Is HPV Herpes? Our Doctor Explains the Difference
By Dr. Vishesh Bharucha +2 more
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By Dr. Vishesh Bharucha +2 more
Table of Contents
“Is HPV herpes?” Well, it’s common to get confused between the two because both are sexually transmitted infections (STIs). But HPV is not herpes.
Although both commonly affect the genital area and may not always show symptoms, they are caused by different viruses and differ in their characteristics1,2.
HPV is caused by the Human Papillomavirus (HPV), a DNA virus belonging to the papilloma virus family. The low-risk type HPV may lead to genital warts, and high-risk types can sometimes lead to cancers in the cervix, anus, penis and some parts of the throat1,3. Herpes, on the other hand, is caused by the Herpes Simplex Virus (HSV), a DNA virus from the herpesvirus family. Herpes infection leads to painful sores or blisters in the genital area and the mouth2.
In this blog, we will see more details to clear the doubt: is HPV the same as herpes?
HPV is the most common STI in sexually active men and women. Nearly 90% of men and approximately 50% to 80% of women who are sexually active are likely to get it at some point in life. This can vary based on the population and how the test is done. There are about 200 types of this virus, and they fall into two main groups: low-risk types (HPV 6 and 11) and high-risk types (like HPV 16 and 18). Low-risk types are not that serious. They usually cause warts on the skin, genital area, mouth, or throat. High-risk types are more serious, as they can lead to cancers of the cervix (lower part of the womb), private parts like the anus, penis, vulva, vagina and certain areas of the throat (especially the area at the back of the mouth)1,3,4.
There are currently 8 types of human herpes viruses. Herpes simplex virus (HSV) is a subtype of this human herpes virus family belonging to the subfamily Alphaherpesvirinae and genus Simplexvirus. They are of two main types: HSV-1 and HSV-2.
HSV-1 mostly affects the mouth, causing cold sores, but it can also cause genital herpes, which is common in young people through oral sex (mouth-to-genital contact). It mainly spreads through saliva or contact with infected body fluids2,5,6.
HSV-2 more commonly affects the genital region and is mainly spread through sexual contact2,7.
Once the virus enters the body, it travels to the nerves and goes into a sleeping or quiet stage (called latency), where it can stay without showing any symptoms.
Herpes virus can stay in the body for a lifetime. The immune system keeps the virus under control, but it cannot fully remove it, as virus stays hidden in the nerves without showing symptoms. The virus can get reactivated when there is weakening of immune system or factors such as stress, exposure to sunlight or hormonal changes5,6,7.
The HSV infections are commonly confused with HPV as they can both be sexually transmitted and may present similarly, affecting the mouth and genitals. So, when we say herpes virus infections, we will be referring to these two subtypes of herpes virus only, that is HSV.
HPV and herpes have some common but also different features, so let us compare them side by side as seen in this table HPV vs Herpes:
Virus | HPV | Herpes |
Cause | Human papillomavirus1. | Herpes simplex virus2. |
Symptom | Often no symptoms. Some cause warts or lead to cancer with cell changes9. | Painful blisters or sores on mouth, genitals, or anus2. |
Transmission | Skin contact, mainly during sex. | HSV-1: saliva/secretions; HSV-2: sexual contact5. |
Diagnosis | Clinical examination, Pap/anal smear, or PCR test for virus DNA9. | Swab from blister or PCR blood test to detect virus. If no visible sores are present, blood test (serology) may be done to check for presence of HSV antibodies5,7. |
Treatment | No cure; warts removed by medicines or surgery. Cancer treated if found1. | Managed with antiviral medicines like valacyclovir and acyclovir5,7. |
Long term effects | May return. Some types cause cancer in weak immunity10. | HSV-1 mild but may affect brain/eye. HSV-2 may cause brain infection and nerve problems if untreated5,7. |
Recurrence | Common; regular monitoring advised10. | HSV-1 mild, HSV-2 recurs more often but manageable with treatment5,7. |
Both viruses can stay in the body for long time, but regular care and management helps in recovering well.
The main mode of transmission of HPV is by having vaginal, anal, or oral sex with an infected person. But you can also get it through skin-to-skin contact where even if your skin rubs on to any part of the person infected with HPV, you contract the infection.
You can have HPV without symptoms and unknowingly pass it to another partner later by these types of spread11.
Herpes also spreads through sexual and skin contact. If you touch a herpes sore, saliva, or genital fluids of an infected person, or if your skin touches their mouth or genital area, you can get herpes.
Some infected people may not have visible sores but can still pass it to a partner, called asymptomatic shedding. Genital herpes can also spread to mouth through oral sex12.
By knowing the spread of HPV vs herpes, you can stay careful and protect yourself and your partner from these infections.
Anyone sexually active is at risk of HPV, especially those with multiple partners or who started sexual activity early, have not got vaccinated for HPV, do not use condoms consistently, smoke, or use birth control long-term7. Herpes risk is higher with unprotected sex, multiple partners, or during childbirth from infected mothers13. People with weak immunity like those who received organ transplants, people living with HIV, and cancer patients are at risk of severe herpes5.
These individuals who are at high risk need to stay safe and plan to get regular check-ups depending on what infection they have and based on personal risk factors as advised by their doctor.
Most HPV cases do not show many symptoms and clear on their own, within 1 to 2 years. But in some people with multiple sexual partners, smoking habits, or weak immunity, the infection may stay longer and become persistent13,14.
For those who do have symptoms, small lumps or warts that look like cauliflower may appear in the genital area. Warts in the mouth or throat are rare but can happen in some people, including children or adults after oral sex. Some HPV types may lead to cancer without clear symptoms10,15.
HSV-1 commonly causes blisters or cold sores in the mouth, often affecting the gums, palate, cheeks and tongue (herpetic gingivostomatitis) in children. In some cases, it may affect the eyes, leading to mild conjunctivitis causing pain redness and light sensitivity. Recurrent infection can cause sores on the lips (herpes labialis) or severe eye problems (herpes keratitis).
HSV-2 often causes painful genital sores, swelling, and burning during urination (sometimes due to infection in the urinary tube). Other general symptoms like fever, tiredness, body pain, and headache, can occur especially during the first outbreak. Later outbreaks tend to be milder5,6,7.
This mix of symptoms often makes people wonder Is HPV Herpes? But remember, HPV usually does not cause blisters, which is seen in herpes. If you experience any of these symptoms, you need to get tested early by seeking proper medical care to avoid complications.
This section about the difference between HPV and herpes, especially in how they are diagnosed using different methods. Mostly diagnosed clinically, testing for both may be done if symptoms are present or in high-risk populations.
HPV is usually diagnosed by checking visible warts. A wart may be removed and sent to a lab to check for cell changes. But testing warts is not done always, as most are harmless. Genital warts are mostly diagnosed by how they look, but HPV itself may not be confirmed just by seeing warts.
A Pap smear can be done to detect changes linked to high-risk HPV, such as a cervical or anal Pap smear for cancer screening. These tests are mainly done in people who are at risk or as advised. PCR tests help confirm infection by detecting HPV’s genetic material and may be done if needed1,16.
Herpes is diagnosed by examining ulcers or sores. A swab may be taken from a blister and sent to a lab to identify the virus type. PCR testing can also be done to detect herpes simplex virus DNA. When visible sores are not present, blood tests may be done. For HSV-1, the gold standard is serology, where the presence of HSV-1 antibodies is detected in the blood. Even for HSV-2, blood tests can be used to detect antibodies. But these blood tests may not always be reliable, as they can sometimes give false-positive results and cannot tell exactly where the infection is in the body5,7,17.
Routine HSV testing is usually not advised unless symptoms are present or a partner has/had herpes18.
HPV and herpes do not have a specific medicine that can fully cure them. Most medicines and medical care help manage the symptoms. That is why it is important to know the difference and confusing between the two can be misleading when it comes to treatment approaches.
For HPV:
For mouth herpes:
For genital herpes:
Note: Antivirals do not cure HSV, and continuous treatment is usually given to those who get this infection frequently or to prevent spreading it to their partners.
So always check with your doctor if you unsure of your condition. They will diagnose properly and prescribe the treatment based on your needs.
Most people recover well after herpes, but medicines may not fully remove the virus. Although Herpes virus HSV-1 usually does not cause serious problems, but it can stay in the body for a long time and, in some cases when it gets reactivated, may cause inflammation in brain (herpes encephalitis) or eyes (herpetic keratitis) affecting vision5.
HSV-2 mainly causes genital herpes, but in severe cases it can affect the brain, causing meningitis. HSV-2 can also cause eye problems like redness, pain, and vision loss, and in rare cases, can lead to brain infections7.
On the other hand, high-risk type HPV may also lead to cancers of the cervix, vagina, vulva, penis, anus, or certain areas of mouth and throat, especially in people with weak immunity like HIV patients. Also, most people with HPV have a risk of developing other sexually transmitted infections because of shared risk factors like unprotected sex or having multiple partners10.
The overlap of symptoms between the two has led many to ask, “is herpes a HPV virus?”, but the answer is no; their complications clearly differ. HPV is associated with risk of cancers while HSV usually not very severe, can lead to some serious health issues. So, despite their risks, they are not the same disease.
The risk of HPV transmission may be reduced by using condoms and avoiding anal or oral sex. Vaccination can also help protect against certain types of HPV, including those linked to genital warts and some high-risk cancer-causing types. The HPV vaccine is recommended for young individuals aged 9 to 25 years, those with weakened immunity, and men who have sex with men, as they may benefit from its protection1,9.
The risk of herpes transmission may be reduced by avoiding sexual contact during active outbreaks (when sores or blisters are present) and by using condoms or dental dams during sexual activity19.
In addition, quitting smoking and maintaining good nutrition can help keep your immune system working to fight these infections. These preventive steps, along with appropriate medical guidance, help lower the risk of infections.
HPV and herpes are not the same, but both are long-term infections that can return. There is no cure for these, but symptoms and complications can be managed with timely medical care. By knowing the difference between HPV and herpes, you can take the right preventive steps like regular screening, practicing safe sex, and getting vaccinated for HPV to help prevent serious health risks. Always consult a doctor early to stay protected and keep your partner safe.
Those who have allergy to yeast, pregnant women, people with bleeding disorders, or anyone who had an allergic reaction to a past vaccine should not get it. Your doctor can help you decide on this9.
Usually, symptoms may not show for some individuals, but if they do, it can appear in 2 to 12 days after getting infected.
A salt bath or applying an ice pack may help. Betadine, which contains iodine, is a good antiseptic and may help in drying the blister and prevent other infections. But always use as advised by your doctor.
Yes, primary outbreaks of HSV-1 are more common in childhood while HSV-2 usually occur later as associated with sexual activity.
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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