Finding the Right Care at Aglow Dermatology

If you are looking for a dermatologist for herpes, you likely want more than just a prescription—you want clarity, accurate answers, and a judgment-free environment. At Aglow Dermatology, we understand the anxiety that comes with a potential diagnosis.

Herpes Simplex Virus (HSV) is incredibly common, yet widely misunderstood. Whether you are dealing with a new outbreak, recurring cold sores, or uncertainty about symptoms on your body, we are here to provide the expert medical verification and management you need.

Why See a Dermatologist for Herpes?

While primary care doctors and OBGYNs treat herpes, a board-certified dermatologist is often the most expert specialist for this condition. Herpes is, fundamentally, a skin condition.

• Accuracy Matters: Many people receive inaccurate diagnoses because other skin conditions (like contact dermatitis, folliculitis, or yeast infections) can mimic herpes. Dermatologists are trained to visually distinguish these subtle differences.

• Complex Cases: If your outbreaks are frequent, severe, or resistant to standard treatment, a dermatologist can offer advanced suppression strategies.

• Whole-Body Knowledge: Herpes does not just affect the mouth or genitals. It can appear on the buttocks, thighs, fingers, and face. We treat the virus wherever it manifests.

Understanding the Virus: Herpes Simplex 1 vs 2

The terminology can be confusing. Historically, doctors separated them by location, but the reality is more fluid.

• Herpes Simplex 1 (HSV-1): Traditionally associated with oral cold sores. However, HSV-1 is now a leading cause of genital herpes via oral-to-genital transmission.

• Herpes Simplex 2 (HSV-2): Traditionally associated with genital herpes.

• The Bottom Line: Both virus types can live in either location. The symptoms and treatments are largely the same, regardless of the “type.”

Common Questions & Facts

We believe education is the antidote to anxiety. Here are the answers to the most common questions we hear at Aglow Dermatology.

How many people have herpes simplex?

It is far more common than most patients realize. According to the CDC, nearly 1 in 2 people ages 14-49 have HSV-1, and about 1 in 8 have HSV-2.

How does herpes simplex spread?

The virus spreads through skin-to-skin contact with an infected area. This includes kissing, vaginal sex, anal sex, and oral sex.

What is “Asymptomatic Shedding”?

This is a critical concept. Most people with herpes are not aware they have it. The virus can be active on the surface of the skin without causing a visible sore. This is called “asymptomatic shedding.” You can transmit the virus to a partner even if you feel perfectly fine and have no visible outbreaks.

Does herpes simplex cause cancer?

No. Unlike certain strains of HPV (Human Papillomavirus), the Herpes Simplex Virus is not associated with cancer. It is a manageable skin condition, not a life-threatening one.

Can herpes simplex appear anywhere on the body?

Yes. While it prefers mucous membranes (mouth and genitals), the virus can infect other areas of skin if there is a break in the skin barrier.

• Herpetic Whitlow: Herpes infection on the fingers or hands.

• Herpes Gladiatorum: “Mat herpes,” common among wrestlers, appearing on the face, neck, or arms.

• Herpes on the Butt: We frequently see patients with outbreaks on the buttocks or upper thighs. This is often genital herpes. The virus is contracted through genital contact then lives in the nerve roots at the base of the spine (sacral ganglia) and can travel down different nerve pathways, surfacing on the butt rather than the genitals.

• Eczema Herpeticum: This is a serious condition where the herpes virus spreads to areas of skin already damaged by eczema (atopic dermatitis). Because the skin barrier is broken, the virus can spread rapidly over a large area, causing a widespread, painful rash and fever. This requires immediate dermatological treatment.

Herpes Simplex in Mouth (Cold Sores)

Are cold sores herpes?

Yes. “Cold sore” and “fever blister” are just euphemisms for a recurrence of the Herpes Simplex Virus (usually HSV-1).

How is a cold sore transmitted?

They are highly contagious. You can spread them by sharing utensils, razors, towels, or through kissing.

Can I get genital herpes from oral sex?

Yes. If a partner has a cold sore (or is shedding the virus asymptomatically in their mouth) and performs oral sex, they can transmit HSV-1 to your genitals. This has become one of the most common ways people contract genital herpes today.

Herpes Simplex in Pregnancy

If you are pregnant or planning to become pregnant, accurate diagnosis is vital.

• Neonatal Herpes: While rare, the virus can be passed to the baby during childbirth, which can be serious.

• Prevention: If you have a history of herpes, your doctor will likely put you on antiviral medication toward the end of your pregnancy to prevent an outbreak during labor. If active lesions are present during labor, a C-section may be performed to protect the baby.

Herpes Simplex vs Shingles

Patients often confuse these two because they are both painful, blistering rashes caused by viruses in the “herpes” family.

• Shingles (Herpes Zoster): Caused by the reactivation of the Chickenpox virus. It usually appears as a painful band or stripe of blisters on one side of the body and typically happens only once (though recurrence is possible).

• Herpes Simplex: Usually appears as a localized cluster of small blisters. It is characterized by recurrence—it comes and goes in the same spot over time.

Herpes Simplex Treatment & Diagnosis

How to Diagnose Herpes

Visual diagnosis is often not enough. At Aglow Dermatology, we use:

• Viral Culture/PCR Swab: If you have an active sore, we swab it to detect the virus DNA. This is the gold standard for accuracy.

• Blood Tests (IgG): These check for antibodies. They can tell us if you have been exposed to the virus in the past, even if you don’t have symptoms right now.

Where can I get treated for herpes?

You can get comprehensive treatment right here. While there is currently no cure for herpes, it is very manageable.

• Antiviral Medications: Drugs like Valacyclovir (Valtrex) and Acyclovir are highly effective.

• Episodic Therapy: Taking medication only when you feel an outbreak coming on (tingling/burning) to shorten it.

• Suppressive Therapy: Taking a daily pill to prevent outbreaks and reduce the risk of transmitting the virus to partners.

The Good News: For most people, the first year is the hardest. Outbreaks tend to decrease in frequency and severity as time goes on.

Take the Next Step

Don’t let uncertainty or embarrassment keep you from getting the help you deserve. We provide confidential, expert care to help you manage your skin health with confidence. Schedule a consultation with our dermatologist here.

For more scientific information on Herpes Simplex, please visit the Centers for Disease Control and Prevention (CDC) Genital Herpes Fact Sheet.