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  4. Herpes Symptoms in Women: Genital Herpes Diagnosis, Treatment

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Std, partners or two free, you go through. The classic symptoms of genital herpes involve the skin: Next, these blisters crust over or ulcer turn into open wounds. They eventually regress, leaving the skin and mucous membrane to heal over 4,5. These blisters are often painful, itchy, can cause tenderness, and may be accompanied by painful urination 5.

In women and people with female reproductive tracts, herpes lesions can appear on the vulva, perineum, buttocks, anal area, cervix, and inside of the vagina 6 , and some people may experience spotting and vaginal discharge 7. The first outbreak may also be accompanied by full body symptoms, such as fever, body aches, and swollen lymph nodes 3,6. The first outbreak of genital herpes lesions usually lasts between two to four weeks long 4.

While skin symptoms are present, a person is very contagious, as herpes viruses are present in the blister fluid and over the entire infected area 5. This is called a non-primary infection , and is often not as severe in presentation as the primary infection 5. Herpes outbreaks can keep coming back rather unexpectedly. This is because the herpes virus takes up permanent residence in nerve roots, and can never truly be eliminated 7.

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Genital herpes outbreaks that occur after the primary infection are called recurrent infections 1. Fever and general feelings of being unwell are not usually present with recurrent infections 4. The number of recurrent outbreaks decreases over time 4. During recurrent infections, something called viral shedding occurs, meaning that a person is contagious and can pass on herpes virus to another partner 2,4. The best way to avoid transmitting herpes if you know you have it is to always use a condom or another barrier method.


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  8. Most people who have recurrent infections have less severe lesions for a shorter period of time, compared to the primary infection 5. Genital herpes is spread through direct sexual contact of mucous membranes the soft moist skin present at the openings of your genitals and mouth , herpes lesions and fluids, as well as through genital fluids and saliva 1,7.

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    If herpes blisters are present, viral shedding will occur, making the person very contagious 8. If no blisters are present, this does not not mean that they are not contagious. Viral shedding can still happens in absence of active lesions, which means a person can still pass on the genital herpes virus to an unsuspecting partner 2,8,9,10, Genital herpes is a very common STI, but since many people are asymptomatic or are in a phase between visible outbreaks, it is perceived as less common than it actually is.

    Genital herpes caused by HSV-2 is estimated to the second-most prevalent STI in the United States, affecting almost 24 million people between 15 and 49 years of age But this estimate only accounts for people with the HSV-2 virus. Since genital herpes is increasingly being caused by HSV-1 13 , the amount of people with genital herpes infections is likely even higher.

    Worldwide, a range of million people aged 15 to 49 years old are estimated to be living with HSV-2, with a global prevalence of around 1 in 10 people having HSV-2 More women than men are affected by HSV-2 14 ; this is because herpes is more easily transmitted to the female partner during sex 3. Since genital herpes cannot be cured, the number of infected people in a population can only grow as more and more people become infected. The only way to reduce genital herpes within a population is through prevention. Oral herpes caused by HSV-1 can also be a source of genital herpes.

    Across the world, it is estimated that 2 out of 3 people under 50 years of age—around 3.


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    Being sexually active puts people at risk for contracting an STI. Practicing safer sex and using condoms can moderately reduce the risk of contracting genital herpes Condoms should be used before any genital or sexual contact begins—not just during ejaculation.

    Herpes Symptoms in Women: Genital Herpes Diagnosis, Treatment

    Since outbreaks and viral shedding may occur in areas not covered by a condom, total protection—even with perfect and consistent condom use—cannot be guaranteed People with outbreaks herpes blisters present in the genital area should abstain from sexual activity until the sores have fully healed. The risk of transmission of genital herpes is highest during outbreaks, when viral shedding is at its greatest.

    If a person with genital herpes feels prodrome symptoms—they sense that a herpes outbreak will happen soon—then sexual intercourse should be avoided until after the outbreak has subsided, and all of the blisters and ulcers have completely healed. Limiting the number of sexual partners you are exposed to will also decrease your risk of contracting genital herpes and other STIs.

    If you've had unprotected sex, or if you experience symptoms of genital herpes, visit your healthcare provider or local STI clinic for an STI screenings.

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    If you have genital herpes, be open with your partner and talk about the risks of transmission. Researchers are working towards the development of other preventative strategies, such as an HSV vaccine and topical microbicides to help prevent the spread of herpes 3. To diagnose a genital herpes infection, a healthcare provider will inspect the lesions and discuss sexual history and if applicable previous herpes outbreaks. The provider may run lab tests of the lesions, or blood tests to detect the virus The herpes simplex virus cannot be cured, but it can be managed using antiviral medications to help control outbreaks.

    These medications help to prevent the outbreaks from happening as often and to reduce the symptom severity and duration 3.