Take a bath. And although 90,000 U. Oct 1, 2021 · A. It is indicated in patients with recurrent oral and genital HSV-2 infection and oral HSV-1 infection. I am going crazy! As soon as I finish a course of oral meds and things get better, a new area starts to tingle and a new bump will appear. The herpes virus enters the body through the: Lining of the mouth. But it’s still totally Jul 13, 2022 · These usually heal more quickly in future outbreaks. We would like to show you a description here but the site won’t allow us. A herpes rash causes small bumps that turn into blisters or sores. “Warm baths or sitz baths cleanse the area and keep it clean, which allows May 3, 2024 · This image displays the red slightly elevated lesions typical of sacral herpes simplex. Then, the virus remains in the person’s body for the rest of their life, causing Sep 18, 2023 · If you've had shingles once, you probably won’t get it again. Call/text today: 1-646-663-4125 or make an appointment online. outbreak involved pet prairie dogs infected by an African rat. Similar to oral herpes, the initial outbreak may last as long as three weeks. Some people experience additional whole-body symptoms during their first outbreak, including: Fever. Outbreaks non-stop since first - 3 months. transmission is typically by contact with monkeys, squirrels, and rats. How is genital herpes spread? You can get herpes by having vaginal, anal, or oral sex with someone who has the disease. But this can range from two days to 12 days. Yet I had to deal with multiple outbreaks and with telling my second Husband and my current partner Feb 3, 2023 · Herpes lesions on the buttocks are relatively common during an outbreak. These are commonly known as cold sores Mar 23, 2022 · In other words, the medication prevented further outbreaks in 50 out of 100 people within one year. But, herpes outbreaks are different for everyone. You may recognize a genital herpes outbreak by the appearance of blisters and lesions. My understanding of the way this rigamarole worked was, your immune system gradually figures out how to "deal with" the virus, and your outbreaks become less frequent/severe over time. Also called herpes zoster, shingles can come back a second or, rarely Sep 8, 2022 · The first outbreak of oral herpes usually develops within about one to three weeks after infection. Other symptoms of genital herpes in women include: Fatigue. After the first outbreak, the virus lays dormant in your nerve cells. After you get an HSV infection, the Dec 5, 2018 · Myth #3: Your sex life is over. Mar 14, 2019 · Once a person contracts the herpes simplex virus (HSV-1), it usually causes an initial outbreak of cold sores. 3–37. I have HSV2 also my wife who also has herpes gets them quite frequently. Stage I: Initially, many people infected with herpes virus experience burning, tingling or numbness on and around the sores. You’ll know when your sores have completely healed when your skin is smooth and you can’t see the scabs anymore. But there are treatments that can relieve the symptoms and shorten the outbreaks. A balanced diet boosts your immune system too. Twenty-six percent of women and 8% of men had no or 1 recurrence in year 1 of follow-up, whereas 14% of women and Feb 9, 2021 · The herpes simplex virus type 2, better known as genital herpes or HSV-2, is a sexually transmitted infection. Feb 2, 2014 · 9. Summary. Lesions may sometimes form inside the vagina as well. Less often, from normal looking skin where the virusfirst entered the body. ”. Herpes simplex 1 (HSV-1, commonly known as oral herpes) tends to affect your mouth or face. 19]; P < 0. For most people, the first blisters go away within a month. Small, painful, fluid-filled blisters or sores that Apr 26, 2022 · Last reviewed: 26 Apr 2022. It is mainly caused by HSV-2. It stops the herpes from multiplying but does not clear the virus from the body. Nov 20, 2023 · Fingers. For more on oral-facial herpes, see the oral herpes page. Recurrent genital herpes is associated with a very low risk of neonatal herpes (0-3% for vaginal delivery). During a six-month study of more than 100 patients, 60 percent of the women and 55 percent of the men had as many as six different lesion sites, both genital and extragenital. Apr 26, 2022 · If you’ve had 6 or more genital herpes outbreaks in a year, you may be able to take antiviral medication to help prevent future outbreaks. Our prices are affordable with or without insurance. Aug 22, 2022 · The first outbreak is also the longest, with symptoms sticking around for two to four weeks. Swollen and red gums that may Nov 22, 2022 · Diagnosis. You might want to experiment with these. This happens a day before stage II. 10 [95% CI, 0. It may also reduce the number of outbreaks. Apr 28, 2017 · These outbreaks are thought to be secondary to hormonal changes, she explains. Although EHV-1 is the principal cause of outbreaks of Jan 1, 2011 · The median age at sexual debut was 17 years (range, 5–24 years), and the median age at first genital herpes episode was 27 years (range, 8–66 years). Stage II: Jun 8, 2022 · Systemic symptoms such as fevers, headache, and myalgias can also occur. And the herpes was the worse part of this whole ordeal. The median monthly recurrence rate was 0. In these cases, a doctor will need to check the cornea for infection, which could lead to permanent clouding of this Apr 8, 2024 · Dietary Influences on Herpes Severity. If you do have a case of herpes, you might experience flu-like symptoms, including: Chills, fatigue, fever, headache, achiness, nausea and general malaise for two or more days. Sitting in warm water for 20 minutes can ease discomfort from genital herpes. After coming accross this forum and reading these posts I feel that this is a way to make sure you live a stress free life. D. The average person has a herpes outbreak four times a year. The median time since first genital herpes episode and the initiation of the study to evaluate HSV shedding was 7. Stress can weaken your immune system and make it harder for your body to keep the herpes virus dormant. Herpes sores can affect many areas of the body, including the mouth, genitals, and eyes. Dec 19, 2022 · Try including papaya, mango, apricots , apples, figs and pears in your diet ( 4 ). E. Sore throat. Jun 21, 2022 · To assist your body's immune response to future herpes outbreaks, be sure to include several of these omega-3-containing, inflammation-fighting foods in your diet: Oily fish, such as tuna, mackerel, salmon, sardines, and anchovies. This article describes the timeline of a herpes infection, including the incubation period, the stages of infection, and the length of time the virus is contagious. For instance, herpes on moist areas of skin (like the anus and vagina) may have less crusting. Jan 11, 2024 · The appearance of a herpes sore can vary by the stage of infection and its location on the body. Pain may be felt in the lower back, buttocks, thighs, or knees. a recent U. See a list of current outbreaks and outbreak-related resources. You’re most likely to pass herpes to someone else when your outbreak first starts until seven days after your sores have completely healed. This image displays grouped herpes lesions on the thigh. Genital herpes is a highly contagious infection usually spread through intercourse with a person with infected sores. Herpes sores look like blisters filled with fluid, which can break open a Nov 28, 2023 · The primary infection is the first outbreak of genital herpes you will experience after you have been infected with the Herpes Simplex Virus. 8 years). Antiviral medicine may help shorten an outbreak by 1 or 2 days if you start taking it as soon as symptoms appear. Irritability and restlessness. To confirm a diagnosis, your provider will likely take a sample from an active sore. With genital herpes, the first outbreak usually occurs within about two to 20 days. 10. Severe Nov 1, 2005 · The trials involved pregnant women with recurrent and first-episode HSV infections. These blisters appear around the genitals, inner thighs, and buttocks. Soybeans (edamame), beets and potatoes are other vegetables richer in lysine that you can include in your diet. " As I understand HPV-1 infections are very common and yet many people only have Herpes Zoster (HZ) is the result of reactivation of latent varicella zoster virus (VZV) and occurs most frequently in older adults. Body aches. I don't understand why my symptoms are so bad. Prescription medications help shorten the duration, severity, and frequency of an outbreak. The location of herpes lesions affects the potential for infection of sexual partners and newborn infants. An initial herpes outbreak lasts around 14 days but can take up to six weeks for sores to fully heal ( Saleh, 2020 ). Excessive drooling. Posted February 2, 2014. [1] Though genital herpes is a lifelong illness, the good news is that outbreak durations tend to shorten considerably with time and proper treatment. The initial outbreak is often the most severe. Recurrent outbreaks are usually milder than the first episode of genital herpes. I get herpes outbreaks usually about every 2 to 3 months. grace. Mar 5, 2024 · Recurrence is more likely in people who have a weakened immune system. See full list on health. Most people are first exposed to HSV between ages 1 and 5 years of age, and more than half of Dec 5, 2023 · Risk Factors. The rash can be painful. Swollen lymph nodes. Flu-like symptoms are typically experienced during an initial outbreak and taper off over time. Vegetables: Cauliflower and broccoli are some of the best foods to eat to prevent a herpes outbreak. The treatment of genital herpes is similar to that or oral disease and is discussed elsewhere. Sc. We also perform comprehensive STD testing for other infections. I have more valtrek in case I feel another outbreak coming on, but I have no idea I’ll even catch it early. . I got herpes a little over a month ago from my boyfriend who "didn't know" because he never had or has symptoms. 01). March 19, 2023. Yes: although it's uncommon, you can get shingles multiple times. Research suggests that hormonal changes during menopause can trigger herpes outbreaks in women who are already infected with HSV. In the long term your outbreaks should become less frequent and milder as your immune system gradually gets on top, but I expect it will be a rocky road. Rarely, HSV infection leads to inflammation and swelling of the brain, also called encephalitis. 43 for men and 0. At first, you may experience symptoms that are synonymous with the flu, such as: A fever Fatigue Jul 22, 2021 · First-time herpes outbreaks are typically the longest lasting, with remission occurring between 2 to 3 weeks after onset. Fill in the Asda Online Doctor questionnaire and one of our doctors will In children, cold sores are usually caused by the herpes simplex virus type 1 (HSV-1). A few hours later, sores may appear. Flaxseeds and chia seeds. Typically, a genital herpes outbreak may last a couple of weeks. Genital HSV-1 lesions may recur, particularly in the first year after infection; however, multiple recurrences are rare in the setting of HSV-1 infection. This is particularly valid if the infecting herpes was the HSV-1 type. This is called prodrome. Feb 5, 2021 · In severe cases, the initial outbreak can involve a fever, swollen lymph nodes, swollen gums, and sores in your mouth, throat, or on your tongue. Some individuals just get a few outbreaks, while others get numerous outbreaks. The decline in estrogen levels can weaken the immune system, making it less effective at suppressing the virus. Equine herpes viral respiratory disease (rhinopneumonitis) can be caused by EHV-1 or 4 and is most commonly seen in weaned foals and yearlings, often in autumn and winter. People with very frequent herpes outbreaks also benefited from preventive treatment: In one study involving people with very frequent outbreaks, the medication lowered the number of episodes in one year from 11 to 2. Regular skin that has small cracks or cuts. The virus sticks around in your body after chickenpox symptoms go away, lying dormant in your nerves, held in check by your immune system. Prodrome may include tingling, itching, and/or burning sensations at the site of impending outbreak, and/or shooting pains, numbness, aches, or May 9, 2018 · I heard of beneficial relief from, lemon balm cream, tea tree oil or lidocaine local anaesthetic gel. Generally, HZ presents as a unilateral, self-limited dermatomal rash. Researchers at the University of Virginia School of Medicine have shed light on what causes herpes simplex virus to flare up, explaining how stress actually recurrences every 2-3 months is completely average. These are all taken in pill form. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. A mild outbreak may be mistaken for ingrown hairs, an insect bite, or pimples. Mar 23, 2022 · Genital herpes is one of the most common sexually transmitted infections (STIs). Shingles is caused by the varicella-zoster virus, which is the same virus that causes chickenpox. It also outlines the current testing Sep 8, 2022 · Experts estimate that around 30% of genital herpes infections are caused by HSV1, but only 2-5% of those infections cause recurring genital outbreaks. i have a herpes outbreak and im currently in my 1st semester. Some tests use blood while others require a swab of the blister. i just cure it with an itch cream is this bad. The average number of outbreaks for a person with genital HSV-2 is four to five per year. python dependency file. 33 for women (difference, 0. One of the most common reasons for frequent herpes outbreaks is stress. The most common brand used in New Zealand is valaciclovir. About 80% of those who have contracted HSV2 will have at least one recurrent outbreak. Outbreaks often become milder and less frequent over time. com Mar 5, 2024 · Outbreaks become less intense and less frequent over time. In each study, women were randomized to either acyclovir (Zovirax) or placebo for HSV prophylaxis beginning at Dec 1, 1994 · Thirty-eight percent had at least 6 recurrences during the first year and 20% had more than 10 recurrences. Be sure to protect your skin by wrapping the ice pack in a washcloth. Some women get an outbreak every month around the time of menses. From Wikipedia: "The virus can be reactivated by illnesses such as colds and influenza, eczema, emotional and physical stress, gastric upset, fatigue or injury, by menstruation and possibly exposure to bright sunlight. Genital Herpes may be reactivated by friction. I initially contracted HSV2 in May 2012, and had about one mild outbreak every month-6 weeks for the next year or so. . This is called a prodrome. Having shingles more than once is comparatively rare, although some people are at a greater risk of relapse. In children, cold sores are usually caused by the herpes simplex virus type 1 (HSV-1). Additionally, the decrease in vaginal moisture and Most people who get herpes will not experience bothersome symptoms, but for those that do there is effective oral antiviral medication. Covid has f’ed with my body and my immunity. 03 to 0. Postherpetic neuralgia (PHN) is a common sequela; presenting as severe pain that persists after the rash has resolved. After diagnosis 20+ years ago with maybe 5 breakouts total I am now at 47 years old with the same husband for 24 years having constant outbreaks for the last month. The following have been identified as specific recurrence risk factors: Age: Patients Jun 13, 2024 · Stress. 4 years (range, 0. The most common symptoms of cold sores include: A small blister or group of blisters on the lips and mouth that get bigger, leak fluid, then crust over. Mar 9, 2024 · 4 min read. One or more tests of these samples are used to see if you have herpes simplex virus (HSV), infection and show A. You can also get them around your mouth (where they're called cold sores). We offer confidential appointments. When he tested positive he was almost in denial because he just doesn't feel the effects. Mar 1, 2024 · Yes. Sep 8, 2022 · Most often, from herpes sores or blisters. B. The virus can be passed to others during a recurrence. outbreaks have occurred in Africa. FAQs. Later on in life, the virus can reactivate and result in more sores. Many people who get genital herpes only have mild or no symptoms or only one outbreak. Methods A prospective cohort study followed up participants for 6 months using weekly assessments of stress and mood, monthly assessments of life change events, and diary reports of genital herpes recurrences confirmed by medical examination when feasible. should i get Apr 22, 2023 · When your child has a cold sore for the first time, they may also have: Fever. Depending on the area infected with the herpes simplex virus (HSV), these may appear on the mouth, genitals, buttocks, and other areas. Because of female anatomy, some of the sores don't heal as quickly. Eating certain foods can make herpes worse. The community sample consisted of 58 women, aged 20 to 44 years, with a 1- to 10-year Genital herpes, regardless of whether it is HSV-1 or HSV-2, does not cause symptoms on the mouth or face. After the first time, outbreaks usually happen less often Jun 10, 2024 · Herpes is a lifelong condition caused by the herpes simplex virus (HSV). Fortunately, herpes meningitis usually resolves after about a week without complications, although symptoms Dec 16, 2018 · It varies from person to person. Infection of internal organs. I had my initial genital herpes outbreak (female) in february and this was of course horrendous, but I've suffered outbreak after outbreak since. Mar 9, 2023 · Stress, illness, hormones, and more can trigger outbreaks. [1] Feb 1, 2024 · Usually, your first herpes outbreak can take around 2 to 4 weeks to heal. When this happens, symptoms usually show up in the same general area as the first time. Like encephalitis, meningitis symptoms include headache, fever, stiff neck, vomiting, and sensitivity to light. For genital herpes, it can take an average of four days for lesions to show up after you’ve been infected with the virus. While there’s no cure, herpes treatment is simple and can shorten or prevent outbreaks, so you can still have a love life. There are two ways to take it: Oct 11, 2022 · Genital herpes is a sexually transmitted infection (STI) caused by the herpes simplex virus, which comes in two types — HSV-1 or HSV-2. It is safe and works effectively for both Type 1 and Type 2 herpes This outbreak has been tramatic. If symptoms do arise, they can be painful and distressing. But it also can be passed through oral or anal sex. The virus may become active from time-to-time. Follow your provider's instructions about how to take this medicine if it has been prescribed. Prevention of genital herpes is the same as . Later outbreaks aren't re-infection with the same virus. “And for some [people Jun 4, 2012 · I started having outbreaks every two weeks and my friend suggested that I re asea rch why. At New York Urology Specialists, we offer same-day Herpes testing and treatment for men and women. This image displays a grouping of pus-filled blisters located at the lower back and the buttocks, a common location for recurring attacks of May 16, 2023 · That being said, the timeline can vary from one person to the next, and it can anywhere from two to 21 days for the herpes rash to show up. Eyes. Herpes virus infections actually don’t often lead to a disease, though. Contents. Feb 9, 2023 · Disseminated infection: multiple organs involved, including the above and hepatitis, pneumonitis, and DIC. To further emphasize the difference in recurrence between a genital HSV2 infection and a After the first outbreak, herpes stays in the body and becomes inactive. Why not give acyclovir a try - it's cheaper. Cod liver oil. symptoms include skin pocks, fever, and swollen lymph nodes. It causes cold sores. Half of those with herpes are not having any more outbreaks the moment they have undergone the first occurrence of the symptoms. The chances directly relate to the overall state of the immune system, with those who are immunocompromised especially prone to relapse. Cold sores are painful, open blisters that develop in or around your mouth, usually on your lips. Oral pain meds like acetaminophen, naproxen or ibuprofen and topical meds like benzocaine and lidocaine can help reduce the pain of herpes sores. I didnt even find out for a year that he did that or that he had herpes as he passed it to me on his second outbreak - and as far as i know he's never had an outbreak since. The same review notes that up to 18% of people with weakened immune systems may get shingles more than once. Herpes virus-induced skin blisters tend to occur in crops. Sometimes though, a genital herpes outbreak may last just a few days; other times it may last more than a few weeks. i have had herpes for over 20 years now and havent really taken any antiviral pills. Transient Carriers . The primary role of chronic suppressive therapy in herpes simplex virus (HSV) infection is to decrease the frequency, severity, and duration of outbreaks, and to reduce the risk of transmitting the virus to others. Jan 25, 2023 · Apply an ice pack to your genitals. Several tests are available to diagnose genital herpes. Genital herpes is usually caused by a different strain, herpes simplex virus type 2 (HSV-2), although both virus strains can cause sores in any part of the body. Those with compromised or taxed immune systems will have more frequent herpes outbreaks. When the virus is active again, it travels along the nerves, back to where it first entered the body, and causes a new outbreak of sores and blisters (one of the symptoms of herpes). The first sign of an upcoming occurrence, prodrome can occur from 30 minutes to a few days prior to an outbreak. Multiple outbreak … Feb 12, 2021 · Reviewed by Emily Henderson, B. C. Take a warm bath. Therefore, most people infected with HSV1 genitally have very few, if any, genital herpes outbreaks. An initial genital herpes outbreak can last about 2 to 4 weeks. Mar 18, 2022 · The most common symptoms of herpes are small blisters that burst to leave red, open sores. Most people are first exposed to HSV between ages 1 and 5 years of age, and more than half of Jan 10, 2024 · Oral herpes is generally spread by kissing or oral sex. Older horses are more likely to transmit the virus without showing signs of infection. S. Cold sores are small blisters around the mouth, caused by the herpes simplex virus. I am wondering if there is anything wrong Sep 8, 2022 · A fever is popularly known to cause HSV-1 outbreaks, or cold sores, giving them the name fever blisters. Foods high in arginine, like nuts and chocolate, may trigger more severe outbreaks. Jul 5, 2018 · Take over-the-counter pain medication. You can get herpes blisters on your penis, vagina, anus, throat, on the top of your thighs and buttocks. Tingling, itching, and irritation of the lips and mouth. That doesn’t mean it can’t happen, it’s just unlikely. Walnuts. To prevent genital herpes recurrence, you may need to take antiviral medication at a different dose and for a longer period of time. Feline herpes is a contagious virus that can spread among cats. Sep 8, 2022 · Herpes simplex meningitis is inflammation of the membranes that line the brain and spinal cord. Flu-Like Symptoms. This initial outbreak may last for up to three weeks. But outbreaks usually settle by themselves, so you may not need treatment. My outbreaks come most frequently when I am stressed. On the flip side, lysine-rich foods such as fish and yogurt might help keep symptoms at bay. Headache. Nov 22, 2022 · HSV infection of the eye can cause pain, sores, blurred vision and blindness. I've had four outbreaks in one month since contracting this virus. The frequency of these outbreaks varies from individual to individual. Triggers can include illness, stress, and hormonal changes. Cold sores cause small blisters on the lips and mouth that enlarge, burst, then crust over. The symptoms of cold sores can be like other health conditions. It can re-emerge years or decades later When an outbreak is about to happen again, there may be burning, itching, or tingling near where the virus first entered the body. This is called a recurrence. Over time, outbreaks tend to happen less often and be less severe. Finding effective ways to manage stress is crucial for reducing outbreaks. People with a weak immune system can get a herpesinfection more easily. Helpful - 0. Dec 22, 2023 · Blisters on the tip of the nose indicate that the virus is affecting the eyes. Genital herpes cannot be cured. There is no way of knowing if, or how often, a person will have future outbreaks. Your health care provider can usually make a diagnosis of genital herpes based on a physical exam and a history of your sexual activity. Accompanying genital pain, itching, pain when urinating, vaginal and urethral discharge, and tenderness in the groin. Research from Key points. Most people have an outbreak of genital herpes more than once in their life. 70% of neonatal herpes cases have CNS involvement, while 30% of neonatal cases have localized skin/eye or mouth infections. Feb 12 2021. Rarely, HSV in the bloodstream can cause infections of internal organs. the virus has shown a trend in becoming less virulent, with fewer outbreaks in humans. These of course aren't as severe, but are mostly itchy and I see a couple of sores. Herpes simplex 2 (HSV-2, commonly known as genital herpes) is a sexually transmitted infection (STI). For oral herpes (aka cold sores), it can take three days to one week for the infection to show up after exposure. Swelling of the brain. Fluids found in a herpes sore carry the virus, and contact with those fluids can cause infection. When you get infected for the first time, you may develop flu -like symptoms (aches, fever, fatigue) at this stage. Tingling often occurs prior to the appearance of blisters. Antiviral medicine (acyclovir and related drugs) may relieve pain and discomfort and help the outbreak go away faster. After all, thats the reason things like UV light, which affects immunity, and fighting off other illnesses are outbreak triggers at all. multiple herpes outbreaks in a month. In recurrent outbreaks, there usually is no fever or swelling in the genital area. All this to say- you are not alone. Aug 23, 2022 · There are three major drugs commonly used to treat genital herpes symptoms: acyclovir ( Zovirax ), famciclovir ( Famvir ), and valacyclovir ( Valtrex ). Stressful situations such as overcrowding in shelters, boarding facilities, or multi-cat households are more likely to cause outbreaks due to increased stress levels which weaken their immune systems making them more susceptible to infection. For most people, outbreaks happen less often over time. The Link Between Menopause and Herpes Outbreaks. “People have a disproportionate fear of herpes in relation to any other STI,” Grimes says. “However, we know that herpes outbreaks also increase with stress,” Hutcherson says. This typically happens around 2-3 weeks after being infected and is more severe than recurrent outbreaks . Techniques such as meditation, deep breathing exercises, yoga, and regular physical Aug 2, 2022 · A genital herpes outbreak can appear in the form of a single fluid-filled sore or a small cluster of blisters. Soreness of the lips and mouth that may last from 3 to 7 days. Most folks have recurrences 4-6 times/year. The state or set of symptoms that precede a Herpes outbreak is called “prodrome. How long your outbreaks last, especially during the first year of getting herpes, can vary depending on your overall health, how quickly you start medicine to treat it, and how your body responds to the virus. Swollen lymph glands. “They feel like their sex lives are ruined forever and that’s in no way the case. It causes sores on skin that comes in contact with the genitals of an infected Nov 18, 2015 · How common is genital herpes? In the United States, about one out of every six people aged 14 to 49 years have genital herpes. Ask your question. Herpes sores on the mouth often look like a single sore, while herpes outbreaks on the genitals or eyes often have multiple distinct sores. Apr 25, 2024 · Raised, itchy blisters are the sign of an outbreak. Herpes blisters may look like small red bumps in the beginning, but they then visibly fill with fluid. Genital herpes causes outbreaks of genital sores that disappear in days or weeks. physical science experimental research topics. How long a genital herpes outbreak last varies between people and between outbreaks. The injuries often leave between 2 to 3 weeks. Despite having no cure, a number of techniques are proven to reduce the frequency and duration of each genital herpes outbreak. A 2006 study of 237 people with herpes found that buttock symptoms appeared about 20 percent of the time across all Nov 2, 2020 · After an initial outbreak, the virus stays dormant inside the nerve cells of the face. You have my sympathy. HSV-1 spreads through contact with saliva (spit). How often do outbreaks occur? The number of outbreaks someone has varies from person to person. The first year after the initial infection typically has more recurrent outbreaks. Cold sores can be spread by kissing or sharing eating utensils or even sharing towels. vd yv fx tz us ih sf km mb lm