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Genital Herpes

See also:  Herpes Simplex type II (HSV-2)

What is it?

Genital herpes is an infection that causes small, painful, fluid-filled blisters on the skin around the genitals.

Who gets it?

Genital herpes appears in sexually active individuals.

What causes it?

Herpes Simplex type 2 virus (HSV-2) causes genital herpes. Once you have been infected with a form of the herpes virus, the virus continues to live in the nerve cells of the skin or the central nervous system, but doesn't cause any symptoms. Something, such as an illness, stress, sunburn, or injury, can cause the virus to become active again, which causes the symptoms of genital herpes. The virus may also occur in people who are taking drugs to suppress the immune system. HSV-2 is contagious and is spread by contact with the fluid in the blisters. HSV-2 is commonly spread through any type of sexual contact. HSV-2 can also be spread from a woman to her fetus if she becomes pregnant while infected with this virus.

What are the symptoms?

Genital herpes may begin with an initial tingling, burning, or numb sensation, followed by clusters of small, painful, fluid-filled blisters. There may be fever and a generally sick feeling. HSV-2 blisters appear on the genitals, around the anus, and on the buttocks. Women may also have painful sores on the vulva, on the cervix, and in the vagina. Eventually, the blisters are covered with a thin, yellow crust as they begin to dry, and the pain subsides. Genital herpes symptoms can occur repeatedly. The first occurrence of genital herpes is usually the most severe, with recurring episodes lasting around one week.

How is it diagnosed?

To diagnose any form of herpes, your doctor will study your medical history and perform a physical examination. Laboratory tests, such a viral cultures and blood tests, can be performed to determine the type of virus causing the symptoms.

What is the treatment?

Herpes is treated with an antiviral medication that reduces symptoms and dries up the blisters. People who get HSV-2 frequently or have severe outbreaks may take this type of medication daily to prevent symptoms. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help reduce pain. Cool compresses on the affected area may also provide relief. More severe pain may be relieved by prescription pain medications. It is important to keep your skin clean and dry so you don't develop any other types of infections in the blistered area. Your doctor might also prescribe some type of antibacterial ointment to help prevent infection. There is no HSV-2 treatment that will completely destroy the virus.

Self-care tips

You can prevent genital herpes by using a condom at all times during sexual intercourse. HSV-2 is contagious even when there are no noticeable blisters. If you are sexually active, be sure you are aware of your partner’s sexual history. If you have genital herpes, inform your partner. Make sure anyone with whom you have had a sexual relationship knows about your condition so they can seek treatment. Avoid contact with herpes blisters if you have herpes or know someone who does. Wash your hands frequently, do not share food or drink, and do not touch a blister, then touch others or other areas of your body. As with any illness, it's important to get plenty of rest, follow a healthy diet, and reduce stress levels. People with a skin condition called atopic eczema should avoid any exposure to the herpes virus because it can develop into a possibly fatal condition called eczema herpeticum. Contact your doctor if your symptoms become worse or if the blisters appear to be infected.


This information has been designed as a comprehensive and quick reference guide written by our health care reviewers.  The health information written by our authors is intended to be a supplement to the care provided by your physician.  It is not intended nor implied to be a substitute for professional medical advice. 

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