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Genital herpes is a sexually transmitted infection caused by the herpes simplex virus. It’s very common, with 500,000 new cases occurring in the US every year. Although there’s no cure for genital herpes, the symptoms can be effectively managed using antiviral medications.
“Genital herpes is very common, with 500,000 new cases occurring in the US every year.”
Dr Phillip Ryan Whitman
(Clinical Pharmacist)
Genital herpes is a very common, highly contagious infection usually spread through unprotected sex. It’s typically caused by the herpes simplex virus-2 (HSV-2), and sometimes the herpes simplex virus-1 (HSV-1) — that’s the virus often responsible for cold sores. Symptoms of herpes include blisters similar to cold sores on the genitals, although in many people who have it, it produces mild or no symptoms.
The first time you get herpes, symptoms can be quite severe. Once symptoms get better, the virus remains dormant in the area of infection and can reactivate, causing recurrent outbreaks. These outbreaks tend to be less severe than the first infection, and may not trigger symptoms at all.
Anyone who has sex can catch genital herpes. It’s spread by direct contact with the infectious virus, so you can get it by having unprotected vaginal or anal sex, genital contact, or through oral sex with someone who gets cold sores. You’re at your most infectious when you have blisters or cold sores, although it’s also possible to spread herpes when you have no symptoms at all.
The main symptom of herpes is small blisters on the genitals that become painful and dry, like cold sores. These can appear anywhere around the genitals or surrounding areas. You may also experience flu-like symptoms and swollen lymph nodes.
Symptoms may appear within a few days to a couple of weeks after being infected, or the virus may lay dormant for months or even years before causing a symptom outbreak. Your initial infection is usually severe, while recurring outbreaks tend to be more mild.
Many people aren’t symptomatic at all, but can still pass on the infection.
Most people with genital herpes experience mild and infrequent symptoms, though some may have more frequent and severe recurrent episodes.
Women with recurrent herpes prior to pregnancy are at very low risk of transmitting the infection to their babies. The risk is greatest when the first episode of symptoms occurs close to delivery.
If you suffer from six or more genital herpes outbreaks per year, suppression treatment may be suitable for you. This is when an antiviral medication is taken daily, rather than only when you have symptoms, to prevent recurrent outbreaks. Research suggests that suppression treatment can reduce the number of outbreaks by 70–80%, and cause symptoms to be both milder and shorter.
