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How is herpes transmitted other than through sex?

PlushCare Content Team
Written by PlushCare Content Team
Stephen Vogel
Medically reviewed by Stephen Vogel, MD
Herpes transmission

Prescriptions are provided at the doctor's discretion. Learn more about our controlled substances policy and how to save up to 80% with our prescription discount card. PlushCare doctors cannot treat all cases of herpes. Our primary care physicians can conduct an initial evaluation of your symptoms but may need to refer you to a specialist or for in-person treatment. If you are experiencing life-threatening symptoms, seek emergency medical attention immediately. 

Herpes is usually spread via contact with sores on another person. In the case of genital herpes, this occurs most often through vaginal, oral, or anal sex. While oral herpes can also be spread via oral sex, transmission primarily happens during non-sexual contact like kissing or sharing utensils. Many people do not realize they have herpes because they may not show symptoms for weeks, months, or even years. If you have the virus, even if no sores are present, HSV-1 and HSV-2 can still be passed onto others.1,2 

 

There is currently no cure or vaccine for herpes, but our doctors might be able to prescribe antiviral medications that reduce the severity of outbreaks.2 Make an appointment with a top-rated online doctor at PlushCare today to discuss herpes treatment. 

Can herpes be passed through sex?

Yes, herpes can be passed through sexual intercourse, most commonly through direct or indirect contact with sores. This is especially true for genital herpes. However, herpes can also spread through non-sexual contact.1,2 For example, oral herpes can be transmitted during oral sex, as well as through kissing or sharing personal items like eating utensils, makeup, or lip balm.

Herpes transmission is also possible between outbreaks, even when sores are not visible.2,3 The virus can pass through skin or mucous membranes, like the mouth or nose, making it essential to understand all potential transmission methods. Many people carry herpes without realizing it.

How herpes spreads through non-sexual contact

Herpes can spread in several non-sexual ways, so it is important to recognize these routes to help prevent transmission. Here are some common non-sexual transmission methods:

  • Kissing someone with an active cold sore: The virus is present in saliva and sores.
  • Sharing personal items: Items like utensils, lip balm, or makeup can carry the virus.1,2
  • Touching infected areas: If you touch an infected area and then touch your face or mouth, the virus can spread.
  • During childbirth: Mothers can pass herpes to their babies during delivery, leading to neonatal herpes, a serious condition for newborns.

Tips to prevent non-sexual transmission

You can reduce the risk of spreading or contracting herpes through non-sexual contact by taking simple precautions:

  • Avoid close contact: Steer clear of physical contact with anyone who has active sores.
  • Do not share personal items: Use your own utensils, towels, and lip balm to limit exposure.
  • Practice good hygiene: Wash your hands frequently, especially after touching your face or mouth.
  • Use barrier methods during oral sex: Dental dams can offer protection against herpes transmission.

How do I know I have herpes?

If you suspect you have herpes, you should talk to our online doctors to discuss testing and management options for herpes treatment. For oral herpes, outbreaks consist of cold sores or blisters around the face and mouth, and for genital herpes, they lead to sores and lesions around the genitals and rectum. The early signs of an outbreak can include itching, burning, or tingling in the areas where lesions will develop, and some people will also experience flu-like symptoms.1-3 Sores may initially look like bug bites, shaving irritation, ingrown hairs, or pimples. Future outbreaks are typically shorter in length and less severe.1

 

If one of our top-rated doctors decides to order tests for the herpes virus, they will send that order to a lab near you. After the test results come in, your medical team at PlushCare will follow up; if you test positive, they will determine the best treatment plan for your diagnosis.

How do I manage herpes symptoms and prevent it from spreading to others?

If you have HSV-1 or HSV-2, you should always follow your medical team’s instructions to manage outbreaks. This may include prescribed antiviral medications like acyclovir, famciclovir, or valacyclovir, but you should also practice good hygiene and safe sex.1-3 Herpes currently is not curable, but outbreaks can be successfully managed when partnering with your healthcare providers to reduce the severity and length of outbreaks.2

 

At PlushCare, our board-certified doctors are available day and night for discreet, online appointments to discuss herpes testing and treatment. If your physician decides medication is right for you, they can send that prescription to a pharmacy near you as well.

3 simple steps to discuss Herpes

Online Herpes Appointment
Step 1

Book a herpes treatment appointment.

Book a same day appointment from anywhere.

How It Works Step 2B
Step 2

Talk to your clinician regarding your herpes symptoms.

Visit with a doctor on your smartphone or computer.

How It Works Step 3
Step 3

Pick up prescription for herpes treatment.

We can send prescriptions to any local pharmacy. 

How pricing works

To request herpes treatment and get a new or refill on your prescription, join our monthly membership and get discounted visits

30 days of free membership

  • Same-day appointments 7 days a week
  • Unlimited messages with your Care Team
  • Prescription discount card to save up to 80%
  • Exclusive discounts on lab tests
  • Free memberships for your family
  • Cancel anytime

Paying with insurance

Membership

$19.99

First month free

+

Visits

Copay

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

We accept these insurance plans and many more:


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Paying without insurance

Membership

$19.99

First month free

+

Visits

$129

Visit price without insurance

Initial visits are $129.

Sources:

PlushCare is dedicated to providing you with accurate and trustworthy health information.

  1. World Health Organization (WHO). Herpes simplex virus. Accessed on October 16, 2024, at https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus.

  2. Cleveland Clinic. Herpes simplex virus (HSV). Accessed on October 16, 2024, at https://my.clevelandclinic.org/health/diseases/22855-herpes-simplex.

  3. S. Centers for Disease Control and Prevention. About genital herpes. Accessed on October 16, 2024, at https://www.cdc.gov/herpes/about/index.html.

  4. Herpes (HSV) test. Accessed on October 17, 2024, at https://medlineplus.gov/lab-tests/herpes-hsv-test/.

  5. American Sexual Health Association. Diagnosing herpes. Accessed on October 17, 2024, at https://www.ashasexualhealth.org/herpes-testing/.



PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.