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Frequently Asked Questions about Herpes (True & False)

Genital herpes is a hidden epidemic that's being spread even without symptoms. Do doctors and patients know the simple truth about genital herpes? From what I have read on the internet and especially the STD Message Board that I've put together, not too many people understand how herpes is being spread.

To date, health care professionals continue to attempt to diagnose herpes by site OR symptoms are mistaken for other things such as yeast infection, jock itch, etc. Below is a list of Truths and Myths about Genital Herpes that I think will take you by surprise.

This is a handy dandy little fact sheet that I actually keep on my desk in my home office.

MYTH: The spread of genital herpes is largely under control these days.

TRUTH: Genital herpes is spreading at epidemic proportions, with up to 1 million new patients becoming infected every year. Nationwide, one of every five adults is currently infected.

Angela: Many people assume that because they have had routine STD testing that somehow this includes testing for genital herpes. This is NOT the case. In fact, genital herpes is NOT part of routine STD testing at all. If you want to be tested specifically for herpes you have to ask. Many clinics and doctors offices will only test for certain illnesses. You need to ask specifically what you are being tested for so that you will know for sure. Be sure and check my herpes testing page for accurate herpes tests. If you don't get outbreaks or symptoms that you can see OR feel you can still get proper herpes testing done. Contrary to what some healthcare professionals will tell you - you do NOT need a lesion in order to find out if you have herpes. Ask for a type specific herpes antibody test by name!

MYTH: Genital herpes is spread by patients only during active outbreaks

TRUTH: Although genital herpes is most contagious during active outbreaks, Mertz et al showed that up to 70% of transmission may result from sexual contact during periods of asymptomatic viral shedding.

Angela: You wouldn't believe how many people have been told simply to avoid sex during active outbreaks. And then people wonder why herpes is so common these days.

MYTH: Asymptomatic viral shedding occurs only in a small percentage of patients with genital herpes and occurs right before or after an outbreak.

TRUTH: A majority of patients with genital herpes experience asymptomatic viral shedding which often occurs independent of outbreaks.

Angela: People are always writing to me and asking what asymptomatic shedding is. Well, when the virus becomes active on the surface of the skin and you can't see OR feel it . . . THAT is asymptomatic shedding. Not everybody gets outbreaks that they can see or feel which is exactly why healthcare providers should NOT be telling their patients to only avoid sex during outbreaks.

MYTH: Asymptomatic viral shedding occurs only in patients who report a history of genital herpes.

TRUTH: Patients who are seropositive with no reported history of genital herpes shed virus asymptomatically at a rate similar to patients with a reported history of outbreaks (3.0% vs 2.7%, respectively).

Angela: What that means is that even though I have had genital herpes for about 11 years now and my outbreaks are not that often - that doesn't mean that I am not shedding asymptomatically. Make sense?

MYTH: Most people with genital herpes know they are infected with the disease.

TRUTH: Up to 90% of those infected are unaware they have the virus that causes genital herpes.

Angela: and since herpes is NOT included in the routine STD testing process it's even more important to have that talk BEFORE you have sex. Don't be afraid to make a date to go and get tested together so you will both know what you are dealing with.

The references that I used to keep this fact sheet accurate were provided by Glaxo with permission via one of their representatives. The information on this page should only be used for information, educational, and personal use. The information displayed should not ever take the place of what your medical professional can tell you.

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