Herpes - genital; Herpes simplex - genital; Herpesvirus 2; HSV-2
Condoms remain the best way to protect against catching genital herpes during sexual activity. Using a condom correctly and consistently will help prevent the spread of the disease.
The use of latex condoms is mandatory. Do not use animal membrane condoms, because the virus can go through them. The female condom has been tested and shown to successfully reduce transmission risk as well.
Recent data show that using an antiherpes drug can help prevent spreading the virus to others.
Otherwise, prevention is difficult, due to the fact that the virus can be spread to others even when the infected person has no obvious symptoms (asymptomatic shedding). People with genital herpes should avoid sexual contact when they have active lesions.
In addition, people with known genital herpes, but without current symptoms, should inform their partner that they have the disease. This precaution allows both parties to use barrier protection to prevent the spread of the illness.
Pregnant women with the herpes simplex infection should have weekly viral cultures of the cervix and outer genitals as the delivery date approaches. If the viral culture is positive for herpes, or active lesions are present at delivery, a cesarean delivery (C-section) is recommended to avoid infecting the newborn.
Vaccines against herpes have been developed but are still considered experimental drugs. Vaccines are not, however, a cure or treatment for people who already have herpes.
Centers for Disease Control and Prevention, Workowski KA, Berman SM. Sexually transmitted diseases treatment guidelines, 2006. MMWR. 2006;55(RR-11):1-94.
Mandell GL, Bennett JE, Dolin R. Principles and Practice of Infectious Diseases. 5th ed. Philadelphia, Pa: Churchill Livingstone; 2000.