Herpes first outbreak, as well as any subsequent outbreaks remain one of the most common manifestations of human infections, with as many as 20% of adults harbouring genital herpes or herpes simplex virus type 2 (HSV 2, HSV 1 being responsible for the common cold sore, although there is overlap between the 2 types). Herpes first outbreak is likely to be emotionally much more traumatising than the relatively minor physical threat from the herpes. First outbreak is usually the worst with the appearance of small blisters in the genital area within a week of sexual contact.

Following the herpes first outbreak, the virus remains in the body and may or may not recur in the same area very occasionally or frequently, depending on the individual’s immune system, ability to cope with stress, and other factors not yet well understood. The doctor usually easily diagnoses herpes first outbreak by just looking at the lesions, although a swab and culture of the fluid from the blisters remains the full proof diagnosis of a herpes first outbreak. In a certain percentage of people, the herpes first outbreak would have gone unnoticed and may remain obscure, although still sexually transferable. Transfer through oral or genital sex is the easiest when blisters are present, with a much smaller risk when no obvious signs of the infection are present.

Herpes first outbreak can be treated with medication, which is also effective as treatment for any future outbreaks, as well as for prevention in case of frequent outbreaks if necessary and is usually available on prescription only. Herpes first outbreak during pregnancy, as well as a recurrence around the time of birth, are more serious situations requiring special treatment. By far the majority of patients usually manage to live with this condition and prevent significant problems after the herpes first outbreak. Safe sex is always a good idea, but even then may not always prevent spreading of the virus. Limiting sexual partners to no more than one is by far the most successful way to prevent infection and a herpes first outbreak.     For a great book on further management of this condition -  click here