Self-Care Guidelines
Acetaminophen or ibuprofen may help reduce fever, muscle aches, and pain caused by the herpes virus sores. Applying cool compresses or ice packs may relieve some of the swelling and discomfort. Wear loose-fitting clothes that won't irritate your skin.
Because herpes simplex infections are very contagious, it is important to take the following steps to prevent spread (transmission) of the virus during the prodrome phase (burning, tingling, or itching) and active phase (presence of blisters or sores) of HSV-2 infections:
- Avoid sharing towels and other personal care items.
- Wash your hands with soap and water if you touch an active lesion.
- Avoid sexual contact (including oral, vaginal, and anal sex) during both the prodrome phase and the active phase.
Unfortunately, the virus can still be transmitted even when someone does not have active lesions. Therefore, safe sex practices such as using a condom should be used between outbreaks, even if no sores are present on the lower back or buttocks.
When to Seek Medical Care
If you develop tender, painful sores on the lower back or buttocks, see a physician as soon as possible, since treatment is much more effective if started early.
Recurrent outbreaks rarely require immediate medical attention. However, because some people have milder forms of genital herpes, you should also see a doctor for any recurring rash on the lower back or buttocks, even if you think it is from bug bites, ingrown hairs, or any other condition.
If you have an underlying medical condition such as cancer or HIV, if you have undergone organ transplantation, or if you are pregnant, you are at higher risk for more serious complications. Seek medical advice as soon as possible, especially if you are at high risk for complications.
Signs and Symptoms
