Red flags & when to go in person for Genital Herpes (HSV)

Audience: pediatric

Genital herpes (HSV) is a common viral infection that can cause sores or blisters around the genital area. In children and teens, it may cause discomfort, itching, or pain. Many cases can be managed with the help of telemedicine, where a healthcare provider talks with you remotely to give advice and support. However, some symptoms need an in-person visit to make sure the child gets the right care quickly. This guide explains when to seek in-person care, what signs to watch for, and how telemedicine can help. Remember, this information is for education only and does not replace a medical exam or diagnosis by a healthcare professional.

Red flags — go in person / ER

• Severe pain not relieved by home care — seek urgent in-person evaluation
• High fever above 38°C (100.4°F) lasting more than 2 days — get medical care promptly
• Rapidly spreading sores with signs of infection (redness, swelling, pus) — immediate in-person assessment needed

What telemedicine can do

• Discussing symptoms and concerns
• Providing education about genital herpes
• Supporting medication management and follow-up
• Assessing mild symptoms via video or photos
• Offering guidance on prevention and self-care

What telemedicine cannot do

• Diagnosing severe or complicated infections
• Managing severe pain or urinary problems
• Treating dehydration or systemic illness
• Performing physical exams or laboratory tests
• Handling emergency situations

What is Genital Herpes (HSV)?

Genital herpes is a virus that causes sores or blisters on or around the genitals, buttocks, or thighs. It spreads through skin-to-skin contact, often during sexual activity. In children, it can sometimes happen through other types of close contact or from a mother to her baby during birth. Symptoms may include painful blisters, itching, burning, or flu-like feelings such as fever and tiredness.

When to Use Telemedicine for Genital Herpes

Telemedicine can help you talk with a healthcare provider about symptoms, get advice on managing pain and discomfort, and learn how to avoid spreading the virus. It is useful for follow-up visits, medication questions, and general support. You can share pictures of sores if comfortable and safe to do so, which helps providers understand the situation better.

Red Flags: When to Go In Person

Some symptoms need urgent in-person care. These include:

If any of these occur, seek medical care in person promptly.

How to Prepare for a Telemedicine Visit

Before your telemedicine appointment:

After the Telemedicine Visit

After your visit:

Preventing Spread and Supporting Recovery

To help prevent spreading genital herpes:

Recovery varies, but many people manage symptoms well with proper care and support.

How to prepare for your tele-visit

• Choose a private, quiet space for the telemedicine visit
• Prepare a list of symptoms and questions
• Have a device with camera and internet access ready
• Be ready to describe symptoms clearly
• Have current medications and medical history available
• Ensure device is charged and functioning

After your tele-visit

• Follow provider’s instructions carefully
• Take prescribed medications as directed
• Keep affected area clean and dry
• Monitor symptoms for changes or worsening
• Avoid close contact to prevent spread
• Schedule follow-up visits if advised
• Seek in-person care if red flags develop

FAQs

Can genital herpes be cured?

No, genital herpes is a lifelong viral infection. However, medications can help control symptoms, reduce outbreaks, and lower the chance of spreading the virus to others.

Is it safe to have a telemedicine visit for genital herpes?

Yes, telemedicine is often safe and helpful for discussing symptoms, getting advice, and managing mild cases. For severe symptoms or complications, an in-person visit is important.

How can I prevent spreading genital herpes to others?

Avoid touching sores and wash hands often. Do not share towels or clothing. Use protection during sexual activity when appropriate, and avoid contact when sores are present.

What should I do if my child has painful sores and fever?

Contact a healthcare provider promptly. If fever is high or sores are severe, an in-person visit is usually recommended to ensure proper care.

Can children get genital herpes without sexual contact?

Yes, though less common, genital herpes in children can sometimes occur through non-sexual contact, such as from a mother during birth or close skin contact.

Sources

1. Genital Herpes — MedlinePlus, U.S. National Library of Medicine.
2. Genital Herpes - CDC Fact Sheet — Centers for Disease Control and Prevention (CDC).
3. Herpes Simplex Virus Infections — National Library of Medicine.
4. Genital Herpes - Mayo Clinic — Mayo Clinic.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you or your child experience severe symptoms or emergency signs, seek immediate medical attention.