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 transmitted through vaginal, oral, or anal sex, especially from unprotected sex when infected skin touches the vaginal, oral, or anal area. Occasionally, it can cause sores in the mouth, and can be spread by secretions in saliva. Because the virus does not live outside the body for long, you cannot catch genital herpes from an object, such as a toilet seat.
Someone who has been exposed to the genital herpes virus may not be aware of the infection and might never have an outbreak of sores. However, if a person does have an outbreak, the symptoms can cause significant 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. 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 including fever, headache, and swollen lymph nodes.
If future outbreaks occur, they tend to be less severe and shorter in duration, with sores healing faster.
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.
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 prescription 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. In addition, if a pregnant woman with genital herpes has an active infection during childbirth, the newborn baby is at risk for getting herpes infection. This risk is greatest if she gets her first outbreak while pregnant. Herpes infection in a newborn can cause meningitis (an inflammation of the membranes that surround the brain and spinal cord), seizures, and brain damage.
The only surefire 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.
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 when the virus reappears.
Reviewed by: Nicole A. Green, MD
Date reviewed: March 2013
|Planned Parenthood Info for Teens This site from the Planned Parenthood Federation of America has information on relationships and sexual health for teens.|
|American Sexual Health Association This nonprofit organization is dedicated to preventing sexually transmitted diseases and offers hotlines for prevention and control of STDs.|
|Centers for Disease Control and Prevention (CDC) The CDC (the national public health institute of the United States) promotes health and quality of life by preventing and controlling disease, injury, and disability.|
|Planned Parenthood Federation of America Planned Parenthood offers information on sexually transmitted diseases, birth control methods, and other issues of sexual health.|
|GYT - Get Yourself Talking and Get Yourself Tested This media campaign designed to get young people to talk with their health care providers and partners about the importance of getting tested for sexually transmitted diseases.|
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|5 Myths About STDs There's lots of misinformation out there about STDs. We set the record straight on 5 of the most common myths.|
|About Sexually Transmitted Diseases (STDs) You've probably heard lots of discouraging news about sexually transmitted diseases. The good news is that STDs can be prevented. Find out how to protect yourself.|
|Can You Get Genital Herpes From a Cold Sore? Find out what the experts have to say.|
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|About Birth Control Before you consider having sex, you need to know how to protect yourself. Read this article to get the basics on birth control.|
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