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Genital Herpes: People
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Prodrome is a symptom of genital herpes that indicates that an outbreak is coming. People will feel various symptoms such as pain, itching, or tingling before an outbreak of genital herpes. Within the next couple of days lesions will generally appear. If you can sense and recognize the prodrome you can begin your medicines to help reduce the symptoms and length of your outbreaks.
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Most people get genital herpes by having sex with someone who is having a herpes "outbreak." This outbreak means that HSV is active. When active, the virus usually causes visible lesions in the genital area. The lesions shed (cast off) viruses that can infect another person. A person with genital herpes ... can infect a sexual partner during oral sex. The virus is spread only rarely, if at all, by touching objects such as a toilet seat or hot tub.
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The infection is usually acquired by sexual contact with someone who has genital herpes. People with oral herpes can transmit the infection to the genital area of a partner during oral-genital sex. Herpes infections ... can be transmitted by a person who is infected with HSV but has no noticeable symptoms. Such asymptomatic shedding of the virus may be fairly common, occurring from 5 percent to 20 percent of the time in infected individuals.
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Researchers have found that people with HSV-2 genital herpes tend to have more shedding than those with HSV-1. In addition, people with new infections are more likely to shed the virus than those with an infection more than a year old. Those with frequent recurrences may ... shed the virus more often, but this is still an area being studied.
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There is no cure for genital herpes. After the primary outbreak, some people have just a few recurrent outbreaks over their lifetime, while others may have 4 to 6 outbreaks a year. Recurrent outbreaks are more likely if the cause is HSV-2 and generally are less severe and heal more quickly than the primary outbreak. Usually the number of outbreaks decreases after several years. While genital herpes is bothersome and may cause emotional distress, it usually does not cause serious health problems in otherwise healthy adults.
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With genital herpes, antibodies help ensure that recurrent symptoms are milder than the first episode. It's interesting to note that it is quite common to find antibodies in the blood of people who have never apparently experienced an episode of genital herpes. Either the episode was so mild that the person was unaware that it was taking place, or it was diagnosed as a different medical condition, or it was totally without symptoms and therefore unrecognized.
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