Showing posts with label Genital Herpes. Show all posts
Showing posts with label Genital Herpes. Show all posts

Wednesday, September 26, 2007

Genital Herpes: An Emotional Adjustment

Herpes may raise strong emotional issues, especially in the first few weeks or months after a diagnosis. Some people initially feel embarrassment, shame, anger, or depression. The good news is that these emotions tend to fade away over time. Some studies have shown that even six months can make a difference in adjusting to herpes.

Why does such a common virus have the power to affect us? The major reason seems to be the fact that genital herpes is sexually transmitted. Growing up in our society, most of us come to view a sexually transmitted disease as a fate that befalls only those who have done something wrong. In addition, many people lose perspective about the medical implications of herpes. Too often, we see health as an all-or-nothing proposition: someone with a chronic infection is deemed unhealthy and somehow “imperfect.”

The first step in dealing with a herpes diagnosis, then, is recognizing it as a common, manageable virus, not a punishment or judgment. The next step is realizing that health is never “perfect.” In reality, everyone faces a host of physical challenges as inevitable as life itself. The task is to meet them and get past them. Fortunately, most people with herpes find that, with time, they are able to adjust to the medical and emotional impact of herpes and move on.

If you are experiencing a strong emotional response to a diagnosis, it might be helpful to explore why those feelings may be happening. Closely connected to the issue of self-image is the matter of how we believe others see us. This is where the social stigma about genital herpes – whether perceived or real – can be pinpointed.

One reason that genital herpes raises issues of social stigma is the fact that, as a society, we're just beginning to feel comfortable talking about sex and sexuality in general. Today, we are surrounded by images of sex in art, entertainment, and advertisements. There are signs as well that on a personal level we are becoming somewhat more open about topics such as sexual orientation and sexual function. With herpes there's a similar trend to more awareness and openness. Surveys show that the public is more educated on the subject than ever before. Perhaps the day will come when even the idea of social stigma will be a distant memory.

In the meantime, of course, it's very difficult to separate how one feels about having herpes from worries about how others might feel. Should you tell a friend? Will you be able to remain sexually active? How can you tell a sexual partner or romantic interest? When is the best time to tell? Concerns about any or all of these questions are not unusual for someone newly diagnosed. Rejection and misunderstandings about the nature of a herpes infection can and do happen. But a myriad of personal accounts suggests that in the great majority of cases, herpes does not stand in the way of successful, enduring relationships.

What can you do to speed the process of adjusting to herpes? Keep in mind the following:

  • Realize that it's normal to be stressed emotionally by herpes, especially at first. Give yourself time to adjust, and remember that the emotional issues will get easier.
  • Try to keep in mind that genital herpes is somewhat like other infections you may have had in the past. You are capable of managing it.
  • If you're feeling isolated, you may need to find someone to talk to. Perhaps you might pick one close friend and tell her or him about it. You can ask that the conversation be kept in absolute confidence. You can also call our National Herpes Hotline and speak to a counselor about your feelings or visit one of our local HELP groups.
  • Try not to make the assumption that having herpes will prevent you from being romantically involved or having successful long-term relationships. There are millions of couples in which one or both partners have this virus. For the vast majority, the relationships stand or fall on far more important issues.

(www.ashastd.org/herpes/herpes_emotional.cfm)

Genital Herpes: Q & A

Q: What is the difference between HSV-1 and HSV-2?
A: HSV type 1 causes cold sores (also called fever blisters) on the lips. HSV-1 is generally spread by kissing or by sharing eating utensils (such as spoons or forks) when sores are present. HSV-1 can also cause sores around the genitals. HSV type 2 causes sores in the genital area (genital herpes), such as on or around the vagina or penis. HSV-2 can sometimes cause mouth sores. In rare cases, HSV can infect other parts of the body, such as the eyes and the brain.

Q: Can you cure Herpes?
A: There is no treatment that can cure herpes, but antiviral medications can shorten and prevent outbreaks during the period of time the person takes the medication. In addition, daily suppressive therapy for symptomatic herpes can reduce transmission to partners.

Q: Need more information?
A: It can be found on http://www.ashastd.org/herpes/herpes_overview.cfm

(http://www.cdc.gov/)

Genital Herpes: Can It Be Prevented?

The surest way to avoid transmission of sexually transmitted diseases, including genital herpes, is to abstain from sexual contact, or to be in a long-term mutually monogamous relationship with a partner who has been tested and is known to be uninfected.

Genital ulcer diseases can occur in both male and female genital areas that are covered or protected by a latex condom, as well as in areas that are not covered. Correct and consistent use of latex condoms can reduce the risk of genital herpes only when the infected area or site of potential exposure is protected. Since a condom may not cover all infected areas, even correct and consistent use of latex condoms cannot guarantee protection from genital herpes.

Persons with herpes should abstain from sexual activity with uninfected partners when lesions or other symptoms of herpes are present. It is important to know that even if a person does not have any symptoms he or she can still infect sex partners. Sex partners of infected persons should be advised that they may become infected.

Sex partners can seek testing to determine if they are infected with HSV. A positive HSV-2 blood test most likely indicates a genital herpes infection.

(www.cdc.gov)

Genital Herpes: What Is It?

Genital herpes is a sexually transmitted disease (STD) caused by the herpes simplex viruses type 1 (HSV-1) and type 2 (HSV-2). Most genital herpes is caused by HSV-2. Most individuals have no or only minimal signs or symptoms from HSV-1 or HSV-2 infection. When signs do occur, they typically appear as one or more blisters on or around the genitals or rectum. The blisters break, leaving tender ulcers (sores) that may take two to four weeks to heal the first time they occur. Typically, another outbreak can appear weeks or months after the first, but it almost always is less severe and shorter than the first outbreak. Although the infection can stay in the body indefinitely, the number of outbreaks tends to decrease over a period of years.

HSV-1 and HSV-2 can be found in and released from the sores that the viruses cause, but they also are released between outbreaks from skin that does not appear to be broken or to have a sore. Generally, a person can only get HSV-2 infection during sexual contact with someone who has a genital HSV-2 infection. Transmission can occur from an infected partner who does not have a visible sore and may not know that he or she is infected.

HSV-1 can cause genital herpes, but it more commonly causes infections of the mouth and lips, so-called "fever blisters." HSV-1 infection of the genitals can be caused by oral-genital or genital-genital contact with a person who has HSV-1 infection. Genital HSV-1 outbreaks recur less regularly than genital HSV-2 outbreaks.

SYMPTOMS:

Most people infected with HSV-2 are not aware of their infection. However, if signs and symptoms occur during the first outbreak, they can be quite pronounced.


  • The first outbreak usually occurs within two weeks after the virus is transmitted, and the sores typically heal within two to four weeks.
  • Other signs and symptoms during the primary episode may include a second crop of sores, and flu-like symptoms, including fever and swollen glands.
  • Most individuals with HSV-2 infection may never have sores, or they may have very mild signs that they do not even notice or that they mistake for insect bites or another skin condition.
  • Most people diagnosed with a first episode of genital herpes can expect to have several (typically four or five) outbreaks (symptomatic recurrences) within a year. Over time these recurrences usually decrease in frequency.

COMPLICATIONS:

Genital herpes can cause recurrent painful genital sores in many adults, and herpes infection can be severe in people with suppressed immune systems. Regardless of severity of symptoms, genital herpes frequently causes psychological distress in people who know they are infected.

Herpes may play a role in the spread of HIV, the virus that causes AIDS. Herpes can make people more susceptible to HIV infection, and it can make HIV-infected individuals more infectious.

(www.cdc.gov)