virus.
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If you have frequent
herpes outbreaks (greater than four to six per year) you will benefit from long
term use of Valtrex which is called "suppressive therapy." Individuals on suppressive therapy have longer periods between herpes outbreaks. Alternatively,
patients may use short term suppressive therapy to lessen the chance
of developing an active infection during special occasions such as weddings
or holidays.
Clinical studies
also show that there is a positive correlation between levels of stress
and the severity and number of outbreaks. Stress management and relaxation
exercises i.e. yoga, tai chi, meditation, and hypnotherapy.
There are several
other things that a patient may do to lessen the pain of genital lesions
including the following:
- Wear loose fitting
clothing and cotton underwear
- Using a blow
dryer on the "cool" setting to dry the infected area
- Placing an ice
pack on the affected area for 10 minutes, followed by 5 minutes off
and then repeating this procedure
- Removing clothing
or wearing loose pajamas while at home
- Soaking in a
tub of warm water
- Topical ointments
may be beneficial if they contain: glycyrrhizinic acid, components
of licorice glycyrrhiza glabra, vitamin E, tea oil, Melaleuca spp,
baking soda compresses
Protection
From the Herpes Virus
Since genital herpes
is a sexually transmitted disease individuals can protect themselves
by abstaining from sexual contact. The consistent and proper use of
latex condoms can also provide some protection against infection. Condoms
do not provide 100% protection, unfortunately, the condom may not adequately
cover the entire region where the herpetic lesions reside allowing viral
shedding. If a partner has genital herpes there should be an abstinence
from sex until the lesions are no longer present.
Individuals should
also adhere to the following to prevent the spread of the virus:
- Practice abstinence
- Limit the number
of sexual partners you have in your lifetime.
- Make sure that
you and your sexual partner use condoms every time you have sex.
- Wash your hands
with soap and water following contact with the sores (already infected
with the virus).
- Keep the infected
area clean and dry to prevent other infections from developing (already
infected with the virus).
- Avoid scratching
and/or touching the sores (already infected with the virus).
- Refrain from
sexual contact from the first sign of a recurrent episode until the
lesions are completely healed (already infected with the virus).
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Diagnosing the
Herpes Virus
An accurate diagnosis
can help individuals who are infected take control of their health and
benefit from treatments that may reduce their symptoms and their frequency
of infection. Proper diagnosis also decrease the risk of spreading the
virus to other individuals. Physicians should take the responsibility
to properly educate individuals who are diagnosed with the disease about
how to protect their partners. The following represent the different
methods in which the HSV-1 and HSV-2 can be diagnosed:
Genital herpes can
be accurately diagnosed by your physician based on your medical/sexual
history and visual exam of the classic fluid filled herpetic lesions.
Unfortunately, this method may not be reliable to make an accurate diagnosis.
The active or latent genital herpes in many infected patients are asymptomatic
or the patient's symptoms may have already resolved by the time he/she
visits the physician.
The following represent
the most accurate methods in which to diagnose the herpes virus.
Herpes Virus Culture
Detection Tests
In
order to prepare a viral culture a physician must collect cells at the
base of the genital lesion using a sterile cotton swab The sample is
then tested in the laboratory. An individual must have a active or live
infection at the time of the swab test to produce a positive result.
If the herpetic lesions or ulcers have begun to heal the test may give
a false-negative report. However, when active lesions are present, this
method is seen as the gold standard for diagnosing genital herpes.
Herpes Serology
Blood Tests
When
an individual becomes infected with the herpes virus the body will produce
antibodies designed to fight the virus. These antibodies are specific
to each virus and remain permanently in the bloodstream. A blood test
for a herpes simplex virus can indicate if someone has been infected
at some time during their life.
However this form
of testing cannot indicate when or where on the body the initial infection
took place, i.e. around the genital or facial region. When an individual
who does not have HSV-2 first acquires the virus, their body starts
to produce antibodies. They undergo a process called seroconversion
which means they go from having no detectable antibodies seronegative
to having detectable antibodies seropositive. The length of time from
first infection to when antibodies are detectable varies from person
to person, and with the ability of the test to detect antibodies in
early infection. Therefore, it is possible for a person in the early
stages of infection to give a negative result on a blood test despite
having herpes.
Therefore, if an
individual believes that he/she has been infected with the virus and
the test is negative this individual should repeat the test in three
to four months. The older blood tests could not reliably tell the difference
between HSV-1 and HSV-2 antibodies, however, there are new commercially
available tests that have recently been developed bringing new options
for diagnosing HSV:
The HerpeSelect™
type-specific HSV antibody detection tests produced by Focus Technologies
can effectively distinguish between HSV-1 and HSV-2. These kits after
collection must be sent back to a central laboratory for results.
The POCkit®
HSV-2 Rapid Test is a single unit, membrane-based immunoassay for the
qualitative determination, either in heparinized capillary whole blood
taken by finger stick or in serum, of circulating IgG antibodies specific
for herpes simplex virus type 2 (HSV-2), which arise as a result of
infection with HSV-2. It is intended for in-vitro diagnostic use by
health professionals in Point of Care testing (the lab work does not
need to be sent to a central laboratory). The presence of antibodies
to HSV-2 may be indicative of a previous infection with HSV-2 and may
be of value in determination of previous immunological experience and
to aid in the diagnosis of HSV associated disease. This assay will not
differentiate whether infection is currently in a latent or active state
nor does the test diagnose HSV-1.
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