Treatment FAQ

what is the best treatment for genital herpes outbreaks

by Maximillia Frami Published 3 years ago Updated 2 years ago
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There are three major drugs commonly used to treat genital herpes symptoms: acyclovir (Zovirax), famciclovir (Famvir), and valacyclovir (Valtrex). These are all taken in pill form. Severe cases may be treated with the intravenous (IV) drug acyclovir.Aug 30, 2020

What helps genital herpes outbreaks heal faster?

Give these tips a try:Apply an over-the-counter (OTC) antiviral cold sore medication. If you do this at the first sign of cold sore, you may be able to help it heal faster. ... Take an OTC pain reliever. ... Apply ice or a cold, wet towel. ... Moisturize. ... Get a prescription for antiviral medication. ... Wash your hands.

What can I put on herpes outbreak genital?

The main drugs that doctors will prescribe for this purpose are called antiviral medications. These include acyclovir, famciclovir, valacyclovir, and penciclovir. According to MedlinePlus, acyclovir can reduce first-time or repeated outbreaks that occur when individuals have genital herpes.

What causes genital herpes flare ups?

It is not known what exactly may trigger the symptoms, however, the symptoms can be activated or triggered by certain factors such as: Fatigue. Genital stimulation such as during sexual intercourse. Menstrual periods.Aug 25, 2020

What cream is best for genital herpes?

Acyclovir topical (for the skin) is an antiviral medicine that is used to treat skin symptoms caused by the herpes virus. Acyclovir topical cream is used to treat cold sores on the lips and face. Acyclovir topical ointment is used to treat genital herpes lesions.

How do you stop an outbreak when you feel it coming?

While there isn't a cure for herpes, there are steps you can take to prevent or reduce the frequency and severity of an outbreak:Talk to Your Doctor About Antiviral Medications. ... Know Your Triggers. ... Recognize the Early Symptoms. ... Practice Daily Stress Management. ... Take Care of Your Body. ... Use Lubricants During Intercourse.More items...•Aug 14, 2019

Why do I keep getting herpes outbreaks?

After a person is first infected, the herpes virus travels to nerve cells near the spine and stays there. When there is a trigger, the virus can become active again. Triggers can include illness, stress, and hormonal changes.

How often do you get HSV 1 genital outbreaks?

The average number of outbreaks for a person with genital HSV-2 is four to five per year. The average for genital HSV-1 is less than one outbreak per year. Usually, there are more outbreaks during the first year, and many people find that outbreaks become less severe and less frequent with time.

Why do I have herpes outbreaks every month?

“However, we know that herpes outbreaks also increase with stress,” Hutcherson says. “And for some [people], this time of month is stressful, [due to] discomfort, pain, bloating, fear, anxiety, or PMS. This stress might also add to increased outbreaks.”Apr 28, 2017

What are the stages of a genital herpes outbreak?

Herpes sores typically develop in the following stages: tingling or itching sensation in the affected area - this usually happens in the first 12 - 24 hours. blisters form and fill with liquid. blisters open and turn into sores. ulcers turn into scabs and heal.

Can Zovirax cream be used for genital herpes?

Zovirax cream can be prescribed to treat cold sores and genital herpes, which are both caused by infection with the herpes simplex virus (HSV). Genital herpes is usually treated with aciclovir tablets as these are more effective than using the cream.Nov 18, 2019

What is the best herpes medication?

Like other herpes medications, valacyclovir is highly effective. Studies show that it reduces the amount of time required for healing during a herpes outbreak, as well as reducing your risk of transmitting the herpes virus to other people. Valacyclovir starts working almost as soon as you start taking it.Mar 6, 2020

Overview

  • Sexually transmitted diseases (STDs) are infections that can be transferred from one person to another through any type of sexual contact. STDs are sometimes referred to as sexually transmitted infections (STIs) since they involve the transmission of a disease-causing microorganism from one person to another during sexual activity. It is important to realize that s…
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Treatment

  • There's no cure for genital herpes. Treatment with prescription antiviral medications may: 1. Help sores heal sooner during an initial outbreak 2. Lessen the severity and duration of symptoms in recurrent outbreaks 3. Reduce the frequency of recurrence 4. Minimize the chance of transmitting the herpes virus to anotherAntiviral medications used for genital herpes include: 1. Acyclovir (Zo…
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  • A number of alternative (also called complementary) therapies can help you deal with outbreaks of genital herpes. First, simple self-care may be enough to relieve most discomfort caused by genital herpes. Taking an over-the-counter pain reliever, such as aspirin, acetaminophen, or ibuprofen, can help ease the pain of herpes symptoms. Doctors sometimes recommend soakin…
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  • Episodes of genital herpes can be treated with oral antiviral medications, including valacyclovir (Valtrex), famciclovir (Famvir) and acyclovir (Zovirax). Acyclovir also comes in a cream for application to the skin. The cream is not very effective and in general not recommended.For severe herpes virus infections, people are treated with intravenous (IV) acyclovir. Although thes…
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  • Although there is no known cure for herpes, there are treatments for the outbreaks. There are oral medications, such as acyclovir (Zovirax), famciclovir (Famvir), or valacyclovir (Valtrex), that prevent the virus from multiplying and even shorten the length of the eruption. Although topical (applied directly on the lesions) agents exist, they are generally less effective than other medicat…
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Signs And Symptoms

  • Many people with genital herpes infection have no symptoms. When symptoms appear, they can include: 1. Itching, burning, soreness and small blisters in the genital or anal area 2. Small ulcers (skin sores) when the blisters break 1. Local pain if urine touches the genital ulcers 2. Enlarged or painful lymph nodes (swollen glands) in the groin 3. Headache, fever, muscle aches and a gener…
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  • You are contagious to others at this point. It can cause a vaginal discharge, pain down the buttocks and legs, pain when urinating and a tingling or itching in the affected area. You will also experience viral shedding during this point which means the skin cells in this area will contain the herpes simplex virus that can be spread to others. This can last for up to a week before sympto…
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  • Herpes outbreaks usually appear as one or more blisters in clusters. The blisters may break open to become sores. If you or your child experiences pain or tingling around or inside the mouth or on the tongue, you can feel and look for bumps and blisters around the painful area, which may indicate HSV-1. If you have pain in or around the genital area, or if you have pain with urination o…
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  • Specific signs and symptoms of herpes in women include tiny, fluid-filled blisters (vesicles) on the vulva and vaginal opening. When the vesicles rupture, painful ulcers are the result. In a majority of females, inflammation of the cervix is involved (cervicitis). Cervicitis may be the only sign of genital herpes in some women. Women with genital herpes may have pain with urination along …
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Diagnosis

  • Your doctor usually can diagnose genital herpes based on a physical exam and the results of certain laboratory tests: 1. Viral culture. This test involves taking a tissue sample or scraping of the sores for examination in the laboratory. 2. Polymerase chain reaction (PCR) test. PCR is used to copy your DNA from a sample of your blood, tissue from a sore or spinal fluid. The DNA can t…
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  • Your doctor may suspect that you have genital herpes based on your sexual history, your symptoms and the results of your physical examination. Your doctor may want to confirm the diagnosis by scraping the affected skin area for laboratory testing. He or she may also want to do a blood test to confirm the diagnosis. People who have one type of sexually transmitted infectio…
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Herpes simplex virus (HSV) types 1 and 2 infections can be diagnosed based on the appearance of lesions (if present), as well as with laboratory tests. In general, though, if you do not have symptoms, there is no need for you to have any diagnostic testing for HSV type 1, which causes cold sores. If you may have been …
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  • Other diagnostic tests such as polymerase chain reaction (PCR) to identify the genetic material of the virus and rapid fluorescent antibody screening tests are used to identify HSV in some laboratories.
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Prevention

  • To avoid getting herpes, you should always follow safer sexual practices. Limit your number of sexual partners. Always use condoms unless you are in a monogamous relationship with an uninfected person.People with genital herpes should abstain from sexual activity when they have symptoms. They also should tell all sex partners about their herpes infection and use condoms …
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  • If you have a reinfection, antibody tests are not helpful because once you have the antibodies, they stay in your blood even when the virus becomes dormant.
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  • There really is no such thing as \"safe\" sex. The only truly effective way to prevent STDs is abstinence. Sex in the context of a monogamous relationship wherein neither party is infected with a STD also is considered \"safe.\" Most people think that kissing is a safe activity. Unfortunately, syphilis, herpes, and other infections can be contracted through this relatively sim…
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  • There is no vaccine. Transmission of HSV may be reduced by the following: 1. Reduction in the number of sexual partners. 2. Use of condoms, which reduces but does not completely prevent transmission. 3. Avoidance of sex with someone who has active genital herpes or active oral herpes (although viral shedding and transmission also occur from asymptomatic infections) 4. …
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Cause

  • You form antibodies when you need to fight an infection, and antibodies can last for years or even a lifetime. Generally, it takes about one to two weeks for your body to produce detectable antibodies against herpes virus infection. The presence of antibodies is evidence that your body has confronted an infection, either recently or in the past.
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  • Genital herpes infection is definitely contagious from the time of itching to the time of complete healing of the ulcer, usually within two to four weeks. However, as noted previously, infected individuals can also transmit the virus to their sex partners in the absence of a recognized outbreak.
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Complications

  • 1. Autonomic neuropathy, resulting in urinary retention. (Suprapubic catheterisation is preferred due to reduced risk of ascending infection, being a less painful procedure, and allowing normal micturition to be restored without multiple removals/recatheterisations.) 2. Aseptic meningitis. 3. Spread to extra-genital areas (in theory through self-inoculation). 4. Secondary infection with ca…
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  • In addition to the common symptoms of genital herpes, both HSV-1 and HSV-2 can also cause rare but serious complications such as encephalitis (inflammation of the brain), meningitis (inflammation of the lining of the brain) and blindness.Neonatal herpes resulting from HSV transmission to the fetus or newborn during pregnancy or delivery can result in very serious com…
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Epidemiology

  • In England: 1. There were 31,777 diagnoses of first episode genital herpes in 2014. 2. This represented 7% of new diagnoses of a sexually transmitted infection (STI). 3. Rates have risen over the period of a decade. 4. Numbers of STIs in general have risen steeply in recent years for men who have sex with men. Genital herpes diagnosis rates rose by 10% in this population betw…
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  • Systemic complications are rare in men, although a similar urinary retention pattern may occur in men with severe disease, especially if they are uncircumcised.8 Crusts usually will not form on the moist surface under the foreskin. Perianal infection with associated proctitis is common in homosexual men.11...
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Prognosis

  • Although there is no cure for genital herpes, the frequency and severity of recurrences often decreases with time. Daily oral antiviral medication also can decrease the number and severity of recurrences. For babies with disseminated herpes infection (the most severe type), early treatment with antivirals improves the chance of survival and helps decrease the risk of long las…
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  • When the scab falls off or the blister has faded, the skin has healed. It may appear red but as your recovery continues, this will fade. Full heal time can last 3-7 days so you should avoid intercourse throughout this time to avoid spreading the infection. The genital herpes stages finish here.
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  • Many STDs are treatable, but effective cures are lacking for others caused by viruses, such as HIV, HPV, hepatitis B, and hepatitis C. Even gonorrhea, once easily cured, has become resistant to many of the older traditional antibiotics. Many STDs can be present in, and spread by, people who do not have any symptoms of the condition and have not yet been diagnosed with an STD. There…
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  • Genital herpes simplex virus infection is a recurrent, lifelong disease with no cure. The strongest predictor for infection is a persons number of lifetime sex partners. The natural history includes first-episode mucocutaneous infection, establishment of latency in the dorsal root ganglion, and subsequent reactivation. Most infections are transmitted via asymptomatic viral shedding. Clas…
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Research

  • Scientists have studied herbal extracts and nutritional supplements based on some herpes patients' claims that they help relieve symptoms. Some study results have been promising, others discouraging. Many people say that an extract of the echinacea plant helps boost the immune system's ability to fight infection. Some say it decreases the frequency and severity of genital he…
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