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Herpes

Genital Herpes STD Test

You need answers to questions about sexual health.

Genital herpes is a common sexually transmitted infection (STI) caused primarily by the herpes simplex virus (HSV), which has two types: HSV-1 and HSV-2. Testing for genital herpes can help diagnose the infection, especially if symptoms are present. About 16% of Americans aged 14–49 have the HSV-2 virus, and many are unaware of their condition until painful breakouts begin.


Basic Knowledge

  • Genital herpes is a sexually transmitted infection.
  • It is prevalent among both men and women in the U.S.
  • About 1 in 6 people are infected with HSV-2.
  • Often, symptoms are absent, leaving many unaware of the infection.
  • When symptoms occur, they include small, painful blisters or sores on the genitals or anus.
  • Infected individuals can transmit the virus to their sexual partners, often unknowingly.
  • While there is no cure, antiviral medications can help manage symptoms.
  • Genital herpes does not cause long-term serious health issues.

Details

  • Name: Genital Herpes
  • Category: Treatable, not curable
  • Lab Test: Blood Specimen
  • Treatment: Antiviral Medications to shorten or prevent outbreaks

Genital Herpes Facts

Description:
Genital herpes is a sexually transmitted viral infection that affects the skin or mucous membranes in the genital area. It is caused by:

  1. Herpes simplex virus type 2 (HSV-2) – responsible for most genital herpes cases and spreads through genital or oral secretions.
  2. Herpes simplex virus type 1 (HSV-1) – commonly causes oral herpes but can spread to the genitals during oral sex.

Statistics:

  • Over 16% of Americans aged 14–49 have HSV-2.
  • 1 in 5 women and 1 in 9 men in the U.S. have HSV-2.

Exposure:

  • HSV spreads during sexual contact, often through skin-to-skin interaction during an active outbreak (visible sores, blisters, or rashes).
  • Transmission is possible even without symptoms, via saliva or vaginal fluids.

Incubation:

  • 2–12 days after exposure.

Symptoms

Many people with HSV-2 infection have no symptoms or confuse them with routine skin irritations.

General Symptoms:

  • Muscle and body ache (lower back and legs).
  • Reduced appetite, fever, and general malaise.

Genital Symptoms:

  • Small, painful blisters filled with clear or straw-colored fluid.
    • Women: Blisters may appear on vaginal lips, vagina, cervix, anus, thighs, or buttocks.
    • Men: Blisters may appear on the penis, scrotum, anus, thighs, or buttocks.
    • Both sexes: Blisters may appear on the tongue, mouth, eyes, gums, lips, fingers, or other areas.

Before Blisters:

  • Tingling, burning, itching, or pain at the site of future blisters.

After Blisters:

  • When blisters break, they leave painful ulcers that crust over and heal within 7–14 days or longer.

Other Symptoms

  • Enlarged and tender lymph nodes in the groin during an outbreak.
  • Painful urination.
  • Vaginal discharge (in women).
  • In rare cases, women may require a urinary catheter due to difficulty emptying the bladder.

Recurrent Infections

  • A second outbreak may occur weeks or months after the first, but it is generally less severe and shorter.
  • Over time, outbreaks tend to decrease in frequency.
  • Once infected, the virus remains dormant in nerve cells but can reactivate, causing flare-ups.

Triggers for Reactivation:

  • Fatigue.
  • Genital irritation.
  • Menstruation.
  • Physical or emotional stress.
  • Trauma.

Frequency of Outbreaks

  • Recurrences vary from once per year to nearly continuous symptoms.
  • Men generally experience milder and shorter recurrences than women.
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