Can You Still Spread Chickenpox After Scabs Fall Off?

Can chickenpox still be contagious after the scabs have formed?

Hello doctor 👋 It has been 15 days since I developed chickenpox on June 27, and the scabs are starting to fall off.
1.
Since my body has scabbed over and they are gradually falling off, am I still contagious? 2.
Can I engage in sexual activities? 3.
After the scabs fall off, there are white, hard substances around the skin and on that area of skin; what could that be?

Ahuatian, 20~29 year old female. Ask Date: 2018/07/10

Dr. Wu Yuxin reply Dermatology

1.
In principle, the infectiousness has significantly decreased.
2.
It is possible.
3.
Without seeing the lesion, it is impossible to determine the issue.
If it is very concerning, please seek medical attention promptly.

Reply Date: 2018/07/10

More Info

When it comes to chickenpox (varicella), understanding the timeline of infectiousness is crucial for both the affected individual and those around them. Chickenpox is caused by the varicella-zoster virus, which is highly contagious. The virus can be spread from person to person through respiratory droplets or direct contact with the fluid from the blisters.
1. Infectious Period: A person with chickenpox is contagious from about 1 to 2 days before the rash appears until all the blisters have crusted over. Generally, once the scabs have formed and started to fall off, the risk of spreading the virus significantly decreases. Since you mentioned that it has been 15 days since the onset of your chickenpox and that your scabs are falling off, it is likely that you are no longer contagious. However, it’s always best to consult with a healthcare provider for personalized advice, especially if you are in contact with individuals who are immunocompromised or have not had chickenpox.

2. Engaging in Intimate Activities: If you are no longer contagious, engaging in intimate activities should be safe. However, it is essential to consider your overall health and comfort level. If you are still experiencing any symptoms or discomfort, it might be wise to wait until you feel fully recovered. Additionally, if your partner has not had chickenpox or the varicella vaccine, it would be prudent to discuss this with them, as they could still be at risk of contracting the virus.

3. Skin Changes After Scab Fall Off: The white, hard areas you are observing on your skin after the scabs have fallen off are likely part of the healing process. After the scabs fall off, the skin may take some time to heal completely. It is not uncommon for the skin to appear slightly raised or discolored during this phase. These changes are usually temporary and should improve as your skin continues to heal. However, if you notice any signs of infection (such as increased redness, swelling, or pus) or if the area does not improve over time, it would be advisable to seek medical attention.

In summary, after 15 days from the onset of chickenpox and with scabs falling off, you are likely no longer contagious. Engaging in intimate activities should be safe, but always consider your health and the health of your partner. The skin changes you are experiencing are likely normal, but keep an eye on them for any signs of complications. If in doubt, consulting with a healthcare professional can provide peace of mind and ensure proper recovery.

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