Herpes (caused
by herpes simplex virus types 1 and 2 – HSV)
SIGNS AND SYMPTOMS
• Most people may never develop symptoms or the
symptoms are too mild to notice.
• Develop within 2-30 days, or longer, or not at all.
• Small, painful fluid-filled blisters on genitals, mouth
or anus.
• Blisters progress to open sores that crust over and
heal within 1-2 weeks.
• Blisters may be “hidden” in the vagina.
• First episode most severe, subsequent episodes
milder.
• Itching or burning on skin in area where blisters are
about to appear.
• Initial infection often accompanied by fever,
headache and swollen lymph nodes.
• Blisters go away, but infection is still in the body.
• Blisters can return periodically, but usually with
shorter duration and less severity.
TRANSMISSION OF GENITAL HERPES
Genital herpes is spread by:
• Vaginal sex
• Oral sex
• Anal sex
• Contact with infected person’s lesions
• Infected mother to newborn
Herpes can also be spread from one area of the body to
another via contact with or touching an infected area.
Viral shedding may occur in the absence of blisters, so
transmission is possible when lesions are absent. Most
transmission
occurs in absence of sores.
Genital herpes can:
• Spread to sex partners
• Make infection by other germs, like HIV, easier, as
the blisters provide easy entry to other STD germs
• Cause recurrent painful outbreaks
Genital herpes and pregnancy
• Most pregnant women with recurrent genital herpes
deliver normal infants.
• Newborn may acquire infection from mother during
delivery.
• Infection in newborn may cause death, or severe
damage to the brain, lungs and liver.
• Risk is highest for infants born to mothers who
have first episode of genital herpes during
pregnancy.
• Avoiding vaginal, oral or anal sex is the best way to
prevent STDs.
• Latex condoms, when used consistently and
correctly, can reduce the risk of genital herpes only
when the infected areas are covered or protected by
the condom.
• Always use latex condoms during vaginal and anal
sex.
• Use a latex condom for oral sex on a penis.
• Use a latex barrier (dental dam or condom cut in half)
for oral sex on a vagina or anus.
• Limit the number of sex partners.
• Notify sex partners immediately if infected.
• When pregnant, inform doctor if previously infected
with herpes.
• Never have sex with someone who has genital herpes
when sores are
present.
• Get a test from a medical provider if infection is suspected.
• No cure is available; infection persists for life.
• Recurrent episodes of blisters can be decreased by
taking an antiviral medication each day.
• Treatment of recurrent episodes generally shortens
the length of outbreaks.
• Comfort measures are available for recurrent
episodes.
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