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Updated on April 13, Medical content reviewed by Dr. Joseph Rosado , MD, M. A, Chief Medical Officer.

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Dear Dr. Jeff: Can you have genital herpes and not know it? Can a person infect you with herpes, even if they’ve never had any sores? There are two strains of herpes virus, type 1 and type 2. Type 1 causes nearly all oral herpes infections “fever blisters” or “cold sores” , and probably 40 percent of genital herpes infections through oral sex. Type 2 causes about 60 percent of genital herpes infections, and a very small number of oral infections.

About 80 percent of the population has had, at some time, oral herpes. The prevalence of genital herpes has increased significantly over the last 25 years, with more than 20 percent of adolescents and adults in this country estimated to be infected. Among college students, the prevalence is thought to be even higher. The “classic” signs of an initial genital herpes infection are grouped blisters or sores in the genital area. The sores usually itch or burn or hurt, and are often accompanied by flu-like aches and pains and a low-grade fever.

After the initial infection, the herpes virus lies dormant in nerve bundles at the base of the spine. The virus periodically reactivates, traveling back down the nerve bundle and causing a recurrent outbreak. Recurrent outbreaks are usually milder and briefer, and typically occur four to five times per year.

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Were you recently diagnosed with herpes? Do you feel completely alone and like no one will be able to understand how you’re feeling? Maybe you’ve had herpes for a while now, but you’ve been afraid to start dating again?

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As a general rule, no, you do not have an obligation to tell your partner if you have a sexually transmitted disease. Laws on the topic vary from state to state. That being said, it is typically illegal, civilly and criminally, to knowingly or recklessly transmit an STD.

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The rates of sexually transmitted diseases such as chlamydia, gonorrhea and syphilis have been skyrocketing in Sonoma County since as the spread of HIV has declined slightly, raising alarms among local health care professionals and county public health officials. The seemingly contradictory trends have local health experts trying to figure out the possible causes.

Others say county budget cuts have adversely affected prevention and treatment programs aimed at reducing sexually transmitted infections, or STIs. Meanwhile, the number of Sonoma County residents being screened for STIs has grown, likely due to increased access to health care under Obamacare and more intensive screening. Between and , the number of reported cases in Sonoma County of chlamydia rose from to 1,; gonorrhea cases jumped from 69 to ; and syphilis went from a low of four to Karen Holbrook, Sonoma County’s deputy health officer.

But these methods do not prevent transmission of other STIs, Holbrook said. She said there is likely also a general lack of understanding of the risks of unprotected sex. For those who are not HIV positive but at substantial risk of getting it, PrEP has been shown to significantly reduce that risk by as much as 92 percent, according to the federal Centers for Disease Control and Prevention.

But it has its downsides, he said. These strategies included recommending patients limit their number of partners, know their partners’ status, use condoms especially for anal sex, and use HIV drugs to reduce their viral load and, consequently, lower their risk of transmitting the virus. But Dr.

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Thousands of chicks arrive dead to Maine farmers amid USPS turmoil. At least Sexually transmitted disease rates skyrocket in Sonoma County between “​hookup” apps like Grindr and Tinder and “dating” apps like or eHarmony. One example is the county’s closure of its STD clinic in

T wo virologists are urging veterinarians to immediately stop lysine supplementation in cats suffering from feline herpesvirus-1 because they say the therapy is ineffective. Their conclusion, published Nov. Bunnik, MS, Ph. Bol, who like his wife is employed at the University of California, Riverside, began the review after their 8-year-old cat, Aguereberry, was diagnosed with FHV-1, a highly contagious infection of the upper respiratory system. Their veterinarian recommended lysine nutritional supplements to treat and manage the disease.

Examining papers dating to the s, Bol found that the lysine recommendation originated with a human study. Those papers, he discovered, all stopped short of advocating an end to lysine supplementation in FHV-1 cases. He asked 68 cat hospitals spread across the United States, Australia and the United Kingdom whether they prescribed lysine. Of the 23 hospitals that replied, 21 of them, or 91 percent, did.

Maggs said. Five of the seven veterinary studies were co-authored by Maggs.

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LIVING WITH GENITAL HERPES: The Truth About Being HSV2+ I hope it educates you and makes you, or someone you know with herpes, feel less alone or ashamed. It’s literally no big deal. I hope Herpes Simplex Virus in Depth / Alynn Alexander, MD Herpes, Herpes Symptoms and Herpes Dating.

Have a quandary? I’m always very safe about sex, but my last long-term partner had genital herpes and lied about it before we stopped using condoms. I am mortified! I dumped the douchebag boyfriend, but I’m not exactly rid of him—now the herpes is all my own. I’m getting back into the dating world again. At what point do I need to tell potential sex partners? Everybody has a herpes.

I frequently get questions from people who have something uncomfortable they need to share with a new sexual partner and are nervous to tell them. It’s not just STIs. I got a call from a woman who’d lost more than pounds and was nervous about her new lover seeing her stretch marks for the first time. Another from a woman who’d had a mastectomy and was anxious about her new girlfriend seeing her chest. A male client was so obsessed with a burn scar on his abdomen he was almost phobic about taking off his clothes.

Everyone’s got baggage.

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