Genital Herpes

What Is It?

Genital herpes is caused by a virus called herpes simplex (HSV). There are two different types of herpes virus that cause genital herpes — HSV-1 and HSV-2. Most forms of genital herpes are HSV-2. But a person with HSV-1 (the type of virus that causes cold sores or fever blisters around the mouth) can transmit the virus through oral sex to another person's genitals.

Genital herpes is a sexually transmitted disease (STD). It can cause sores in the genital area and is spread through vaginal, oral, or anal sex — especially during unprotected sex when infected skin touches the vaginal, oral, or anal area. Occasionally, it can cause sores in the mouth, and can be spread through saliva (spit). Because the virus does not live outside the body for long, you cannot catch genital herpes from an object, such as a toilet seat.

Symptoms of an Outbreak

Someone who has been exposed to the genital herpes virus might not be aware of being infected and might never have an outbreak of sores. However, if a person does have an outbreak, the symptoms can cause a lot of discomfort.

Someone with genital herpes may first notice itching or pain, followed by sores that appear a few hours to a few days later. The sores, which may appear on the vagina, penis, scrotum, buttocks, or anus, start out as red bumps that soon turn into red, watery blisters. The sores might make it very painful to urinate (pee). The sores may open up, ooze fluid, or bleed; during a first herpes outbreak, they can take from a week to several weeks to heal. The entire genital area may feel very tender or painful, and the person may have flu-like symptoms (such as fever; a headache; and tender, swollen lymph nodes in the groin area).

If future outbreaks happen, they tend to be less severe and don't last as long, with sores healing faster.

How Long Until Symptoms Appear?

Someone who has been exposed to genital herpes will notice genital itching and/or pain about 2 to 20 days after being infected with the virus. The sores usually appear within days afterward.

What Can Happen?

After the herpes blisters disappear, a person may think the virus has gone away — but it's actually hiding in the body. Both HSV-1 and HSV-2 can stay hidden away in the body until the next herpes outbreak, when the virus reactivates itself and the sores return, usually in the same area.

Over time, the herpes virus can reactivate itself again and again, causing discomfort and episodes of sores each time. The number of future outbreaks can vary (some people might have four or five a year; others might have one or none) and usually lessen over time.

At this time there is no cure for herpes; it remains in the body and can be passed to another person with any form of unprotected sex. This is the case even if blisters aren't present, but more likely if they are. A person can lessen the chance of spreading the infection to someone else by taking an antiviral medicine. This is a medication that must be prescribed by a doctor.

Genital herpes also increases a person's risk of HIV infection because HIV can enter the body more easily whenever there's a break in the skin (such as a sore) during unprotected sexual contact.

If a pregnant woman with genital herpes has an active infection during childbirth, the newborn baby is at risk for getting it. To prevent this, she may have a C-section to avoid passing the infection to the baby. Herpes infection in a newborn can cause meningitis (an inflammation of the membranes that surround the brain and spinal cord), seizures, and brain damage.

How Is It Prevented?

The best way to prevent genital herpes is abstinence. Teens who do have sex must properly use a latex condom every time they have any form of sexual intercourse (vaginal, oral, or anal sex). Girls receiving oral sex should have their partners use dental dams as protection. These sheets of thin latex can be purchased online or from many pharmacies.

If one partner has a herpes outbreak, avoid sex — even with a condom or dental dam — until all sores have healed. Herpes can be passed sexually even if a partner has no sores or other signs and symptoms of an outbreak. Finally, one way to lessen this risk is to take antiviral medication even when no sores are present if you know you have genital herpes.

How Is It Treated?

If you think you may have genital herpes or if you have had a partner who may have genital herpes, see your family doctor, adolescent doctor, gynecologist, or health clinic for a diagnosis.

Right now, there is no cure for genital herpes, but a doctor can prescribe antiviral medication to help control recurring HSV-2 and clear up the painful sores. The doctor can also tell you how to keep the sores clean and dry and suggest other methods to ease the discomfort if the virus reappears.