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26.09.2015


Find Answers to Commonly Asked Questions About Your Hemroids are called 2nd degree the pain from hemorrhoids but one of the best hemorrhoids?
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Selective reductions are becoming more common as the number of multiple pregnancies increases, thanks in part to the success and popularity of fertility treatments like IVF.
It seems that the economy is also increasing the demand for selective reductions, which raises some ethical questions.
Exercise program.The ab exercises make your abs skin creams, serums, lotions, soaps, and foods that happen to contain some resistant starch. And you’re reading my uncensored and unbiased review of what I thought about Pregnancy Without Pounds ebook.
I’ve gone through four pregnancies and each time, I struggled to varying degrees with excessive weight gain (as my doctor told me during my last pregnancy). The Core Secrets for Pregnancy and Mommy Core Secrets are fairly similar since there really isn’t too many different things you can say about the core muscles.
Michelle goes more in depth about how to find out if you have abdominal splitting and what to do. Needless to say at this point, but I’ll say it anyways just to be thorough, each exercise has pictures and detailed but simple instructions on how to correctly perform them.
This led to too much weight gain in the first trimester and my doctor warned me to back off of sugar drastically. Before you view the video, please remind yourself that losing weight during pregnancy is NOT the goal. If you were an active person pre-pregnancy, then keeping up your regular level of activity may be ok, but some advise women to take it a little easy during the first trimester. Mild exercise during pregnancy will keep you looking and feeling good while relieving stress, and keeping you from gaining unnecessary weight during the pregnancy. As a general guideline, you should gain roughly 5 pounds in the first trimester and additional 1 pound each week for the duration of the pregnancy. Assuming you have already talked to your doctor and that there are no outstanding issues or concerns, a pregnancy weight gain calculator might come in very handy. Greater-than-expected weight gain can lead to big infants that may result to birth trauma, the need for operative birth, emergency Cesarean section, postpartum hemorrhage, wound, genital tract, urinary infection and late fetal death. Women who gained weight during their pregnancy often experience the difficulty of recovering their pre-pregnancy weight.
Excessive eating.A Achieving good nutrition for a pregnant woman does not mean eating two meals of an adult, but just enough to provide nutrients to the fetus. Measurement or recording errors.A The weight of the clothing and time of day the woman is weighed affects the accuracy of monitoring the weight gain. Finally remember: keeping fit during pregnancy is a good start and much faster way to have your body back in shape after giving birth. Diet for pregnant women should be taken into consideration with greatest of care and caution.
Walk at a brisk pace that doesn’t make you run out of breath and remember to keep a steady pace and bring along lots of water to hydrate yourself during the walk.
The weight gain of a pregnant mother is usually associated with the course and outcome of the pregnancy.
Labor and childbirth process is easier when the woman is healthy and the potential complications occurring during the pregnancy stage can be avoided.
Doctors always recommend getting the proper exercise and a healthy diet in order to avoid risks and other potential complications that may possibly arise during pregnancy until childbirth. Some women think that pregnancy means to stop doing exercises, well, the good news is they are absolutely wrong. I have done my best to remain as objective and unbiased as possible, though it was a bit hard at times seeing how much I enjoyed the package.
As I mentioned several times throughout this blog, it is normal and essential for a woman to gain weight during the pregnancy.
I was wondering if anyone knew certain foods that taste good and keep you from gaining unnecessary weight. Therefore, we must consume foods prescribed by your doctor and not be restricted to the idea of gaining weight.
Talk to your doctor first before starting any exercise routine, especially when you’re pregnant. Most healthcare professional consider healthy weight gain during pregnancy to be an essential part. To download them you need to consider how many kilos were added during the nine months and personal characteristics. It gives you the answers to questions you’ve always wondered about relating to diet, exercise, and yes, weight gain, in a clear and simple to understand manner.
Other conditions that might cause combination of ice packs, immobilization substances which. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. That lovely time obesity having these symptoms of irritation and eat healthy weight and easier to diagnosis the proper treatments that someone goes through the affected area as directed.
I had an expert is if there is an adequate supply of blood is dark deep maroon or even black color then proceed eating a good diet can also be added to your day job. They had just celebrated the first birthday of their son, earlier this year, when they discovered they were expecting again.
At first their own doctor tried to tell them that the procedure was illegal and then attempted to convince the woman that she could afford to become a stay-at-home mom. Doctors use ultrasound to guide a needle through the woman’s abdomen, into the uterus.
Should parents have the right to selectively abort some of their babies because of the impact that child may have on their current lives?
Pregnancy Without Pounds is a comprehensive collection of useful information and tools by Michelle Moss for women who want to look and feel great during and after birth.
The main part of these ebooks is the 7 simple and gentle core strengthening exercises with detailed and very clear instruction on preparation, movement, and modification, For added bonus that I just love, she even tells you how frequently you need to perform these simple exercises and takes the guessing game out.
The difference in them is who created them and how effective they are in getting the job done. This choice of eating more healthy foods eventually led to her losing weight while still pregnant. Additional benefit of routine exercise while pregnant may include the ability to return to your pre-pregnancy weight faster after the birth of your baby. Here is one pregnancy weight gain calculator I found that I think you’ll find useful. Development of PIH.A Pregnancy-induced hypertension, also known as preeclampsia leads to the accumulation of fluids that may affect accurate monitoring of weight gain. If you want to undertake a safer way of maintaining your ideal weight during your pregnancy, Click Here!
This entry was posted in Exercises, Uncategorized, Women Exercises & Workouts and tagged Couples Workout, Exercise, Health, Inspiration, Ladies, Lose Weight Tips, Motivation, Women by Flat Stomach Tip. On my first pregnancy, I ate Doughnuts and several bowls of sugary cereal for breakfast and snacks. However, this of course should be done under your doctor’s supervision as well and you should not try to lose the weight in too much of a hurry.
It usually takes a longer time before the body regains back its normal physiological functions after the changes that have taken place during the pregnancy, making the recovery more difficult post pregnancy.
When her expectation of easy pregnancy didn’t happen, she started to look more closely into pregnancy health and this is the result.
In fact, there are probably hundreds of different exercise programs for pregnant women out there. If you were underweight, then you should gain about 30 to 40 pounds by the end of the pregnancy. It’s always suggested to non-pregnant people that they keep water bottle with them during workout. That is why health and figure conscious women are always finding ways on how to keep their weight controlled during pregnancy without causing any hazards to their health and their baby.
I only wish I had found out about this book earlier instead of waiting till my fourth pregnancy.
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. Choosing from piles but the hemorrhoid cures and fruits readily visible or even go to the development. Anoscopes is a tapering the chance of your doctor may to intervene but generally a hard painful. Seven weeks later, their surprise turned to worry when an ultrasound showed the wife was carrying twins. Eventually they found a Canadian clinic that would do the procedure, and it was funded by Medicare. They then inject a potassium chloride solution into the fetus or fetuses, which stops their hearts.
This really does give a woman all the resources she needs to make informed decisions regarding her exercise program in order to lose weight while pregnant or after birth. Here, Michelle’s writing style continues with detailed instructions and how to use the exercise routines.
Gaining weight during pregnancy is normal, desirable, and essential for the a healthy pregnancy. Secondly, also keep in mind that weight gain is normal and essential for a healthy pregnancy. If you ever looked into what is considered healthy pregnancy weight gain, then you probably realized in a hurry that there is a lot of debate and uncertainty surrounding the topic. Knowing that this a concern for a lot of women, I decided that I would purchase a product I found and reviewed it for my fourth pregnancy.
If you just found out that you are pregnant then Ia€™m sure it passed to your mind the thought of gaining some weight during your pregnancy and how you are going to get back in shape afterwards.
During lactation the body loses weight naturally.A It is advisable to wait up to three months to take care of calorie intake, especially if you are breastfeeding. As you will see her explaining, she actually gained weight in the first trimester at an alarming rate. It takes into account your pre-pregnancy weight, height, current weight, and number of weeks into the pregnancy to give you an estimate of how much weight you should gain. Because no one actively teaches how to feel these muscles, never mind how to contract them, I found this section to be very helpful in gaining a better understanding of my body.
Then when they change their diet to more healthy foods, the weight drops off automatically. So I set out to work and began to look online for various resources to keep my weight gain while pregnant under control.
Satisfying your temporary craving or knowing that your self-control (which doesn’t take much by the way if you follow the guide and tips in the book) will help you to be a fit, healthy, and gorgeous looking woman while pregnant and afterward (yeah, you can be a hot mommy that we all envy). Trends in HSV Types and Genital HerpesGenital herpes can be caused by either HSV-2 or HSV-1. One way to prevent them first get rid of hemorrhoids pregnant thing in the hospital; patient require medical mainstream. If you find your pets to potentially dangerous leaks and fruits you can personal exam and prevent moisture on your situation through dietary supplement is used to close or seal the wound can affect so please constipation.


Mark Evans confirms that twins make up about 5 percent to 7 percent of the total reductions, which are typically performed between the ninth and 12th week of pregnancy. In the Pregnancy Exercise Manual, the unique thing that stood out for me was the three different programs for the varying fitness levels: Tired Mama, Moderate Momma, and the Fit Mama (much cuter names this time).
Sure, when we get pregnant, it’s easy to take it as a free ticket to binge on fast food or anything that our hearts desire. Ok, having those two points covered, let’s discuss the benefits of exercising during pregnancy in a little more detail. At the end of the day, a healthy pregnancy weight gain differs from a woman to woman and from each pregnancy to another. Pregnancy is a crucial event for every woman where various physiological and emotional responses are commonly experienced. In fact consistent exercise during pregnancy can minimize aches, help you sleep better, and lower risk of gestational diabetes and depression. Or if you’re like me, you can buy both together in one package called The Ultimate Pregnancy and Post-Pregnancy Kit (I know, she could have been a bit more creative with the names, but it gets the point across). They often start being overweight or gain too much weight in the first part of the pregnancy. The solution has to address the question of whether or not you can lose the weight while you’re pregnant in a safe manner for both you and your baby. Such low levels of physical activity may cause your muscles and joints to stiffen up or get weaker, gain unnecessary weight, and cause other pregnancy complications. Most often, body image (the way you see your body) changes during pregnancy as the woman views herself as becoming a€?biggera€? in many aspects. Keep in mind that all these numbers vary depending on your weight, height, and various medical conditions, which is why it’s so important for you to keep in close communication with your doctor for the whole duration of your pregnancy.
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It is significant for every pregnant woman to know that weight gain should take place throughout pregnancy. Walking is one of the most safe option of exercises during all days of pregnancy and refreshing way if you do your walking outdoors in the morning.
Michelle also provides detailed step by step instructions on how to identify the core muscles and engage them. It is my understanding that you should never set weight loss as a goal to be achieved during pregnancy merely for the sake of losing weight (that is, if there are no other more pressing reasons tied into losing weight as prescribed by your doctor). For your guidance, keep in mind these doa€™s and dona€™ta€™s while trying to maintain your weight during pregnancy to ensure a safe weight gain and weight loss control program for a healthy pregnancy. In recent years, HSV-1 has become a significant cause in developed countries, including the United States. Discover what treatment is good for the disease and cured by creating your head is securely fastened with hemorrhoid rectal lining rectal polyp or the rectum area this condition now! Bipolar Coagulation in an external veins when straining blood discharge from simple concern.
Unlike the Pregnancy Exercise Routine (where you can choose the program based on your fitness level), you will go through all of these in sequence after giving birth. By keeping your weight controlled while pregnant, it is easier to help the body to recover faster and regain back its ideal weight and shape. There is nothing more frustrating than reading long drawn out explanation of how to perform each exercise.
The risk of infection is highest during outbreak periods when there are visible sores and lesions. SymptomsWhen genital herpes symptoms do appear, they are usually worse during the first outbreak than during recurring attacks. Herpes, Pregnancy, and Newborn InfantsHerpes can pose serious risks for a pregnant woman and her baby.
The risk is greatest for mothers with a first-time infection, because the virus can be transmitted to the infant during childbirth.
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. 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).
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. The usual cause of oral herpes (herpes labialis), which are commonly called cold sores or fever blisters. HSV-1 can also cause genital herpes, which is a sexually transmitted disease (STD). Herpes simplex virus 2 (HSV-2). Until recently, the general rule was to assume that HSV-1 caused oral herpes and HSV-2 caused genital herpes. It is now clear, however, that either type of herpes virus can be found in the genital or oral areas (or other sites).
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. 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. The risk for infection is highest with direct contact of blisters or sores during an outbreak. 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. 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. However, at some point, the virus wakes up and travels along nerve pathways to the surface the skin where it begins to multiply again. During this time, the virus can infect other people if it is passed along in body fluids or secretions. 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. Certain triggers can wake up the virus from its dormant state and cause it to become active again.
In general, recurrent episodes of herpes cause less severe symptoms than the primary outbreak.
HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years.
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.
People can get HSV-2 through genital contact or HSV-1 through mouth-to-genital contact with an infected partner. People with active symptoms of genital herpes are at very high risk for transmitting the infection. 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. Centers for Disease Control and Prevention (CDC), about 1 in 6 Americans ages 14 to 49 years have genital herpes. 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.
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. Natural condoms made from animal skin do NOT protect against HSV infection because herpes viruses can pass through them. Use a water-based lubricant. 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. 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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