Genital Herpes

Patient Guide
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IMPORTANT
See your midwife or a GP if you think you have genital herpes in pregnancy.

Overview

Genital herpes is a sexually transmitted infection (STI) passed on through vaginal, anal and oral sex. Treatment from a clinic can help. Symptoms clear up on their own but can come back. 

Symptoms

Symptoms of genital herpes include:

  • small blisters that burst to leave red, open sores around your genitals, anus, thighs or bottom – the sores may be less red on brown or black skin
  • tingling, burning or itching around your genitals pain when you pee discharge that is not usual for you

Risk Factors

Genital herpes is very easy to pass on (contagious) from the first tingling or itching of a new outbreak (before any blisters appear) to when sores have fully healed.

You may also be able to pass on the virus even if you do not have any symptoms.

You can get genital herpes:from skin-to-skin contact with the infected area (including vaginal, anal and oral sex) when there are no visible sores or blisters if a cold sore touches your genitals by transferring the infection on fingers from someone else to your genitals by sharing sex toys with someone who has herpes.

Treatment Options

There's no cure for genital herpes. Symptoms clear up by themselves, but the blisters can come back (an outbreak or recurrence). 

Treatment the first time you have genital herpes

You may be prescribed:

  • antiviral medicine to stop the symptoms getting worse – you need to start taking this within 5 days of the symptoms appearing
  • cream for the pain

Treatment if the blisters come back

Go to a GP or clinic if you've been diagnosed with genital herpes and need treatment for an outbreak.

Antiviral medicine may help shorten an outbreak by 1 or 2 days if you start taking it as soon as symptoms appear.

But outbreaks usually settle by themselves, so you may not need treatment.

Recurrent outbreaks are usually milder than the first episode of genital herpes.

Over time, outbreaks tend to happen less often and be less severe. Some people never have outbreaks.

Some people who have more than 6 outbreaks in a year may benefit from taking antiviral medicine for 6 to 12 months.

If you still have outbreaks of genital herpes during this time, you may be referred to a specialist. 

How to deal with outbreaks yourself

There are things you can do if you've been diagnosed with genital herpes and you're having an outbreak.

Do:

  • keep the area clean using plain or salt water to prevent blisters becoming infected
  • apply an ice pack wrapped in a flannel to soothe pain
  • apply petroleum jelly (such as Vaseline) or painkilling cream (such as 5% lidocaine) to reduce pain when you pee
  • wash your hands before and after applying cream or jelly
  • pee while pouring water over your genitals to ease the pain

Do not:

  • do not wear tight clothing that may irritate blisters or sores
  • do not put ice directly on the skin
  • do not touch your blisters or sores unless you're applying cream
  • do not have vaginal, anal or oral sex until the sores have gone away

Prevention Tips

You can reduce the chances of passing on genital herpes by:

  • using a condom every time you have vaginal, anal or oral sex – but herpes can still be passed on if the condom does not cover the infected area
  • avoiding vaginal, anal or oral sex if you or your partner has blisters or sores, or a tingle or itch that means an outbreak is coming
  • not sharing sex toys – if you do, wash them and put a condom on them

When To See A Doctor

See a doctor as soon as possible if you have symptoms of genital herpes.

Go even if you have not had sex for a long time, as blisters can take months or years to appear.

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Checked & Approved
Clinical Review Team
Written & Translated
Medical Publishing Team
Last Updated
20 December 2024
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