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STD - Genital Herpes
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Definition

Seeking information about genital herpes, a sexually transmitted disease (STD)

General Information

Genital herpes is caused by the herpes simplex virus (HSV-1 or HSV-2).
Genital herpes is the most common STD. Close to 50 million persons in the United States have genital herpes.
There is no cure for genital herpes; however, there are medications that can reduce the severity and duration of the symptoms.

Typical Symptoms of Genital Herpes

Painful, fluid-filled blisters that usually are grouped in clusters. They occur anywhere around the opening of the vagina or on the penis. Blisters dry out, crust over and heal in 7-10 days.
The symptoms are worst during the first episode of genital herpes.
Recurrences of genital herpes can occur and often are less painful and of shorter duration.
People can have genital herpes and have no symptoms at all (asymptomatic).

Additional Resources

American Social Health Association
- â€œAnswers to your questions about teen sexual health and sexually transmitted diseases.â€
- http://www.iwannaknow.org
Sexually Transmitted Diseases Treatment Guidelines 2002. MMWR. 2002; 51(RR-6):1-80.
Public Health Agency of Canada
- Sexually Transmitted Infections (STI), Sexual Health Facts and Information
- http://www.phac-aspc.gc.ca/std-mts/faq_e.aspxl

If not, see these topics

How to PREVENT a sexually transmitted disease
PENIS SYMPTOMS (male genital symptoms)
VULVAR SYMPTOMS (female genital symptoms)
Questions about CHLAMYDIA, a sexually transmitted disease
Questions about GONORRHEA, a sexually transmitted disease
Questions about HIV, a sexually transmitted disease
Questions about PUBIC LICE, a sexually transmitted disease
Questions about TRICHOMONAS, a sexually transmitted disease

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When to Call Your Doctor

	Call Your Doctor Now (night or day) If
	You were forced to have sex (sexual assault or rape)
	Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
	You think you need to be seen Possible first episode of herpes with symptoms of: Painful, fluid-filled blisters that usually are grouped in clusters, and Occur anywhere around the penis or opening of the vagina
	Call Your Doctor During Weekday Office Hours If
	You have other questions or concerns You are worried you might have a sexually transmitted disease Possible first episode of herpes with symptoms of: Painful, fluid-filled blisters that usually are grouped in clusters, and Occur anywhere around the penis or opening of the vagina Pregnant and you had sexual intercourse with someone who was diagnosed with oral or genital herpes
	Self Care at Home If
	No symptoms and you don't think you need to be seen Questions about genital herpes

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HOME CARE ADVICE FOR GENITAL HERPES

How is genital herpes transmitted?
- Genital herpes is spread by sexual intercourse (vaginal or anal) or any direct contact with the genitals of a person who has an active herpes infection (initial episode or recurrence).
- Many people do not know that they have genital herpes. A person can have no symptoms and still transmit the virus. As a result, most cases of transmission occur with neither sexual partners knowing that it is occurring.
- Oral herpes (fever blisters) also can be spread to the partner's genitals during oral sex.
How long does it usually take for symptoms to appear once one is exposed?
- The incubation period is 2 days to 2 weeks.
How can I get tested for herpes?
- Genital herpes can be diagnosed with a specimen taken from a blister or by blood testing.
Is there treatment for genital herpes?
- First episode - There are antiviral medications that can be used for genital herpes. Medication doesn't cure the disease, but can shorten the duration of symptoms. Speak with your physician.
- Recurrent episodes - Antiviral medications can reduce and shorten the duration of symptoms. Speak with your physician.
I have genital herpes. How can I protect my sexual partner from getting herpes?
- Inform your sexual partner that you have herpes.
- Abstain from sexual activity with uninfected sexual partners whenever you have the herpes sores or feel them coming on.
- Remember that you can transmit herpes even when you have no symptoms.
- A latex condom can reduce the chance of transmission, if used correctly and if the condom covers the herpes sores.
STD National Hotline
- The CDC National STD Hotline provides information on sexually transmitted diseases (STDs), such as chlamydia, gonorrhea, HPV/genital warts, herpes, and HIV/AIDS. Specialists can provide general information, referrals to local clinics, and written materials about STDs and disease prevention.
- Toll-free number (English): (800) 227-8922
- Toll-free number (Spanish): (800) 344-7432
- Their website is at: http://www.ashastd.org
Pregnancy test, when in doubt:
- If there is any possibility of pregnancy, obtain and use a urine pregnancy test from the local drug store.
- Follow the instructions included in the package.
Call Your Doctor If:
- Pregnancy test is positive or if you have difficulties with the home pregnancy test.
- Discharge from penis or unusual vaginal discharge
- You become worse

And remember, contact your doctor if you develop any of the "Call Your Doctor" symptoms.

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Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Author and Senior Reviewer: David A. Thompson, M.D.

Last Reviewed: 1/19/2009

Last Revised: 4/2/2009

Content Set: Adult HouseCalls Online