The Call-On-Doc Guide to Herpes

Herpes is one of the most prevalent viral infections globally. Many people are unaware they have HSV because symptoms may be mild or absent. The virus can still be transmitted even when no sores are visible, which is why herpes often spreads unknowingly.

Common Symptoms of Herpes

Symptoms vary from person to person and may include:

• Tingling, itching, or burning before sores appear

• Small fluid-filled blisters that open and heal within 1–2 weeks

• Pain or discomfort during urination with genital outbreaks

• Fever, fatigue, body aches, or swollen lymph nodes during a first outbreak

The initial outbreak is often the most severe. Over time, outbreaks typically become less frequent and less intense.

Diagnosis depends on timing and symptoms and may include:

• Viral swab testing from an active sore (most accurate)

• Blood testing to detect HSV-1 or HSV-2 antibodies

• Clinical evaluation when lesions are present but testing is delayed

Testing is most accurate during an active outbreak, but blood testing can help determine past exposure.

There is no cure for herpes, but antiviral medications are highly effective and are the standard of care.

Common antiviral medications include:

• Valacyclovir

• Acyclovir

• Famciclovir

These medications help:

• Shorten outbreak duration

• Reduce pain and symptom severity

• Lower the risk of transmission to sexual partners

Some patients benefit from daily suppressive therapy, especially if outbreaks are frequent or if reducing transmission risk is a priority.

Herpes does not define your health, relationships, or future. With modern antiviral therapy, education, and support:

• Many people go months or years without outbreaks

• Transmission risk can be significantly reduced

• Dating, intimacy, and pregnancy are still possible

Ongoing care and open communication with a healthcare provider are key.