Genital herpes is a sexually transmitted infection (STI) caused by the herpes simplex viruses type 1 (HSV-1) or type 2 (HSV-2). Most genital herpes is caused by HSV-2. HSV-1 can cause genital herpes. But it more commonly causes infections of the mouth and lips, called “fever blisters.”
Most people have no or few symptoms from herpes infection. When symptoms do occur, they usually appear as 1 or more blisters on or around the genitals or rectum. The blisters break, leaving tender sores that may take up to 4 weeks to heal. Another outbreak can appear weeks or months later. But it almost always is less severe and shorter than the first outbreak.
Although the infection can stay in the body forever, the outbreaks tend to become less severe and occur less often over time. You can pass genital herpes to someone else even when you have no symptoms.
You can get genital herpes through genital-genital contact or genital-oral contact with someone who has herpes infection. The virus is most easily spread through contact with open sores. But you also can get the virus from skin that does not appear to have a sore. You can become infected with the herpes virus without having intercourse.
Symptoms of herpes outbreaks typically begin with pain, tenderness, or itching in the genital area and may also include fever and headache. Bumps and blisters may appear on the vagina, penis, scrotum, anus, thigh, or buttocks. Blisters soon open to form painful sores that can last up to 3 weeks.
Other symptoms may include: pain or a burning sensation during urination; muscle aches; and tender, swollen glands in the groin area. After the first herpes infection, the virus can lie dormant without causing any symptoms. But the virus might reactivate later, leading to sores that usually don't last as long as those during the first outbreak. The virus tends to reactivate following some type of stress, like a cold, an infection, hormone changes, menstrual periods, or even before a big test at school.
After the herpes blisters disappear, a person may think the virus has gone away — but it's actually hiding in the body. Both HSV1 and HSV2 can stay hidden away in the body until the next herpes outbreak, when the virus reactivates itself and the sores return.
If the mother is having her first outbreak near the time of delivery, she is much more likely to pass the virus to her baby. If the outbreak is not the first one, the baby's risk of getting the virus is very low. Babies born with herpes may be premature or may die, or they may have brain damage, severe rashes, or eye problems. Doctors may do a cesarean delivery if the mother has herpes sores near the birth canal to lower the risk of passing the virus. Fortunately, most women with genital herpes have healthy babies. Also, medicines can help babies born with herpes if they are treated right away.
It is not yet known if all genital herpes drugs are safe for pregnant women to take. Some doctors may recommend HSV-Zero be taken either as a pill or through an IV (a needle into a vein) during pregnancy. Let your doctor know if you have genital herpes, even if you are not having an outbreak. He or she will help you manage it safely during pregnancy.

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