Genital herpes cannot be cured, but it can be treated. Antiviral medications are available to help reduce the symptoms of genital herpes and decrease the number of recurrences. These antiviral medications include acyclovir, famciclovir, and valacyclovir. Valacyclovir can also be used to reduce the risk of transmitting herpes to your sex partner(s). It should be used in combination with safer sex. You should discuss the value of using antiviral medications with your physician.
Here are some suggestions if you have, or think you may have, a first episode of genital herpes:
Go to your doctor or clinic as soon as possible. Early diagnosis and treatment will help you to feel substantially better more quickly.Have a trained professional diagnose the problem and confirm the presence of herpes by a virus test taken from the affected area (a culture test is the most common method, but a blood test for antibodies may also be used). A blood test for syphilis, HIV, and possibly hepatitis B may also be performed.If the pain is severe, you may wish to take a prescription pain reliever.If it is helpful, take very warm showers to run warm water over the area 3 or 4 times a day.When you get out of the shower or bath, blow dry the genital area with a hair dryer. Set the temperature on low or cool.Make sure you are passing urine without difficulty. Try urinating in the shower or tub to decrease the sting. Pouring a glass of warm water over the area may also be helpful. Some people have found that drinking a lot of water (8 glasses a day) dilutes the urine enough that it hurts less.If you cannot pass urine and you've tried several times, wait a couple of hours - even 3 or 4. If there is still no result, you must get medical attention. Not passing urine can lead to serious problems, but they can generally be prevented. Either visit your own doctor or go to the emergency room of a local hospital.Avoid wearing tight underwear. If possible, do without underwear altogether. Try wearing loose clothes made of pure cotton. When you get home, take a shower or soak in the tub. Leave your clothes off if you can.Talk to your physician about the value to you of using antiviral medications.Avoid (because they may be worse than doing nothing):cortisone cream or ointmentantibiotic cream or ointmentany cream or ointment that does not contain a useful, specific antiherpes drugpetrolatum (e.g., Vaseline®)antibiotics (unless you have a clear-cut secondary infection)alcohol (because it stings)ether (because it stings and can catch fire)DMSO (dimethyl sulfoxide)Avoid (because they are of no proven benefit):If you have your first episode of herpes during pregnancy, consult your physician as soon as possible about what you can do to reduce your baby's risk of infection. Take care of yourself by giving yourself time to heal, treating any other infections, and treating your herpes.
It is hard to learn and figure out everything all at once, but the answers will come. Your ability to cope and your methods for coping will also evolve. Speak to your doctor about how to cope with herpes and reduce the risk of passing the infection on to your sex partner(s).
With recurrent herpes, it is important to fully understand the active phases of infection so you can avoid contact when necessary. It is also important to use safer sex precautions, such as condoms and dental dams, for the prevention of herpes and other sexually transmitted infections. Since people can spread the herpes virus even when they have no noticeable symptoms, it's important to take these precautions at all times. It's important to know that condoms don't provide complete protection from herpes, since they don't always cover all affected skin.
If you are facing issues such as loneliness and the fear of discussing herpes with new partners, keep in mind that these are very common issues and that frustrations can be overcome through a commitment to yourself and to your ability to grow from this experience. In addition, you may wish to have treatment for recurrent herpes. People with recurrent genital herpes now have choices to make regarding antiviral treatment for control of the infection. Talk to your doctor about medications that might help treat your symptoms, reduce the number of outbreaks, or reduce your risk of passing on herpes to your sex partner(s).
Stephen L. Sacks, MD, FRCPC, with revisions by the MediResource clinical team

“If future research continues to support this work and identifies a definitive mechanistic pathway, there are several implications for public health preventive measures,” Aiello said. “For example, antivirals targeted against these infections may be recommended as well as continued efforts in developing vaccines to target HSV-1 and CMV.


Let’s get one thing perfectly clear: I’m not the one saying all these nasty things to you right now. No, no, no — I couldn’t be that cruel even to my worst enemy! Based off of so many people I’ve talked with in our Herpes Opportunity forums, our Herpes Opportunity weekend workshop and private coaching clients, I have heard this kind of junk coming straight out of their own heads! And I assume that on some level that kind of smack-talking is going on in your head … right … now.
This is a question brought up a lot on the Herpes Opportunity forums.
The tattoo of the lotus flower on my right shoulder.Halloween 2009, three months after my rape and one month after my herpes diagnosis, I decided to get a lotus tattoo on my right shoulder. The lotus flower grows in the mud in shallow water and does not bloom until it reaches the surface. While it’s growing, the flower petals are safe inside the blossom, which keeps them from getting stained by the mud. I always loved the symbolism of the lotus flower, but I didn’t realize how accurate the metaphor was for me until about two years later. I battled my anger, my resentment, and my self-consciousness many times over those two years. Healing is not a linear path. There are twists and turns, forks and loops. It took a lot of tears, many sleepless nights, and a lot of support to get me to where I am now.Underneath the lotus is a Tibetan Buddhist mantra: “Om Mani Padme Hum.” This mantra is a devotion to Avalokiteshvara, the bodhisattva of compassion. It serves as a daily reminder that I cannot know where someone else has been or what has led them to this point. It encourages me to show compassion to others as well as myself.Thanks to Adrial and the Herpes Opportunity, I found the strength to “come out” about having herpes. I told my friends, family, and the internet. I have to say, I have never felt so free in my entire life. It feels wonderful to be able to speak openly about having herpes, instead of saying the word in hushed tones while constantly looking over my shoulder wondering who might be listening and judging. I look forward to talking about herpes during my weekly Skype call with Adrial. I get excited that other people will see our videos and hopefully crack a smile or giggle at our silliness. I feel genuine and authentic, which is a huge improvement over the way I felt when I was still “in the yuck.”