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Can You Get Herpes from Kissing? Demystifying Common Health Myths

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • Herpes is a common viral infection caused by two types of viruses which are HSV-1 (oral herpes) and HSV-2 (genital herpes) 
  • Transmission can occur through skin-to-skin contact, such as kissing and oral sex. 
  • Both HSV-1 and HSV-2 can cause oral and genital herpes. 
  • Reducing transmission includes avoiding contact during outbreaks, using barrier protection, and communicating with partners. 
  • Symptoms include oral or genital blisters and sores, but many people experience no symptoms. 
  • Although herpes is not curable, medications can manage symptoms and reduce the risk of transmission. 
     

Introduction 

Herpes is a viral infection that affects millions of people worldwide. It is a common misconception that herpes is solely a sexually transmitted infection (STI) or that oral contact cannot spread the virus. If you’ve ever wondered if it is possible to get herpes through something as simple as a friendly kiss, this article will elaborate on the possibility.  

In this comprehensive guide, we will delve into all aspects of herpes, including its causes, symptoms, diagnosis,  management, complications, and methods to keep safe . By the end of this article, you will be well-informed on the facts surrounding herpes transmission and be able to dispel some common myths about this common, yet often misunderstood, viral infection. Lastly, we will answer some frequently asked questions regarding this topic.  

Your doctor might suggest an over-the-counter topical pain killer, that you may apply straight to the sore if you’re in excruciating agony.

Dr. Smita barode, BAMS

Did you know?

  • Herpes can be spread through oral sex, as oral herpes caused by HSV-1 can infect the genitals. source: CDC
  • Genital herpes can be transmitted through contact with herpes sores, saliva, genital fluids, or skin in the oral or genital area. source: CDC
  • Herpes can be diagnosed by examining sores or through a blood test for HSV antibodies. source: CDC
  • Daily suppressive therapy and open communication with sexual partners can help manage and reduce the risk of spreading herpes. source: CDC
  • There is no cure for genital herpes, but medicines can prevent or shorten outbreaks. source: CDC

Understanding Herpes  

 Herpes is a viral infection caused by two strains of the herpes simplex virus (HSV). They are HSV-1 and HSV-2. 

  • HSV-1:  It usually causes oral herpes.  Cold sores or fever blisters near your mouth and lips are the most common symptoms of this infection.  It spreads through non-sexual contact like kissing or it can get transferred from objects that have been in contact with infected saliva. It’s quite common in children. 
     
  • HSV-2: It’s the culprit behind genital herpes most times. Sores appear around your private parts or anus. It spreads mainly via vaginal, anal, or oral sex. 
     

Are you wondering how to quickly heal herpes blisters? To my knowledge, ointments and creams may reduce healing time and alleviate discomfort. When you apply them as soon as you sense a pain starting, they work best. Talk to your doctor for the best medicine and dosage for you.

Dr. Rajeev Singh, BAMS

Prevalence and Transmission 

Herpes is quite rampant. It’s transmitted in some not-so-obvious ways as well. 

  • The WHO tells us that around 67% of people under 50 have HSV-1 and about 11% of adults between 15-49 have HSV-2. 
     
  • Herpes mostly spreads via skin-to-skin contact. It includes intimate activities like kissing or sex. Even touching items contaminated with infected saliva can spread it. Genital herpes (HSV-2) usually comes via sexual contact. 
     

In my experience, when they first appear, herpes blisters come around your lips and mouth. Usually, a herpes blister on one lip only affects one side of the mouth. Additionally, it may appear on your chin, nose, and cheekbones. The blisters frequently begin to flow after two to three days and eventually turn into a crust. Healing usually takes place in a week or two.

Dr. Siddharth Gupta, MD

Oral Herpes and Kissing 

 There’s a link between oral herpes and kissing. This is further described below.   

Can you get herpes from kissing? 

Yes, and this is usually caused by HSV-1 present in the infected person’s saliva. When an infected person has sores, the spread is rampant, not just skin to skin contact but sharing items e.g., cutlery or lip balm can cause spread as well.  

Types of kisses 

Believe it or not, the kind of kiss doesn’t really matter. Be it a quick peck or a long kiss, as long as there’s an exchange of saliva or skin contact with an infected person, the risk exists. 

  • Transmission from active sores or blisters 

When active infection occurs, the virus rears its head causing visible blisters or sores. Hence, when someone has a cold sore around the mouth or a genital sore they should avoid close contact with others to stop the virus spread. 

  • Sharing drinks and eating utensils 

Direct contact is responsible for most transmissions. Nevertheless, you can also catch this virus from shared objects. Objects touched by an infected person’s saliva such as toothbrushes, cups, or lip balm. We should avoid sharing these, especially if the co-user has oral herpes. Another point to keep in mind is that not everyone who is infected has visible signs of infection.  

Avoiding Herpes Transmission 

Below we will discuss how to reduce the risk of getting herpes virus infection.  

Risk reduction methods 

 How to lower the risk of catching the herpes from a kiss is described below.  

  •  Avoid kissing when you or your partner has visible sores.  
  • Good oral hygiene aids in keeping your mouth healthy.  
  • Try using a dental dam for oral sex. It shields the mouth against direct contact with genital skin.  
  • Steer clear of utensils, toothbrushes, or other items that can touch an infected person’s saliva. 
     

Communication with partners 

Being upfront about your herpes status is vital if we want to stop the spread. Open talks lets both sides play it safe and make knowledgeable decisions about their intimate  actions. 

Recognizing Herpes Symptoms 

Knowing what herpes looks like is crucial. This way, you can stay safe and keep others safe too. Now, let’s discuss what to look out for in oral and genital herpes. 

1. Oral herpes symptoms 

Mostly cold sores or blisters near the mouth and lips.  A first-time infection might bring flu-like symptoms, swollen lymph nodes, or a headache. Follow-up infections might be less unbearable. Before sores manifest, itching, tingling, or burning sensation might show up. 

2. Genital herpes symptoms 

Genital herpes could lead to sores or blisters in or around the private parts or anus. Just like with oral herpes, flu-like symptoms, fever, and swollen lymph nodes could come with the first time infection. Some folks might also have a tingling feeling, or shooting pain in their legs, hips, or buttocks before sores appear. 

Herpes Diagnosis and Management 

Following the detection of signs, the next step is to meet with a doctor. This section will discuss about how doctors find out if you have herpes, and how they manage the infection.  

Diagnosis methods 

Healthcare providers can tell if you have herpes from a physical examination or specific tests which are as follows: 

  • By taking history of symptoms and local examination of the lesions. 
  • Viral culture of the sample taken from the sore. 
  • Polymerase chain reaction (PCR) test of the blood sample taken.  
  • Blood test to detect antibodies.  
     

Is herpes curable? 

Sadly, herpes cannot be cured. The virus will stay with you forever. A lot of people observe lesser and milder infections over time. They can manage symptoms and cut down transmission risk via medical  options. 

Management options 

Doctors mostly use antiviral medications like acyclovir, famciclovir, or valacyclovir. They cut down the harshness and rate of herpes infection. Over-the-counter pain killers and  topical  creams, may also help manage herpes symptoms. 

Complications and Related Conditions 

Though herpes can be kept at bay, it can raise other health risks. These are described below.  

  • HSV and increased risk for other diseases 

Getting HSV-2 can increase your chances of getting other STIs, including HIV. The WHO shows that HSV-2 increases your HIV risk threshold. For people living with HIV, 60 to 90 % of them also have HSV-2. 

  • Mental and emotional impact 

Carrying the herpes virus can be heavy mentally and emotionally. People often feel ashamed, embarrassed, or lonely because of the infection. Counseling may be helpful in living a fulfilling life inspite of the infection.  

Conclusion 

Knowing all about herpes regarding how it spreads, symptoms, and management is very important. It busts myths and keeps both you and others safe.  Herpes spreads by not only skin-to-skin contact with the sore or blisters but also via contact with items contaminated with the infected saliva. Oral herpes spreads usually by kissing which can be of any kind and genital herpes spreads by sexual contact. On noticing signs of herpes, it is advised to immediately consult a doctor for management and counseling as there is no cure. This all-round guide will be a useful tool that gives a clear picture of herpes. 

Frequently Asked Questions (FAQs) 

Can herpes be transmitted through saliva alone? 

Indeed, herpes can travel via saliva, especially if the infected person is having sores or shedding the virus without visible signs. 

How likely is it to get herpes from kissing a person without visible sores? 

While the risk is high when the person has visible sores, you can still catch it from someone no matter how healthy they look. The virus can shed and spread even without visible clues. 

Can I date someone with herpes and never get it? 

Fully avoiding the virus from a partner is not foolproof. However, taking steps like staying clear during outbreaks and safer sexual practices with barrier protection may shrink the risk of catching the bug. Communication and transparency between partners is very important.  

If I had a one-time encounter with someone who has herpes, what’s the probability of contracting it? 

Yes, the lifelong infection can be caught even after a one-time encounter with someone suffering from herpes, irrespective of whether they have an active outbreak or not because some people may not have signs but are still infective.  

Are there any non-prescription remedies to ease herpes symptoms? 

Painkiller pills that don’t need a prescription and topical creams or gels with anesthetic or anti-inflammatory action may offer some relief. But always discuss these options with a healthcare provider to find the most effective management options for you. 

References: 

  1. Centers for Disease Control and Prevention (CDC). Prevalence of Herpes Simplex Virus Type 1 and Type 2 in Persons Aged 14–49: United States, 2015–2016 [Internet]. [cited 2023 Nov 8]. Available from: https://www.cdc.gov/nchs/products/databriefs/db304.htm 
  1. Centers for Disease Control and Prevention (CDC). Genital Herpes – CDC Detailed Fact Sheet [Internet]. [cited 2023 Nov 8]. Available from: https://www.cdc.gov/std/herpes/stdfact-herpes-detailed.htm 
  1. Centers for Disease Control and Prevention (CDC). Genital Herpes – CDC Basic Fact Sheet [Internet]. [cited 2023 Nov 8]. Available from: https://www.cdc.gov/std/herpes/stdfact-herpes.htm 
  1. World Health Organization (WHO). Herpes simplex virus [Internet]. [cited 2023 Nov 8]. Available from: https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus 
  1. National Center for Biotechnology Information (NCBI). Cold sores: Overview [Internet]. [cited 2023 Nov 8]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK525782 
  1. National Center for Biotechnology Information (NCBI). Genital herpes: Overview [Internet]. [cited 2023 Nov 8]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK525769 
  1. Centers for Disease Control and Prevention (CDC). Genital Herpes Treatment and Care [Internet]. [cited 2023 Nov 8]. Available from: https://www.cdc.gov/std/herpes/treatment.htm 

Disclaimer: The information provided here is for  educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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