Frequently Asked Questions GENITAL HERPES What is GENITAL HERPES? Genital herpes is a sexually transmitted disease (STD) caused by the herpes simplex viruses. There are two types of genital herpes (type 1 called HSV -1 and type 2 called HSV-2). How do people get HSV-1 causes “fever blisters” on the mouth and lips, or genital genital herpes? area. HSV-1 is spread by coming in contact with the saliva of an infected person, such as kissing or having oral sex with an infected person. HSV-2 is spread during sex with someone who has a genital HSV-2 infection. HSV-2 is released from sores as well as from skin that does not appear to be broken or have sores. This is called viral shedding. What are the signs and HSV-2 usually produces only mild symptoms or signs or symptoms of genital no symptoms at all. Most people infected with HSV-2 are herpes? not aware of their infection because initial symptoms are flu-like, including fever and swollen glands. However, many adults seek medical help two to four weeks after HSV-2 infection as they develop painful genital blisters on or around the genitals or rectum. When the blisters break, they leave tender ulcers (sores) that take two to four weeks to heal. How is genital herpes Health care providers diagnose genital herpes by visual diagnosed? inspection if the outbreak is typical, and by taking a sample from the sore(s). Blood tests which detect HSV-1 or HSV-2 infection may be helpful although the results are not always clear. How is genital herpes There is no treatment that can cure herpes, but antiviral treated? medications can shorten and prevent outbreaks during the period of time the person takes the medication. In addition, daily suppressive therapy for symptomatic herpes can reduce transmission to partners. What are the complications Genital herpes can cause recurrent painful genital sores from genital herpes? in many adults, and herpes infection can be severe in people with suppressed immune systems. Regardless of severity of symptoms, genital herpes frequently causes psychological distress in people who know they are infected. In addition, it can cause potentially fatal infections in infants if the mother is shedding virus at the time of delivery. It is important that women avoid contracting herpes during pregnancy because a first episode during pregnancy causes a greater risk of transmission to the newborn. If a woman has active genital herpes at delivery, a cesarean delivery is usually performed. Fortunately, infection of an infant from women with HSV-2 infection is rare. How can people protect Consistently and correctly using latex or polyurethane themselves against condoms can help protect against infection. However, infection? condoms do not provide complete protection because the condom may not cover the herpes sore(s), and viral shedding may nevertheless occur. If either you or your partner have genital herpes, it is best to abstain from sex when symptoms or signs are present, and to use latex condoms between outbreaks. For more information: Call the Centers for Disease Control and Prevention at 1-800-232-4636, TTY: 1-888-232-6348 In English and Spanish. Contact Number: STD Program, (302) 744-1050 Revised: 03/2007 Doc.# 35-05-20/07/03/08