Dr. Tasha After Dark: Understanding Herpes

Introduction

• Dr. Tasha discusses the stigmas associated with herpes, particularly genital herpes.
• Emphasizes the need for real, understandable information on the topic.

Herpes Simplex Virus (HSV)

• Two types: HSV-1 and HSV-2.
• HSV-1 is common; often acquired in childhood (cold sores).
• HSV-2 is typically associated with genital herpes.

Stigma and Misconceptions

• Herpes stigma is largely based on misinformation.
• HSV-2 is more stigmatized but is not a reflection of lifestyle or cleanliness.

Transmission and Infection

• Herpes is spread through skin contact, not exclusively through sexual intercourse.
• Even virgins can contract herpes through non-sexual contact.
• Virus lives in the nerves; outbreaks occur where the virus originally entered the body.

Medical Perspective

• Herpes is a virus; the immune system develops antibodies to fight it.
• Virus remains in the body with potential for future outbreaks.
• Infected individuals do not always transmit the virus; transmission rates vary:
  • Non-outbreak transmission: 5%
  • During an outbreak: 15%

Diagnostics and Testing

• Many doctors do not routinely test for HSV due to time and social implications.
• Important to proactively request testing.
• African American women over 40 have high prevalence rates (80%).

Pregnancy and Herpes

• Herpes can affect newborns during childbirth.
• Pregnant women should be tested for HSV; medication can prevent outbreaks before delivery.

Outbreaks and Symptoms

• Outbreaks can be mistaken for other conditions (ingrown hairs, yeast infections).
• Often occur during stress, illness, or exhaustion.
• Symptoms: Itchiness, discomfort without discharge.

Treatment Options

• No cure for herpes; it remains in the body.
• Medications like Valacyclovir can reduce outbreak frequency.
• Personal discretion on discussing herpes status with partners is advised.

Social Implications

• There is a stigma against those with herpes, leading to unnecessary shame.
• Transparency and informed decisions are encouraged in relationships.

Conclusion

• Herpes is common, particularly in older adults.
• Understanding and education can reduce stigma and improve quality of life.
• Dr. Tasha emphasizes the importance of testing, disclosure, and self-acceptance.