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Warning-sign checks

Genital herpes: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care for confusion, marked drowsiness, a severe headache with neck stiffness or light sensitivity, or rapidly worsening illness.

    A newborn with fever, poor feeding, unusual sleepiness, breathing trouble, seizures, or blisters needs immediate emergency assessment, especially after possible herpes exposure around birth.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Arrange a routine or prompt appointment for new genital blisters, ulcers, or unexplained pain.

    A fresh sore offers the best chance of an accurate swab.

    Seek advice promptly for a first outbreak because early antiviral treatment may help.

    Contact a clinician promptly if:

    • Sores are not healing or keep returning
    • Pain is difficult to manage
    • You have a weakened immune system
    • You may have been exposed to another sexually transmitted infection
    • Herpes is causing significant anxiety or relationship difficulties
    • You are pregnant, planning pregnancy, or develop symptoms during pregnancy

    Seek urgent same-day care if you cannot pass urine, have severe genital swelling, develop widespread sores, or have a painful red eye, blurred vision, or strong sensitivity to light.

Every sign above is quoted from the sofidex article on Genital herpes. If you are not sure, err upward — it is always reasonable to be checked.