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01.08.2014

Can genital herpes spread across the body, online alternative medicine degree programs - Plans Download

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Besides the sex organs, genital herpes can affect the tongue, mouth, eyes, gums, lips, fingers, and other parts of the body. If lesions recur, you may feel burning, itching, or tingling near where the virus first entered your body. If you have repeat outbreaks, taking medication on a daily basis can greatly reduce the symptoms. If you or your partner has oral or genital herpes, avoid sex from the time of prodromal symptoms until a few days after the scabs have gone away.
It is possible for you to pass herpes to someone else even when you do not have sores because the virus can be present without causing any symptoms. If you are infected with the herpes virus for the first time during pregnancy, there are medications you can take to reduce how severe the symptoms are and how long they last.
If you have sores or prodromal symptoms at the time of delivery, you will need to have a cesarean delivery. Herpes simplex is part of a group of other herpes viruses that include human herpes virus 8 (the cause of Kaposi's sarcoma) and herpes zoster (the virus responsible for shingles and chicken pox). The herpes simplex virus passes moves through bodily fluids (saliva, semen, fluid in the female genital tract) or in fluid from herpes sores. The virus must have direct access to the noninfected person through injuries in their skin or mucus membranes (such as in the mouth or genital area).
The virus enters vulnerable cells in the lower layers of skin tissue and tries to reproduce in the cell nuclei. However, if the virus destroys the host cells when it multiplies, inflammation and fluid-filled blisters or ulcers appear. Eventually, the symptoms return in most cases, causing a new outbreak of blisters and sores.
This close-up view of early herpes outbreak shows small, grouped blisters (vesicles) and lots of inflammation (erythema). To infect people, the herpes simplex viruses (both HSV-1 and HSV-2) must get into the body through broken skin or a mucous membrane, such as inside the mouth or on the genital area.
Once the virus has contact with the mucous membranes or skin wounds, it begins to replicate. Sometimes, infected people can transmit the virus and infect other parts of their own bodies (most often the hands, thighs, or buttocks).
People with active symptoms of genital herpes are at very high risk for transmitting the infection.
In the past, genital herpes was mostly caused by HSV-2, but HSV-1 genital infection is increasing. About 40% of men and 70% of women develop other symptoms during initial outbreaks of genital herpes, such as flu-like discomfort, headache, muscle aches, fever, and swollen glands. On average, people have about four recurrences during the first year, although this varies widely.
Oral herpes (herpes labialis) is most often caused by herpes simplex virus 1 (HSV-1) but can also be caused by herpes simplex virus 1 (HSV-2). The blisters eventually rupture as painful open sores, develop a yellowish membrane before healing, and disappear within 3 - 14 days.
Rarely, the infection may be accompanied by difficulty in swallowing, chills, muscle pain, or hearing loss.
Although the prevalence of genital herpes is declining in the United States, it still remains in epidemic proportions.
Risk factors for genital herpes include a history of a prior sexually transmitted disease, early age for first sexual intercourse, a high number of sexual partners, and poor socioeconomic status. The following are examples of people who are at particularly risk for specific forms of herpes. Genital herpes is contagious from the first signs of tingling and burning (prodrome) until the time that sores have completely healed. To reduce the risk of passing the herpes virus to another part of your body (such as the eyes and fingers), avoid touching a herpes blister or sore during an outbreak. Recent studies have suggested that male circumcision may help reduce the risk of HSV-2, as well as human papillomavirus (HPV) and HIV infections.
Pregnant women who are infected with either herpes simplex virus 2 (HSV-2) or herpes simplex virus 1 (HSV-1) genital herpes have a higher risk for miscarriage, premature labor, retarded fetal growth, or transmission of the herpes infection to the infant while in the uterus or at the time of delivery..
During a first infection, the virus is shed for longer periods, and more viral particles are excreted. An infection that first occurs in the late term does not allow the mother to develop antibodies that would help her baby fight off the infection at the time of delivery. The risk for transmission also increases if infants with infected mothers are born prematurely, if there is invasive monitoring, or if instruments are required during vaginal delivery. Very rarely, the virus is transmitted across the placenta, a form of the infection known as congenital herpes. Infants may acquire congenital herpes from a mother with an active herpes infection at the time of birth. Unfortunately, only 5% of infected pregnant women have a history of symptoms, so in many cases herpes infection is not suspected, or symptoms are missed, at the time of delivery. Obtaining routine herpes cultures on all women during the prenatal period is not recommended. Performing chorionic vilus sampling, amniocentesis, and percutaneous fetal blood draws can safely be performed during pregnancy.
If lesions in the genital area are present at the time of birth, Cesarean section is usually recommended.
If lesions erupt shortly before the baby is due then samples must be taken and sent to the laboratory. Herpes infection in a newborn can cause a range of symptoms, including skin rash, fevers, mouth sores, and eye infections. Herpes meningitis, an inflammation of the membranes that line the brain and spinal cord, occurs in up to 10% of cases of primary genital HSV-2. Iridocyclitis is another serious complication of ocular herpes, in which the iris and the area around it become inflamed.
Herpes simplex is particularly devastating when it occurs in immunocompromised patients and, unfortunately, coinfection is common.
The majority of patients with HIV are co-infected with HSV-2 and are particularly vulnerable to its complications. According to the CDC, up to 50% of first-episode cases of genital herpes are now caused by herpes simplex virus 1 (HSV-1).
Viral culture tests are made by taking a fluid sample, or culture, from the lesions as early as possible, ideally within the first 3 days of appearance. Polymerase chain reaction (PCR) tests are much more accurate than viral cultures, and the CDC recommends this test for detecting herpes in spinal fluid when diagnosing herpes encephalitis (see below).
An older type of virologic testing, the Tzanck smear test, uses scrapings from herpes lesions. Serologic (blood) tests can identify antibodies that are specific to the virus and its type, herpes virus simplex 1 (HSV-1) or herpes virus simplex 2 (HSV-2).
Although glycoprotein (gG) type-specific tests have been available since 1999, many of the older nontype-specific tests are still on the market.
Serologic tests are most accurate when administered 12 - 16 weeks after exposure to the virus. False-negative (testing negative when herpes infection is actually present) results can occur if tests are done in the early stages of infection.
At this time, doctors do not recommend screening for HSV-1 or HSV-2 in the general population.
Brain biopsy is the most reliable method of diagnosing herpes encephalitis, but it is also the most invasive and is generally performed only if the diagnosis is uncertain.
The polymerase chain reaction (PCR) assay of cerebrospinal fluid looks for tiny pieces of the DNA of the virus, and then replicates them millions of times until the virus is detectable. Other conditions that may be confused with oral herpes include herpangina (a form of the Coxsackie A virus), sore throat caused by strep or other bacteria, and infectious mononucleosis. Conditions that may be confused with genital herpes include bacterial and yeast infections, genital warts, herpes zoster (shingles), molluscum (a virus disease which produces small rounded swellings), scabies, syphilis, and certain cancers.
Simple corneal scratches can cause the same pain as herpetic infection, but these usually resolve within 24 hours and don't exhibit the corneal lesions characteristic of herpes simplex. Skin disorders that may mimic herpes simplex include shingles and chicken pox (both caused by varicella-zoster, another herpes virus), impetigo, and Stevens-Johnson syndrome, a serious inflammatory disease usually caused by a drug allergy. Antiviral drugs called nucleosides or nucleotide analogues are the main drugs used to treat genital herpes. The drugs are used initially to treat a first attack of herpes, and then afterward to either suppress the virus or treat recurrent outbreaks.
To treat outbreaks, drug regimens depend on whether it is the first episode or a recurrence and on the medication and dosage prescribed. Because the frequency of herpes recurrences often diminishes over time, patients should discuss annually with their doctors whether they should stay with drug therapy or discontinue it. Acyclovir (Zovirax), valacyclovir (Valtrex), and famciclovir (Famvir) -- the anti-viral pills used to treat genital herpes -- can also treat the cold sores associated with oral herpes.
Penciclovir (Denavir) heals herpes simplex virus 1 (HSV-1) sores on average about half a day faster than without treatment, stops viral shedding, and reduces the duration of pain.
Acyclovir cream (Zovirax) works best when applied early on (at the first sign of pain or tingling). Docosanol cream (Abreva) is the only FDA-approved non-prescription ointment for oral herpes. Some people report that drying the genital area with a blow dryer on the cool setting offers relief.
Avoid tight-fitting clothing, which restricts air circulation and slows healing of the sores. Local application of ice packs may alleviate the pain and help reduce recurrences by suppressing the virus. Wearing sun block helps prevent sun-triggered recurrence of herpes simplex virus 1 (HSV-1). Avoid sex during both outbreaks and prodromes (the early symptoms of herpes), when signs include tingling, itching, or tenderness in the infected areas.
Over-the-counter medications such as aspirin, acetaminophen (Tylenol), or ibuprofen (Advil, Motrin), can be used to reduce fever and local tenderness.
Generally, manufacturers of herbal remedies and dietary supplements do not need FDA approval to sell their products.
Many herbal and dietary supplement products claim to help fight herpes infection by boosting the immune system. Bee products (like propolis) can cause allergic reactions in people who are allergic to bee stings.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Because genital warts can take six months to develop, you can have the infection without having any symptoms. Genital warts appear on moist surfaces, especially at the entrance of the vagina and rectum in women. Colposcopy – An instrument called a colposcope is used to magnify and inspect possible warts in the vagina and on the cervix.


The best way to prevent genital warts is to avoid sex or have sex with only one uninfected partner. If you have had genital warts, you should be tested for cervical cancer at least once every year. The Centers for Disease Control and Prevention (CDC) recommends that all 11- and 12-year-old American girls get the shots, although girls as young as 9 could receive it if they're sexually active. Gardasil is licensed for males ages 9 through 26 years, and the CDC recommends the shots for boys aged 11 or 12 years and for males 13 through 21 years if they have not previously had the shots.
Do not treat genital warts yourself with nonprescription drugs used for wart removal on hands, because these chemicals can make the genital area very sore.
Contact your physician if you notice warts or bumps on your genital area, or if you have itching, burning, tenderness or pain in that area. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. During oral sex, herpes can be passed from a cold sore around the mouth to a partner’s genitals or vice versa. During this time, the lesions break open and "weep." Over a period of days, the sores become crusted and then heal without leaving scars.
The most accurate way is to obtain a sample from the sore and see if the virus grows in a special fluid. Using a condom may reduce your risk of passing or getting genital herpes, but does not protect against all cases. During pregnancy, there are increased risks to the baby, especially if it is the mother’s first outbreak. If you have herpes but it is not your first infection, your health care provider may give you medication that makes it less likely that you will have an outbreak of herpes at or near the time your baby is born.
The information does not dictate an exclusive course of treatment or procedure to be followed and should not be construed as excluding other acceptable methods of practice. BackgroundHerpes simplex virus (HSV) commonly causes infections of the skin and mucous membranes. Each virus can be carried in bodily fluids (saliva, semen, fluid in the female genital tract) or in fluid from herpes sores.
Genital herpes is most often transmitted through sexual activity, and people with multiple sexual partners are at high risk. Unfortunately, evidence suggests about a third of all herpes simplex virus 2 (HSV-2) infections occur when the virus is shedding but producing no symptoms. For patients with symptoms, the first outbreak usually occurs in or around the genital area 1 - 2 weeks after sexual exposure to the virus.
It usually affects the lips and, in some primary attacks, the mucous membranes in the mouth. If the primary (initial) oral infection causes symptoms, they can be very painful, particularly in small children. In adolescents, the primary infection is more apt to appear in the upper part of the throat and cause soreness. The outbreak of infection is often preceded by a prodrome, an early group of symptoms that may include itching skin, pain, or an abnormal tingling sensation at the site of infection.
Recurrent outbreaks of herpes simplex virus (HSV) feature most of the same symptoms at the same sites as the primary attack, but they tend to be milder and briefer. These include sunlight, wind, fever, physical injury, surgery, menstruation, suppression of the immune system, and emotional stress.
For most people, outbreaks recur with more frequency during the first year after an initial attack. Women are more susceptible to HSV-2 infection because herpes is more easily transmitted from men to women than from women to men. This group is at higher than average risk for herpetic whitlow, herpes that occurs in the fingers. These individuals are at risk for herpes gladiatorum, an unusual form of HSV-1 that is spread by skin contact with exposed herpes sores and usually affects the head or eyes. It is almost impossible to defend against the transmission of oral herpes since it can be transmitted by very casual contact.
While condoms may not provide 100% protection, they have been proven to significantly reduce the risk of sexual disease transmission.
Lubricants can help prevent friction during sex, which can irritate the skin and increase the risk for outbreaks.
While the chances of transmitting or contracting herpes from a toilet seat or towel are extremely low, it is advisable to wipe off toilet seats and not to share damp towels. Although about 25 - 30% of pregnant women have genital herpes, less than 0.1% of babies are born with neonatal herpes.
Transmission can occur if the amniotic membrane of an infected woman ruptures prematurely, or as the infant passes through an infected birth canal. Also rarely, newborns may contract herpes during the first weeks of life from being kissed by someone with a herpes cold sore.
Aggressive treatment with antiviral medication is required, but may not help systemic herpes.
If there is evidence of an active outbreak, doctors usually advise a Cesarean section to prevent the baby contacting the virus in the birth canal during delivery.
Samples are cultured to detect the virus at 3 - 5-day intervals prior to delivery to determine whether viral shedding is occurring. Recent studies indicate that acyclovir (Zovirax) or valacyclovir (Valtrex) or famciclovir (Famvir)Valtrex can help reduce the recurrence of genital herpes and the need for Cesarean sections.
It is important to treat babies quickly, before the infection spreads to the brain and other organs.
In most cases, ocular herpes causes inflammation and sores on the lids or outside of the cornea that go away in a few days. In children, this is often caused by thumbsucking or finger sucking while they have a cold sore.
DiagnosisThe herpes simplex virus is usually identifiable by its characteristic lesion: A thin-walled blister on an inflamed base of skin. Centers for Disease Control (CDC) recommends that both virologic and serologic tests be used for diagnosing genital herpes. However, recurrences of genital herpes, and viral shedding without overt symptoms, are much less frequent with HSV-1 infection than herpes simplex virus 2 (HSV-2). The viruses, if present, will reproduce in this fluid sample but may take 1 - 10 days to do so. PCR can make many copies of the virus’ DNA so that even small amounts of DNA in the sample can be detected. When the herpes virus infects someone, their body’s immune system produces specific antibodies to fight off the infection. False-positive results (testing positive when herpes infection is not actually present) can also occur, although more rarely than false-negative.
Canker sores frequently crop up singly or in groups on the inside of the mouth or on or under the tongue. It is most common in infants but can appear in people of all ages, particularly people taking antibiotics or those with impaired immune systems. Studies suggest that daily drug therapy is safe and effective for up to 6 years with acyclovir, and up to 1 year with valacyclovir or famciclovir. Although there is some evidence these drugs may reduce shedding, they probably do not prevent it entirely. National Institutes of Health has been conducting the Herpevac Trial for Women to investigate a vaccine for preventing herpes in women who are not infected with HSV-1 or HSV-2.
Ideally, the patient should apply the cream within the first hour of symptoms, although the medication can still help if applied later. The patient applies the cream five times a day, beginning at the first sign of tingling or pain.
They include Anbesol gel, Blistex lip ointment, Camphophenique, Herpecin-L, Viractin, and Zilactin.
Home RemediesPatients can manage most herpes simplex infections that develop on the skin at home with over-the-counter painkillers and measures to relieve symptoms.
Just like a drug, herbs and supplements can affect the body's chemistry, and therefore have the potential to produce side effects that may be harmful.
There has been little research on these products, and little evidence to show that they really work. Human herpes simplex virus infections: epidemiology, pathogenesis, symptomatology, diagnosis, and management. Third trimester antiviral prophylaxis for preventing maternal genital herpes simplex virus (HSV) recurrences and neonatal infection. A meta-analysis to assess the efficacy of oral antiviral treatment to prevent genital herpes outbreaks.
They are caused by certain subtypes of the human papilloma virus (HPV), the same virus that causes warts on other areas of the body.
Cervical cancer can be prevented with regular screening (Pap smears), and can be cured in most cases when it is detected in early stages. There are currently two vaccines FDA approved and recommended by the Centers for Disease Control and Prevention (CDC). For "catch-up," the CDC also recommends that girls and women ages 13 to 26 be vaccinated against HPV, regardless of their Pap test results.
Early vaccination provides the greatest chance of preventing cervical cancer and genital warts. Gardasil is also recommended for bisexual or gay men and men with compromised immune systems through age 26 if they have not previously had the shots. Even though the warts may be removed, there may still be some virus remaining in the skin, which is why the warts often return.
In some cases, applying liquid nitrogen (cryotherapy) to warts will freeze the tissue and make warts disappear. Apply this medication carefully to avoid damaging surrounding healthy tissue, keep it out of your eyes and wash it off after the number of hours your doctor instructs you to leave it on. When something triggers a new bout of herpes, the virus leaves its resting place and travels along the nerve, back to the surface of the skin (4).
You even can reinfect yourself if you touch a sore and then rub or scratch another part of your body, especially your eyes. Although the virus does not cross through the condom, lesions not covered by the condom can cause infection. Women who are infected for the first time in late pregnancy have a high risk (30–60%) of infecting the baby because they have not yet made antibodies against the virus. If a woman does not have sores or prodromal symptoms at the time of delivery, a vaginal birth may be possible. However, the baby could get infected by touching a blister or sore on the mother’s breast. Be sure the parts of your breast pump that touch the milk do not touch the sore while pumping. Variations, taking into account the needs of the individual patient, resources, and limitations unique to institution or type of practice, may be appropriate. They differ in many ways, but the viruses share certain characteristics, notably the word "herpes," which is derived from a Greek word meaning "to creep." This refers to the unique characteristic pattern of all herpes viruses to "creep along" local nerve pathways to the nerve clusters at the end, where they remain in an inactive state for some indeterminate time.


Until recently, the general rule was to assume that HSV-1 infections occur in the oral cavity (mouth) and are not sexually transmitted, while HSV-2 attacks the genital area and is sexually transmitted.
The risk for infection is highest with direct contact of blisters or sores during an outbreak. HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years. The first signs are a tingling sensation in the affected areas (such as genitalia, buttocks, and thighs) and groups of small red bumps that develop into blisters. The virus sheds for a much shorter period of time (about 3 days) compared to in an initial outbreak of 3 weeks. There are some differences in frequency of recurrence depending on whether HSV-2 or HSV-1 causes genital herpes. A herpes infection may occur on the cheeks or in the nose, but facial herpes is very uncommon. Oral herpes can be provoked within about 3 days of intense dental work, particularly root canal or tooth extraction. During that period, the body mounts an immune response to HSV, and in most healthy people recurring infections tend to become progressively less severe and less frequent. The incidence in children varies among regions and countries, with the highest rates occurring in crowded and unsanitary regions. Other immunocompromised patients include those taking drugs that suppress the immune system and transplant patients.
However, herpes can also be transmitted when symptoms are not present (asymptomatic shedding).
The baby is at greatest risk from an asymptomatic infection during a vaginal delivery in women who acquired the virus for the first time late in the pregnancy.
This increased risk is present if the woman is having or has recently had an active herpes outbreak in the genital area.
If no lesions are present and cultures indicate no viral shedding, a vaginal delivery can be performed and the newborn is examined and cultured after delivery. Women begin to take the drug on a daily basis beginning in the 36th week of pregnancy (last trimester).
Neonatal herpes can spread to the brain and central nervous system causing encephalitis and meningitis and leading to mental retardation, cerebral palsy, and death.
Scarring and corneal thinning develop, which may cause the eye's globe to rupture, resulting in blindness. It can also occur in adult health care workers, such as dentists, because of increased exposure to the herpes virus. HSV-2 infection increases HIV levels in the genital tract, which makes it easier for the HIV virus to be spread to sexual partners. However, other conditions can resemble herpes, and doctors cannot base a herpes diagnosis on visual inspection alone. Patients diagnosed with genital herpes should also be tested for other sexually transmitted diseases. It is important for doctors to determine whether the genital herpes infection is caused by HSV-1 or HSV-2, as the type of herpes infection influences prognosis and treatment recommendations. If infection is severe, testing technology can shorten this period to 24 hours, but speeding up the timeframe during this test may make the results even less accurate. PCR is much more expensive than viral cultures and is not FDA-approved for testing genital specimens. Findings of specific giant cells with many nuclei or distinctive particles that carry the virus (called inclusion bodies) indicate herpes infection. If a blood test detects antibodies to herpes, it’s evidence that you have been infected with the virus, even if the virus is in a non-active (dormant) state. It is costly and time consuming, however, and is not as widely available as the other tests. PCR identifies HSV in cerebrospinal fluid and gives a rapid diagnosis of herpes encephalitis in most cases, eliminating the need for biopsies.
This ulcer is seen in an individual with AIDS and is located in front and just below the bottom teeth.
The infection may recur after treatment has been stopped and, even during therapy, a patient can still transmit the virus to another person. The use of condoms during asymptomatic periods is still essential, even when patients are taking these medications. The drug is continued for 4 consecutive days, and should be reapplied every 2 hours while awake. There have been several reported cases of serious and even lethal side effects from herbal products. Genital warts are spread through sexual intercourse, so they are classified as a sexually transmitted disease (STD), and can affect both men and women. The subtypes that are most likely to cause cancer are different from those that usually cause warts.
A vinegar-like solution placed on the skin turns the warts white and makes diagnosis easier. Older girls and young women were included in the CDC recommendations because even if they've had some exposure to HPV, it may not be to the strains contained in the vaccine, so they'll they may get some protection. Some of the medications used to treat genital warts cannot be used during pregnancy, so it's important to tell your doctor if you could be pregnant. Certain strains of the virus (HPV), which causes genital warts, cause virtually all cases of cervical cancer worldwide, though only a small percentage of the women who become infected will develop cancer.
Although rare, when a newborn is infected, it most often occurs when he or she passes through the mother’s infected birth canal. HSV is one of the most difficult viruses to control and has plagued mankind for thousands of years.
It is now widely accepted, however, that either type can be found in either area and at other sites. The prodrome, which may last as short as 2 hours or as long as 2 days, stops when the blisters develop.
Occasionally, the symptoms may not resemble those of the primary episode but appear as fissures and scrapes in the skin or as general inflammation around the affected area. While HSV-2 remains the main cause of genital herpes, in recent years the percentage of cases of genital herpes caused by HSV-1 has significantly increased because of of oral-genital sex. Natural condoms made from animal skin do NOT protect against HSV infection because herpes viruses can pass through them. Oil-based lubricants (such as petroleum jelly, body lotions, and cooking oil) can weaken latex.
Possible ComplicationsThe severity of symptoms depends on where and how the virus enters the body. Fortunately, herpes meningitis usually resolves without complications, lasting for up to a week, although recurrences have been reported.
Viral cultures are very accurate if lesions are still in the clear blister stage, but they do not work as well for older ulcerated sores, recurrent lesions, or latency. The presence of antibodies to herpes also indicates that you are a carrier of the virus and might transmit it to others. For a recurrent episode, treatment takes 1 - 5 days depending on the type of medication and dosage. Valacyclovir may work especially well for preventing herpes transmission among heterosexual patients when one partner has herpes simplex virus 2 (HSV-2) and the other partner does not.
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Individual warts usually measure 1 millimeter to 2 millimeters in diameter – much smaller than the diameter of a pencil eraser – but clusters can be quite large.
One of the vaccines, Gardasil, targets HPV types 6 and 11, the types of HPV that cause 90 percent of genital warts. Genital herpes can be spread through direct contact with these sores, most often during sexual activity.
The virus then travels along the nerves, back to where it first entered the body, and a new outbreak may occur. A herpes infection can cause serious problems in newborns, such as brain damage or eye problems. In fact, HSV-1 is now responsible for up to half of all new cases of genital herpes in developed countries. However, by the time Americans of all economic backgrounds reach age 60, about 60 - 85% have become infected with HSV-1. Except for people in monogamous relationships with uninfected partners, everyone who is sexually active is at risk for genital herpes.
Nonoxynol-9 can cause irritation around the genital areas, which makes it easier for herpes and other STDs to be transmitted. Except in very rare instances and in special circumstances, the disease is not life threatening, although it can be very debilitating and cause great emotional distress. Recurring herpes and a first infection that is acquired early in the pregnancy pose a much lower risk to the infant. At these stages the virus may not be active enough to reproduce sufficiently to produce a visible culture. However, valacyclovir may not be as effective as acyclovir or famiciclovir for patients who have very frequent recurrences of herpes (more than 10 outbreaks per year). Therefore, people with genital warts are more likely to be infected with a cancer-causing virus as well. Both Gardasil and Cervarix protect against the major cervical cancer-causing strains, 16 and 18. If you have genital warts, it is possible that you have also been infected with a cancer-causing strain of the virus. In fact, studies indicate that 10 - 25% of people infected with HSV-2 are unaware that they have genital herpes. The best chances for a favorable outcome occur in patients who are treated with acyclovir within 2 days of becoming ill. The Tzanck test is not reliable for providing a conclusive diagnosis of herpes infection and is not recommended by the CDC. Any duplication or distribution of the information contained herein is strictly prohibited. Genital warts may not cause any symptoms, or they may cause itching, burning, tenderness or pain. In addition, because herpes simplex virus 1 can be passed in saliva, people should also avoid sharing toothbrushes or eating utensils with an infected person. Even if infected people have mild or no symptoms, they can still transmit the herpes virus.



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