Genital herpes
Doctor, when I was around 20 or 21 years old, I had a sexual relationship with my ex-boyfriend and contracted herpes.
At that time, I didn't understand it and only learned later that it is a contagious virus.
I know that it won't go away and relies on my immune system.
I currently have a boyfriend, but I'm very worried about transmitting it to him.
I would like to ask if herpes is contagious only during an outbreak or if it can also be transmitted when there are no symptoms.
Is this considered a sexually transmitted infection?
Lily, 20~29 year old female. Ask Date: 2017/10/24
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, transmission typically occurs when symptoms are present.
Wishing you good health.
Reply Date: 2017/10/24
More Info
Genital herpes is a common sexually transmitted infection (STI) caused primarily by the herpes simplex virus type 2 (HSV-2), although it can also be caused by herpes simplex virus type 1 (HSV-1), which is more commonly associated with oral herpes. Understanding the transmission risks and relationship concerns associated with genital herpes is crucial for managing your health and the health of your partner.
Transmission Risks
1. Active Outbreaks: The highest risk of transmission occurs during an active outbreak when sores or blisters are present. The virus is most contagious when these lesions are visible, as the virus is shed from the sores.
2. Asymptomatic Shedding: However, herpes can also be transmitted when there are no visible symptoms. This is known as asymptomatic viral shedding. Studies have shown that individuals with genital herpes can shed the virus even when they are not experiencing an outbreak, which means that transmission can occur even in the absence of sores.
3. Sexual Activity: Genital herpes is primarily transmitted through sexual contact, including vaginal, anal, and oral sex. It is important to note that the virus can be present on skin that appears normal, which is why using protection, such as condoms, can reduce but not eliminate the risk of transmission.
Relationship Concerns
1. Communication: It is essential to communicate openly with your partner about your herpes status. This can help both of you make informed decisions about sexual activity and risk management.
2. Preventive Measures: If you are concerned about transmitting the virus to your partner, consider the following preventive measures:
- Condom Use: While condoms do not provide complete protection, they can significantly reduce the risk of transmission.
- Avoiding Sexual Activity During Outbreaks: Refrain from sexual contact during an active outbreak or if you feel an outbreak is imminent (prodromal symptoms like tingling or itching).
- Antiviral Medication: Discuss with your healthcare provider the possibility of taking antiviral medications, such as acyclovir, valacyclovir, or famciclovir. These medications can help reduce the frequency of outbreaks and lower the risk of transmission to your partner.
3. Regular Check-ups: Regular medical check-ups can help monitor your condition and provide you with the necessary support and information regarding managing herpes.
Conclusion
In summary, genital herpes can be transmitted both during active outbreaks and through asymptomatic shedding. It is classified as a sexually transmitted infection, and managing the risks involves open communication with your partner, practicing safe sex, and considering antiviral treatment. If you have further concerns or questions about your specific situation, it is advisable to consult with a healthcare provider who can offer personalized guidance and support. Remember, many people live with herpes and maintain healthy, fulfilling relationships by taking appropriate precautions and communicating openly with their partners.
Similar Q&A
Understanding Genital Herpes Type II: Risks, Transmission, and Relationships
I first noticed small clusters of blisters on my genitals, but I can't remember exactly when it started. This has happened about four times now. During the first two occurrences, I didn't know what it was, but I recovered quickly and thought nothing of it. It wasn'...
Dr. Xu Weikai reply Urology
Xiao Li: Hello, regarding herpes, in Taiwan, more than two-thirds of adults are carriers. Therefore, there is no need to fear transmitting it to others. Additionally, generally healthy individuals can suppress the virus through their immune system, allowing for self-healing witho...[Read More] Understanding Genital Herpes Type II: Risks, Transmission, and Relationships
Understanding Oral Herpes: Risks, Transmission, and Prevention
Hello, Dr. Huang: Recently, someone in our family has developed oral herpes, which I understand is caused by herpes simplex virus type 1 (HSV-1). I would like to ask if they (or we) accidentally touch the sores with our hands or other parts of the body and then touch the genital ...
Dr. Huang Ruiyun reply Dermatology
Hello: Herpes simplex virus is classified into two types: HSV-1 and HSV-2. It was previously thought that HSV-1 causes oral herpes and HSV-2 causes genital herpes, but this is no longer considered absolute. Both types can infect other areas, although they still tend to have prefe...[Read More] Understanding Oral Herpes: Risks, Transmission, and Prevention
Understanding Genital Herpes: Prevention and Transmission Risks
Hello Dr. Huang: I was diagnosed with type 2 genital herpes virus through a blood test. How can I avoid transmitting it to my family members who live with me in my daily life? Also, if there are no lesions at the time, is there still a risk of transmission? I read online that eve...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello, Miss Xiao Yu: The transmission route of genital herpes generally occurs through contact with blood or bodily fluids, particularly through intimate sexual contact. The herpes virus typically has difficulty surviving outside the body and can only be transmitted through close...[Read More] Understanding Genital Herpes: Prevention and Transmission Risks
Understanding Genital Herpes: Risks, Transmission, and Treatment Options
I recently contracted herpes in the genital area and have a few questions: 1. I often donate blood; will the herpes virus be present in my blood? (Can it be detected?) 2. I have a steady partner, but why did they not show any symptoms while I got infected? Is it definitely transm...
Dr. Li Yilun reply Urology
Genital herpes is caused by a viral infection known as the herpes simplex virus (HSV), which is a DNA virus that can be categorized into two types: HSV-1 and HSV-2. Generally, HSV-1 primarily infects the oral region, and most individuals may be infected from a young age. Some peo...[Read More] Understanding Genital Herpes: Risks, Transmission, and Treatment Options
Related FAQ
(Obstetrics and Gynecology)
Genital Warts Transmission(Obstetrics and Gynecology)
Sexually Transmitted Disease(Obstetrics and Gynecology)
Std Infection(Obstetrics and Gynecology)
Hpv Infection(Obstetrics and Gynecology)
Herpes(Urology)
Genital Itching(Obstetrics and Gynecology)
Folliculitis(Obstetrics and Gynecology)
Genital Warts Transmission(Urology)
Herpes(Dermatology)