FAQ - Genital Herpes

What is Genital Herpes?

Genital Herpes is a viral infection, which is spread through sexual contact. It affects one in five adults in the United States. Genital Herpes is best known for the sores and blisters it causes. These blisters or sores are found around the genital area or the mouth. The area where the sores appear is usually the original site where the virus entered your body.

Once the virus enters your body, it infects healthy cells. The sores and blisters that occur are a result of your body's immune system fighting the virus.

How does the infection occur?

The virus enters your body through a break in your skin. It also enters through moist membranes found in your body, these include the vagina, urinary opening, cervix, anus and the penis. In addition, herpes can affect the tongue, mouth, eyes, lips, fingers and other body parts. During oral sex, herpes can be passed from a cold sore around the mouth to the partner's genital or vice versa. It is possible for people to infect themselves by touching a sore and then later rubbing your eye or scratching another part of your body.

What are the symptoms?

Symptoms vary from person to person, and many people have no symptoms at all. Some people have sores and others just have pain the the area that was exposed to the virus. After you are exposed to the virus, symptoms many not occur for 2- 10 days. You many experience swollen glands, fever, chills, muscle aches, fatigue and nausea. You may get sores, which may appear on the genitals, buttocks or other areas. These sores generally are grouped in clusters. When urinating, these areas may sting or burn.

These symptoms may last as long as three weeks. During this time the lesions may break open and "weep". Eventually the sores will become crusted over and will heal without leaving scars.

The virus may recur at any time. When this occurs you may feel burning, itching or tingling where the virus first entered your body. Other symptoms that occur include low back pain, or pain in the buttocks, thighs or knees. These symptoms are call prodrome. Within a few hours the sours/blisters will appear. With recurrent infections there is generally no fever or swelling in the genital area. Sores heal more quickly within 3-7 days.

If and when you have symptoms of herpes, call your doctor for an appointment. In order to confirm the diagnosis of herpes, a culture must be done from a sore/blister.

What is the treatment?

There is no cure for herpes so treatment is centered on treating the symptoms. Medications are prescribed to shorten the length of an outbreak and this same medication can be used to suppress future outbreaks.

If you have a Herpes Outbreak.....

  • Keep the lesions dry and clean
  • Wear loose fitting cotton underclothes, avoid pantyhose, and avoid nylon and other synthetics as they retain in heat and moisture, which may slow the healing process.
  • You may use analgesics to relieve the pain or call the office for other suggestions.

Genital Herpes and Pregnancy

If you are pregnant and have herpes, notify your physician. There are increased risks to the baby, especially if it is the mother's first outbreak. Newborns become infected while they are being born through the mother's infected birth canal. If you have an outbreak at the time of your delivery, your physician may recommend a cesarean birth. This reduces the chance that the baby will come in contact with the virus.