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Most women who have taken part are deeply self-conscious about their bodies, and Meade is no exception. When Demi Moore posed with her large, bare pregnant bump on the cover of Vanity Fair magazine in 1991, it was seen as a watershed moment. In popular culture, women's post-pregnancy bodies tend to feature only in stories about celebrities who have "bounced back" rapidly, she says.
Christina Berry, who took part in the book, says she has always struggled to embrace her body, but the shoot left her filled with a new confidence."It's still a work in progress. Beall's project got a big vote of support on the crowd-funding website Kickstarter - more than 1,000 people backed it and Beall raised almost three times the amount she was looking for.And she's notched up one other victory. Boris Johnson has said Britain could "prosper as never before" outside the European Union but was accused in an ITV debate of vying to be the next PM. Nim Tribute Website - BLOGApril 19, 2014 The National Museum of Animals and Society explores the human-animal bond and our shared experiences. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. I'm not going to say that every day I 100% feel the sexiest and the most confident," she says.
This was my first pregnancy and Kelly helped supply my husband and I with information so we could formulate our birth preferences.
He is one of the most outstanding teachers I have ever met, who introduced me to the fabulous world of meditation and a breathtaking discovery of my inner self.
They will be running a 3-month long exhibit beginning on May 10, 2014 entitled "Light in Dark Places", which explores anti-vivisection from the Victorian Era to the modern day. HSV-1 can also cause genital herpes. Herpes simplex virus 2 (HSV-2) is the most common cause of genital herpes, but it can also cause oral herpes.
Emails started flooding in, and hundreds of women wrote in to say they too wanted pictures taken of their post-pregnancy bodies.Beall has now photographed more than 70 mothers who will appear in an forthcoming book, A Beautiful Body, due out in January. A bikini on the beach would be out of the question.Terrified, but determined to take up the challenge, Meade took her three sons to the photo shoot, and wanted them to be part of it too. I don't think there is anything wrong with women feeling upset about the fact that they have stretch marks, because culture tells them they are ugly. Beall says many of her clients don't like the images at first, and focus on what they see as blemishes or problem areas - a roll of fat, a wrinkle, a stretch mark. He taught me the importance of making time to know my finer qualities,as this is an essential pre-requisite to awakening.What is really uplifting about his courses is that they are full of FUN!
The exhibit includes special Nim artifacts and Bob will be a guest speaker on its opening day. Trends in HSV Types and Genital HerpesGenital herpes can be caused by either HSV-2 or HSV-1. I think my wife is incredible, and I think that was something that I needed to see and needed to understand. Behram has an infectious laugh and with his hilarious jokes and stories, has his students rolling on the floor with laughter. Like little children, we demand and listen to his bedtime stories with rapt attention, which illustrate the teachings for the day.Behram has a very positive and empowering outlook on life, which rubs off on his students, lighting the spark of commitment in their hearts to live more enriching and inspiring lives.
In recent years, HSV-1 has become a significant cause in developed countries, including the United States. But she decided to post the pictures on her photography blog - keen to share with others a side of motherhood that tends to be kept out of view.
He encourages all his students to view all life-situations as a blessing because only then can we see the extraordinary in the ordinary. Organizations such as Central OK Humane Society, ASPCA, Animal Resource Center, Code 3 Associates, and dozens of volunteers stepped up to provide assistance to the community. Click HERE to read about some of the rescue efforts by those who provided housing and care to the canine and feline victims and their efforts to reunite them with their human families. January 5, 2014 Help urge UCLA Chancellor Gene Block to release 5 primates from UCLA's research lab! "SAEN – Stop Animal Exploitation NOW! All the paperwork and information she gave was very helpful for making informed decisions and preparing for a natural labor. Petit High School for GirlsMumbai, India Behram came into my life in early 1995, as a spiritual guide and mentor. The risk of infection is highest during outbreak periods when there are visible sores and lesions. The aromatherapy, prenatal massage and DVDs she gave me were just a great bonus to the info. Primatologist Bob Ingersoll states that as drug addiction is a social malaise, using monkeys in addiction experiments has limited applicability to the real world.The NIH funds these experiments at the taxpayer’s expense.
14 to tour the sanctuary, listen to live music, participate in the silent auction, and watch the apes open their gifts! SymptomsWhen genital herpes symptoms do appear, they are usually worse during the first outbreak than during recurring attacks.
Although I was an Architecture student at the time I met Behram, I felt that life was pointing me elsewhere and, therefore, through the classes, I acquired enough clarity and courage to let go of this vocation, and follow my true calling, instead.This led me to explore various courses on mind-body enhancement, such as NLP, Kinesiology and Yoga, as a way of living more authentically.
I am now a Yoga teacher and am able to express myself in ways that bring tremendous satisfaction and joy in my life, as I see my students benefit from what I offer.Looking back upon the time before these changes occurred in my life, I see how beautifully and gently, Behram led me out of the dark prison of a suffocating lifestyle, into the brilliance of living life to the fullest, in dedicated service to others.
Kelly walked around my neighborhood with me in the middle of the night to help progress labor! On December 2-5, 2013, they filed the first-ever lawsuits on behalf of captive chimpanzees demanding that they be granted the right to bodily liberty. Herpes, Pregnancy, and Newborn InfantsHerpes can pose serious risks for a pregnant woman and her baby. However, life had other plans for me as I ended up at the Nembutsu Centre, instead, situated in a lovely apple orchard on the outskirts of town. The risk is greatest for mothers with a first-time infection, because the virus can be transmitted to the infant during childbirth. Until that fateful day when I met Behram, I thought I knew all about life and how it is to be lived.
These filings are based on the scientific evidence that chimpanzees are self-aware and should therefore be recognized as legal persons with certain fundamental rights. Guidelines from the American Academy of Pediatrics recommend using specific diagnostic tests for women in labor to determine the risk of transmission. Babies born to mothers infected with genital herpes are often treated with the antiviral drug acyclovir, which can help suppress the virus. Afterwards she stayed until I was comfortable and came for a very pleasant postpartum visit. As my practice unfolded, I found out that I was way off the track in my understanding of life and realized that things were totally contrary to what I had so far envisioned them to be.I also discovered that spirituality was no longer beyond my reach and that it lies within the simplest aspects of living. She knew that coming to see me after I was settled at home, after the first week was important. She gave me my placenta encapsulated and it was the only thing that naturally kept my energy up and allowed me to not be so anxious.
I listened to one introductory talk and was instantly intrigued and before long deeply inspired. Herpes viruses include human herpes virus 8 (the cause of Kaposi sarcoma) and varicella-zoster virus (also known as herpes zoster, the virus responsible for shingles and chickenpox).
I found out later that the other students too experience the same relevance and intimacy with the way he presents the teachings.I stayed on at the Centre for three months because I knew there was much more to be discovered about myself and the world I lived in. To develop cosmetics, cleaners, toothpastes, shampoos, and other products, rabbits are locked into restraining devices and have chemicals rubbed onto their eyes and skin, and rats are forced to inhale toxic fumes.                                                                  These animals just want to be free but instead, their lives are filled with pain and lonliness as they are forced to wait in fear for whatever painful procedure will be done to them next before they are killed.
I would definitely have stayed on much longer, but the centre was closing for winter and I had to move on, to practice what I had joyfully learned in those magical three months at NC, which was situated in the midst of the beautiful and fascinating Himalayan ranges.It is clear to me that Behram understands the subtle intricacies of life as I observe his behavior through his speech and his actions, which is a rare thing indeed. Animal experimentation is the cruelest practice I have ever seen; and I believe any compassionate person would be horrified if they looked inside an animal lab and saw what they were unknowingly paying for people to do to animals. And even more stirring than this, for me, is that Behram is able to express the teachings of the Buddha in such a profoundly simple manner, that I not only grasp the message intellectually, but also feel deeply motivated to apply what I learn in practical terms, in my everyday actions.I have had teachers and coaches at school and in sport, but I did not have one to guide me through the snakes and ladders of life. The word "herpes" comes from the Greek word "herpein," 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 (dormant) state for variable periods of time.
Click here to find out which companies and charities are and are not cruelty-free.  2) Kick the smoking habit or buy from companies that have official policies against testing their products on animals, such as Imperial Tobacco, Nat Sherman, and Santa Fe Natural Tobacco. From the time we first met, I have attended several retreats under his loving and skilled guidance, the longest being for three months in the lap of the Himalayas, in North India. In order to develop new cigarettes, many cigarette companies restrain dogs and pregnant monkeys so they can strap devices onto their nose and mouth so that they are forced to inhale tobacco smoke. The usual cause of oral herpes (herpes labialis), which are commonly called cold sores or fever blisters.
Kelly was a wealth of knowledge for my husband and I's first everything when it came to having our little Synthia! So far, every experience I have had of Behram's teachings has been imbued with a beautiful simplicity and a profound depth. Philip Morris has stuffed rats into tiny canisters where they had tobacco smoke pumped into their noses for 6 hours a day for 3 straight months. HSV-1 can also cause genital herpes, which is a sexually transmitted disease (STD). Herpes simplex virus 2 (HSV-2). Behram's remarkable clarity and presence brings a fresh and exhilarating perspective to the issues in my life - a perspective that is so pure and integrated, that its truth is self evident.
Not only is animal experimentation cruel, it is senseless!                                                                                                                                                       3) Tell your representatives you don't want your tax dollars to be used to torture animals in labs.  4) Spread the word. Kelly has experienced it all and is so comfortable to talk with that none of our questions went unanswered. Just coming into contact with this has brought me an enormous sense of relief, hope and enthusiasm for life.The energy in his classes, while on retreats, is very inspiring and greater than in any other learning environment I have ever been in. T-shirts, buttons, bumper stickers, and posting an animal testing video or picture to your facebook page are easy ways for your message to be seen by a lot of people.                                                                                               5) Spay or neuter your companion animal. Not even the questions that may be a bit embarrassing to discuss with even your closest friends.
The classes are enormous fun, and somehow within the lightness and laughter there is a gentle power, which nurtures me as a student to be intimately involved in the process of true learning, which is not just a matter of simply acquiring information. Until recently, the general rule was to assume that HSV-1 caused oral herpes and HSV-2 caused genital herpes.
She helps you understand the pros and cons of both hospital and home births so that you can make a decision that you feel comfortable with and are able to stand up for.
Many Expected to be Retired NIH has just approved a proposal which calls for big cuts in grants used to study chimps in labs.?On January 22, 2013, one of the committe's of the National Institutes of Health proposed that it cut funding for seven of the nine taxpayer-funded grants used for biomedical experiments on chimps, as well as cut funding for the twelve of the thirteen behavioral studies. It is now clear, however, that either type of herpes virus can be found in the genital or oral areas (or other sites).
They stated that for these 360 chimps, "the majority of NIH-owned chimpanzees should be designated for retirement and transferred to the federal sanctuary system. In fact, HSV-1 is now responsible for more than half of all new cases of genital herpes in developed countries. The Disease ProcessHerpes is transmitted through close skin-to-skin contact.
It is only through Behram's classes and the creative exercises he introduced me to, that I was able to view life from a whole-brain perspective.
To infect people, the herpes simplex viruses (both HSV-1 and HSV-2) must get into the body through tiny injuries in the skin or through a mucous membrane, such as inside the mouth or on the genital or anal areas.
After this statement was made, NIH formed a committe to see which taxpayer-funded grants should stop and how many chimps should be retired. The risk for infection is highest with direct contact of blisters or sores during an outbreak. Throughout the pregnancy Kelly was 100% available to us, she answered questions, gave us resources and was so encouraging and supportive when I started to question my ability.


As such, I chose to listen to my heart and resigned from my career after many years of service, in order to pursue what gave me far more satisfaction. But the infection can also develop from contact with an infected partner who does not have visible sores or other symptoms. Once the virus has contact with the mucous membranes or skin wounds, it enters the nuclei of skin tissue cells and begins to replicate. My labor started and she was exactly what we needed to have the baby without any interventions. Therefore, my present career ~ which I love immensely ~ is as a school teacher on the beautiful island of Samsoe, in Denmark.Dear Behram, I thank you and myself for the great effort we both made, to lift me out of my mediocre frequencies into inspirational ones. The virus is then transported from the nerve endings of the skin to clusters of nerve cells (ganglia) where it remains inactive (latent) for some period of time.
They have different physical and psychological needs than humans, and they are ill-suited to life as pets, isolated from other members of their species.
Babies grow into aggressive, unpredictable, unhappy adolescents and adults, and can carry diseases that humans are susceptible to. However, at some point, the virus wakes up and travels along nerve pathways to the surface the skin where it begins to multiply again. I cannot begin to tell you how amazing she is!A  Our situation was unique and different than most being that I was in labor for 3 days. Our varying levels of experience have taught us the same thing: it’s a bad idea to have monkeys for pets. During this time, the virus can infect other people if it is passed along in body fluids or secretions. And inevitably, the void inside me grew larger each day, because the end of craving is not achieved by feeding the illness.Meeting Behram in 2002 was the turning point in my life. Thanks to Behram's retreats and interactive style of teaching, I was led ever so skilfully to discover some surprisingly extraordinary answers within myself.
Viral shedding may be accompanied by noticeable symptoms (outbreak) but it can also occur without causing symptoms (asymptomatic shedding).
In either case, a person is infectious during periods of viral shedding. Symptoms may appear as multiple small red bumps or patches that develop blisters. We wanted to find someone in the south-metro who could help us have as natural of a birth as possible (no medicationss, or unnecessary procedures).A  Our first impression of Kelly was that she was very kind, calm, and soothing, and very knowledgeable about pregnancy, birth and post-partum care.
I have studied Buddhism at Kopan Monastery in Nepal, I have left my corporate employer of 19 years and I am now discovering what really makes my heart sing. I could call her anytime with questions.A  A Closer to my due date, she provided me with much-needed encouragement to let the birth happen naturally and avoid an unnecessaryA induction. As we went past my due date, she was there to help us through, teaching my husband massage techniques, and providing us with essential oils.A A  A When I went into labor, Kelly proved to be a total rockstar. Certain triggers can wake up the virus from its dormant state and cause it to become active again. She was available for me 100% while I was laboring at home, answering all my questions over the phone. Trust in yourself, open this door to a spectacular discovery of what is finest in you by attending Master B's classes. She came to our house when I needed her, and then accompanied us to the hospital when I was ready to go. In general, recurrent episodes of herpes cause less severe symptoms than the primary outbreak. She was completely prepared with music, aromatherapy oils, battery-operated candles, and snacks for my hubby. Having graduated from university with two degrees and established a successful career, I still felt that something was missing. HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years. With her encouragement, we got the birth we wanted and it was beautiful.A  A I would completely recommend Kelly to anyone. I had no knowledge whatsoever of the Buddha's teachings and my many attempts to meditate up to that point had been frustrating. Coming to a retreat with a beginner's mind was the best thing I did, as I arrived fresh and with no expectations and WOW! We met with Kelly Martin for the first time and were blown away by not only her professionalism but her ability to connect with us as a couple expecting our first child.A  Kelly gave us all of the information we could have ever wanted, or needed in regards to pregnancy and birth. In addition, because HSV-1 can be passed in saliva, people should also avoid sharing toothbrushes or eating utensils. Transmission of Genital Herpes Genital herpes is transmitted through sexual activity.
We had specific needs for information and she obtained it for us and taught it to us.A  A Kelly offered herself to us as an in-home Childbirth Educator. He communicates complex ideas in simple and easy to understand terminology without any jargon. People can get HSV-2 through genital contact or HSV-1 through mouth-to-genital contact with an infected partner. She came to us weekly and was so very devoted to us as a couple and new parents.A  A I had to be induced, so when we arrived in the hospital to get ready for the birth, the nursing staff and Midwives were taken aback by our knowledge of the processes. In this gifted manner in which he presents the teachings, there is not a single minute where his students feel bored or restless.
I knew what to expect at every step.A  Kelly Empowered us as parents with the knowledge and confidence to start parenting before our son even arrived.
She was well equipped with a full suitcase of things to aid in our labor experience, like aroma-therapy oils, flameless candles, and etc. People with active symptoms of genital herpes are at very high risk for transmitting the infection. I am now much happier, I love what I do, and I feel empowered to be true to myself and others more and more every day. Unfortunately, most cases of genital herpes infections occur when the virus is shedding but producing no symptoms. Most people either have no symptoms or do not recognize them when they appear. In the past, genital herpes was mostly caused by HSV-2, but HSV-1 genital infection is increasing.
There is also evidence that children today are less likely to get cold sores and become exposed to HSV-1 during childhood. I had not laughed or had that much fun in years and through this process,I gained a sense of peace, love and understanding that - even today - keeps me balanced and happy a lot more often than ever before.
Centers for Disease Control and Prevention (CDC), about 1 in 6 Americans ages 14 to 49 years have genital herpes. My relationships and my career fell into place, and today I feel fulfilled in a multitude of ways.So, my message to anyone considering going on a retreat?
While HSV-2 remains the main cause of genital herpes, HSV-1 has significantly increased as a cause, most likely because of oral-genital sex.
African-American women are at particularly high risk. People with compromised immune systems, such as those who have HIV, are at very high risk for genital herpes. Five workshops, two retreats and a few years later, I am grateful for the guidance and wisdom Behram has bestowed upon me.He has challenged me, nurtured my development and encouraged me to live with greater enthusiasm and passion for life.
Drugs that suppress the immune system, and organ transplantation, can also weaken the immune system and increase the risk for contracting genital herpes.
It is almost impossible to defend against the transmission of oral herpes, because it can be transmitted by very casual contact, including kissing. Still, you can help reduce the risk of transmitting oral herpes by not sharing objects that touch the mouth, such as eating and drinking utensils, toothbrushes, and towels. It is best to refrain from any type of sex (vaginal, anal, or oral) during periods of active outbreak. However, herpes can also be transmitted when symptoms are not present (asymptomatic shedding). Although condoms may not provide 100% protection, they are proven to significantly reduce the risk of sexual disease transmission, including herpes.
The description of the seminar mentioned that the teacher had a wonderful sense of humor and next to this description was this picture of a guy with big loving eyes. Natural condoms made from animal skin do NOT protect against HSV infection because herpes viruses can pass through them. Use a water-based lubricant. I thought to myself.The course I attended was inspirational and despite different backgrounds, cultures and religions, the truth and wisdom presented by Behram was universal. Lubricants can help prevent friction during sex, which can irritate the skin and increase the risk for outbreaks.
Only water-based lubricants (K-Y Jelly, Astroglide, AquaLube, and glycerin) should be used. After this first workshop, I then attended the retreat in Byron Bay, which brought another great wave of joy and inspiration.I have now been under Master B’s guidance for the last 6 years. However, it is best not to use condoms pre-lubricated with spermicides. Do not use spermicides for protection against herpes. Nonoxynol-9 can cause irritation around the genital areas, which makes it easier for herpes and other STDs to be transmitted. Use a dental dam or condom for oral sex.
If you have any symptoms of oral herpes, it is best not to perform oral sex on a partner until any visible sores or blisters have healed. Limit the number of sexual partners. The more sexual partners you have, the greater your chances of becoming infected or infecting others.
It is very unlikely to transmit or contract genital herpes from a toilet seat or bath towel. Studies suggest that male circumcision may help reduce the risk of HSV-2, as well as human papillomavirus (HPV) and HIV infections. However, herpes can cause significant and widespread complications in people who don't have a fully functioning immune system. The CDC recommends that all people diagnosed with herpes simplex virus 2 (HSV-2) get tested for HIV. Most people with HIV are co-infected with HSV-2 and are particularly vulnerable to its complications. HSV-2 infection increases HIV levels in the genital tract, which makes it easier for the HIV virus to be spread to sexual partners. Herpes and PregnancyPregnant women who have genital herpes due to either HSV-2 or HSV-1 have an increased risk for miscarriage, premature labor, inhibited fetal growth, or transmission of the herpes infection to the infant in the uterus or at the time of delivery. Herpes in newborn babies (herpes neonatalis) can be a very serious condition. Fortunately, neonatal herpes is rare.
Although about 25 to 30% of pregnant women have genital herpes, less than 0.1% of babies are born with neonatal herpes.
The baby is at greatest risk during a vaginal delivery, especially if the mother has an asymptomatic infection that was first introduced late in the pregnancy. The risk for transmission also increases if infants with infected mothers are born prematurely, there is invasive monitoring, or instruments are used during vaginal delivery. Transmission can occur if the amniotic membrane of an infected woman ruptures prematurely, or as the infant passes through an infected birth canal. This risk is increased if the woman is having or has recently had an active herpes outbreak in the genital area. Very rarely, the virus is transmitted across the placenta, a form of the infection known as congenital herpes. Also rarely, newborns may contract herpes during the first weeks of life from being kissed by someone with a herpes cold sore. Infants may get congenital herpes from a mother with an active herpes infection at the time of birth.
Aggressive treatment with antiviral medication is required. Most infected pregnant women do not have a history of symptoms, so herpes infection is often not suspected or detected at the time of delivery. Fortunately, if a woman does have genital lesions, rapid diagnostic blood tests can quickly determine her chances of transmitting the virus to her baby during delivery. Some women with new or recurrent herpes may also be prescribed antiviral medication during pregnancy.
A woman with herpes can usually safely breastfeed her baby, as long as she does not have a lesion on her breast or nipple. Neonatal herpes can spread to the brain and central nervous system, causing encephalitis and meningitis. Herpes can also spread to internal organs, such as the liver and lungs. Infants infected with herpes are treated with acyclovir, an antiviral drug. They usually receive several weeks of intravenous acyclovir treatment, often followed by several months of oral acyclovir.


It is important to treat babies quickly, before the infection spreads to the brain and other organs. Fortunately, rapid diagnostic tests and treatment with acyclovir have significantly improved survival rates and reduced complication rates.
Nearly all who recover have some impairment, ranging from very mild neurological changes to paralysis. Like encephalitis, meningitis symptoms include headache, fever, stiff neck, vomiting, and sensitivity to light. Fortunately, herpes meningitis usually resolves after about a week without complications, although symptoms can recur. Herpes Eye ComplicationsOcular herpes is a recurrent infection that affects the eyes. Ocular herpes is usually a simple infection that clears up in a few days, but in its more serious forms, and in severe cases, it can cause blindness. It only affects the upper layer (epithelium) of the cornea and heals with scarring. Stromal Keratitis. Iridocyclitis is another serious complication of ocular herpes, in which the iris and the area around it become inflamed. Herpes Skin ComplicationsEczema Herpeticum A rare form of herpes infection called eczema herpeticum, also known as Kaposi varicelliform eruption, can affect people with skin disorders and those with a weakened immune system. Untreated, this condition can be extremely serious and possibly fatal. Gingivostomatiti Oral herpes can cause multiple painful ulcers on the gums and mucus membranes of the mouth, a condition called gingivostomatitis. Children with gingivostomatitis commonly develop herpetic whitlow (herpes of the fingers). Herpetic Whitlow A herpetic whitlow is an infection of the herpes virus involving the finger, often around the fingernail. In children, this is often caused by thumb sucking or finger sucking while they have a cold sore.
It can also occur in adult health care workers, such as dentists, because of increased exposure to the herpes virus. The use of latex or polyurethane gloves prevents herpes whitlow in health care workers. SymptomsHerpes symptoms vary depending on whether the outbreak is initial or recurrent. The primary outbreak is usually worse than recurrent outbreaks, with more severe and prolonged symptoms. In fact, studies indicate that 10 to 25% of people infected with HSV-2 are unaware that they have genital herpes. The first signs are a tingling sensation in the affected areas (genitalia, buttocks, and thighs) and groups of small red bumps that develop into blisters. The sores may sometimes itch, but itching decreases as they heal. 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, and fever.
Some women may have difficulty urinating and may, occasionally, require a urinary catheter. Women may also experience vaginal discharge. Recurrent Genital Herpes Outbreak In general, recurrences are much milder than the initial outbreak.
The virus sheds for a much shorter period of time (about 3 days) compared to an initial outbreak of 3 weeks. Women may have only minor itching, and the symptoms may be even milder in men. On average, people have about four recurrences during the first year, although this varies widely.
There are some differences in frequency of recurrence depending on whether HSV-2 or HSV-1 caused genital herpes. HSV-2 genital infection is more likely to cause recurrences than HSV-1. Symptoms of Oral HerpesOral herpes (herpes labialis) is most often caused by HSV-1, but it can also be caused by HSV-2. It usually affects the lips and, in some primary attacks, the mucus membranes in the mouth.
A herpes infection may occur on the cheeks or in the nose, but facial herpes is very uncommon. Primary Oral Herpes Infection If the primary (initial) oral infection causes symptoms, they can be very painful, particularly in children. The sores last 10 to 14 days and can be very uncomfortable. Blisters that may be preceded or accompanied by sore throat, fever, swollen glands, and painful swallowing.
Recurrent Oral Herpes Infection A recurrent oral herpes infection is much milder than the primary outbreak.
It usually manifests as a single sore, commonly called a cold sore or fever blister (because it may arise during a bout of cold or flu). The sore usually shows up on the outer edge of the lips and rarely affects the gums or throat. Recurrences of genital herpes are more likely with HSV-2 infection than with HSV-1 infection.
The outbreak of infection is often preceded by a prodrome, an early group of symptoms that may include itchy skin, pain, or an abnormal tingling sensation at the site of infection.
Recurrent outbreaks feature most of the same symptoms at the same sites as the primary attack, but they tend to be milder and briefer.
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. They include sunlight, wind, fever, physical injury, surgery, menstruation, suppression of the immune system, and emotional stress.
Oral herpes can be triggered within about 3 days of intense dental work, particularly root canal or tooth extraction. Timing of Recurrences Recurrent outbreaks may occur at intervals of days, weeks, or years. For most people, outbreaks recur with more frequency during the first year after an initial attack. The good news is that in most healthy people, recurring infections tend to become progressively less frequent, and less severe, over time. However, other conditions can resemble herpes, and doctors cannot base a herpes diagnosis on visual inspection alone. These tests include: Virologic tests (viral culture of the lesion) Serologic tests (blood tests that detect antibodies) The CDC recommends that both virologic and serologic tests be used for diagnosing genital herpes.
People diagnosed with genital herpes should also be tested for other sexually transmitted diseases. At this time, experts do not recommend screening for HSV-1 or HSV-2 in the general population. Genital herpes can be caused by either HSV-1 or HSV-2.
It is important to determine which virus is involved, as the type of herpes infection influences prognosis and treatment recommendations.
Recurrences of genital herpes, and viral shedding without overt symptoms, are much less frequent with HSV-1 infection than with HSV-2. False-negative (testing negative when herpes infection is actually present) or false-positive (testing positive when herpes infection is not actually present) results can occur. Your health care provider may recommend that you have a test repeated. Virologic TestsViral culture tests are made by taking a fluid sample, or culture, from the lesions as early as possible, ideally within the first 48 hours of the outbreak. PCR tests are much faster and more accurate than viral cultures, and the CDC recommends PCR for detecting herpes in spinal fluid when diagnosing herpes encephalitis. PCR can make many copies of the virus' DNA, so that even small amounts of DNA in the sample can be detected. However, many labs now use PCR for herpes testing because it is highly accurate. An older type of virologic testing, the Tzanck smear test, uses scrapings from herpes lesions.
The scrapings are stained and examined under a microscope for the presence of giant cells with many nuclei or distinctive particles that carry the virus (called inclusion bodies). The Tzanck test is not reliable for providing a conclusive diagnosis of herpes infection and is not recommended by the CDC. Serologic TestsSerologic (blood) tests can identify antibodies that are specific for either HSV-1 or HSV-2.
When the herpes virus infects you, your body's immune system produces specific antibodies to fight off the infection.
If a blood test detects antibodies to herpes, it is evidence that you have been infected with the virus, even if the virus is in a non-active (dormant) state.
The presence of antibodies to herpes also indicates that you are a carrier of the virus and might transmit it to others. Serologic tests can be especially useful for people who do not have active symptoms, but who have other risk factors for herpes (such as other STDs, multiple sex partners, or a monogamous partner who has genital herpes). Although glycoprotein (gG) type-specific tests have been available for many years, many of the older nontype-specific tests that cannot distinguish HSV-1 from HSV-2 are still on the market. Canker sores frequently crop up singly or in groups on the inside of the mouth, or on or underneath the tongue.
The drugs are used initially to treat a first attack of herpes, and then afterward to either treat recurrent outbreaks (episodic therapy) or reduce frequency of recurrences (suppressive therapy). Drugs can, however, reduce the severity of symptoms, improve healing times, and prevent recurrences. If people experience very severe disease or complications, they need to be hospitalized and receive an antiviral drug intravenously. Your health care provider will prescribe one of the three antiviral medications, which you will take for 7 to 10 days. You should begin the medication as soon as you notice any signs or symptoms of herpes, preferably during the prodrome stage that precedes the outbreak of lesions.
If taken during prodrome, episodic therapy may help prevent an outbreak from occurring or reduce its severity.
Valacyclovir is taken once a day. Suppressive treatment can reduce the frequency of outbreak recurrences by 70 to 80%. It is generally recommended for people who have frequent recurrences (6 or more outbreaks per year). Because herpes recurrences often diminish over time, you should discuss annually with your health care provider whether you should stay with drug therapy or discontinue it. While taking any suppressive therapy for genital herpes, it is still important to regularly use latex condoms and to avoid any sexual activity during recurrences. A new form of acyclovir (Sitavig) is administered orally as an adhesive tablet; it is applied to the gum region of the mouth, where it dissolves during the course of the day. In addition, acyclovir is available in topical form, as is the related drug penciclovir (Denavir). Topical TreatmentsThese ointments or creams can help shorten healing time and duration of symptoms.
However, none are truly effective at eliminating outbreaks. Penciclovir (Denavir) heals HSV-1 sores on average about half a day faster than without treatment, stops viral shedding, and reduces the duration of pain.
Ideally, you should apply the cream within the first hour of symptoms, although the medication can still help if applied later.
Apply the cream 5 times a day, beginning at the first sign of tingling or pain. Over-the-counter topical ointments may provide modest relief. They include Anbesol gel, Blistex lip ointment, Campho-phenique, Herpecin-L, Viractin, and Zilactin. Some contain a topical anesthetic such as benzocaine, tetracaine, or phenol. Lip balm that contains sunblock, or sunscreen applied around the lips may help prevent sun-triggered outbreaks.
Herbs and SupplementsGenerally, manufacturers of herbal remedies and dietary supplements do not need FDA approval to sell their products.
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 have been several reported cases of serious and even lethal side effects from herbal products.
Always check with your provider before using any herbal remedies or dietary supplements. Many herbal and dietary supplement products claim to help fight herpes infection by boosting the immune system. There has been little research on these products, and little evidence to show that they really work.
Epidemiology, clinical presentation, and antibody response to primary infection with herpes simplex virus type 1 and type 2 in young women.
Seroprevalence of herpes simplex virus type 2 among persons aged 14 - 49 years -- United States, 2005-2008. Guidance on management of asymptomatic neonates born to women with active genital herpes lesions.
Genital shedding of herpes simplex virus among symptomatic and asymptomatic persons with HSV-2 infection.



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