There is no "typical presentation" of herpes. Some people after exposure will develop outbreaks or recurrences with a vesicular, painful rash. Others never see lesions or rashes. Even others - fall somewhere in between with localized pain coming first, followed by a rash. According to a recent study, some people with genital herpes may find that they have serious neuropathic pain (pain that follows nerve pathways) even if a rash or lesions never appear .
This study looked at 17 patients who complained of generalized chronic pain and had no signs of lesions. The majority of these patients were known to have herpes simplex virus. The researchers came to the conclusion that when some people get infected with the herpes virus, it may actually alter the pain processing mechanism in the central nervous system. Once these patients in the study were given anti-herpetic medication (like Acyclovir), the pain lessened considerably. So ...
Understanding Herpes Testing
The most important fact to know in terms of Herpes testing is that
blood testing with an IgG test is the BEST test for diagnosing the disease.
first see the doctor for a suspicious genital ulcer, your health care provider
may ask a lot of really personal and embarrassing questions. Know
that having an accurate sexual history as well as a description of your
symptoms is very important as your health care provider evaluates you. Be honest.
medical history and physical examination alone can not diagnose herpes.
I've seen a
lot of genital herpes, but it's easy to be fooled. I've had patients who had lesions in unusual
places or didn't have a typical story that I mistook for abscesses - only after
they failed antibiotics did I do the culture and verify that it was
On the other hand, I've seen some very typical appearing ulcers on the genitals
that turned out NOT to be herpes.
What is genital herpes?
Genital herpes is a sexually transmitted disease caused by the
herpes simplex viruses (HSV) type 1 and type 2. Most genital herpes
is caused by HSV type 2.
Most people have no or minimal symptoms from HSV-1 or HSV-2
infection. When symptoms do occur, they usually appear as one or
more blisters on or around the genitals or rectum. The blisters
break, leaving ulcers or tender sores that may take up to four
weeks to heal. Typically, another outbreak can appear weeks or
Although the infection can stay in the body forever, the number
of outbreaks usually decreases over a period of years. You can pass
genital herpes to someone else even when you experience no
How common is genital herpes?
About 45 million Americans, age 12 and older have genital
herpes. Its estimated that up to one million people become
infected each year. Genital Herpes (HSV-2) is more common in women
How can I get genital herpes?
Herpes is a virus that can be...
You should knowAnswers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.