About genital herpes

Genital herpes is caused by HSV (Herpes Simplex Virus). There are two types of herpes simplex viruses: HSV-1 and HSV-2. HSV-1 generally prefers the area around the mouth (also referred to as “cold sores” or “fever blisters”) and HSV-2 generally prefers the genitals (also referred to as genital herpes). These two virus types belong to the much larger herpes virus family, which includes other viruses such as chicken pox and Mononucleosis.

After the first herpes outbreak (which tends to be the most extreme as the body hasn’t developed antibodies to fight it yet), the herpes virus goes into latency (also known as herpes dormancy) in the spinal ganglia where it stays until it is roused from its sleep for the next herpes outbreak (which may never happen). Get to know your body and how it feels when outbreaks are coming on (also known as herpes prodrome symptoms).

Whether or not an outbreak is active, your partner can still get herpes. How can this be? Herpes doesn’t need to be visible on the skin in order to be passed. Depending on the type of herpes and the location on the body, the herpes virus silently sheds from the original infection site in a process called viral shedding. You can’t know for sure when shedding is happening due to lack of visible herpes symptoms (hence the asymptomatic part). Suppressive therapy can help lessen the chance of passing herpes to a partner by around 50%).

Frequently asked questions

What is the difference between genital HSV-1 and genital HSV-2?+
Both HSV-1 and HSV-2 can cause genital herpes, but they behave differently. HSV-2 is more likely to recur frequently and shed asymptomatically when it's in the genital area. Genital HSV-1 typically causes fewer recurrences (often just 0-1 outbreaks per year after the first) and sheds less frequently, making it less likely to be transmitted to partners genitally.
Can I get a wax or shave with genital herpes?+
Yes, you can wax or shave, but it's best to avoid these during an active outbreak, as the irritation can spread sores and slow healing. Between outbreaks, shaving and waxing are generally fine, though some people find that the skin irritation from shaving can trigger outbreaks. If you notice shaving is a trigger for you, consider trimming with scissors or using an electric trimmer instead.
Is sex a trigger for genital herpes outbreaks?+
For some people, yes. Friction during sex can irritate the skin in the genital area and trigger an outbreak, especially for those who are newer to the infection. Using adequate lubrication, avoiding rough or prolonged friction, and taking daily suppressive medication can help reduce this. The good news is that outbreaks triggered by sex typically become less frequent over time.
Can I have a normal sex life with genital herpes?+
Absolutely. Millions of people with genital herpes have fulfilling sex lives and healthy relationships. With tools like daily antiviral medication, condoms, and open communication with partners, the risk of transmission can be reduced significantly. Many discordant couples (where one partner has herpes and the other doesn't) have sex for years without transmitting the virus.