Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
It's important to understand that when you become sexually active, you can be at risk of getting a sexually transmitted disease (STD). Some STDs are easily treated with no long-term effects, while others can be carried for life or cause serious or life-threatening diseases.
Herpes is a sexually transmitted disease caused by the herpes simplex virus. The herpes virus most often infects the mouth, anus, or genitals. Sometimes, herpes sores can show up around the nose, eyes, ears, or on the hands, breasts, or buttocks. It is very easy to give herpes to someone else.
There are two types: HSV-1 (oral herpes) and HSV-2 (genital herpes). Anywhere from 50 to 80 percent of Americans are thought to have oral herpes, while between 20 to 25 percent have genital herpes.
It is important to understand that when you become sexually active, you can be at risk of getting an STD. This is true for all forms of sexual activity such as oral, vaginal, or anal intercourse.
Sexually transmitted diseases are caused by different bacteria or viruses that are passed between partners during sexual activity. Some STDs are easily treated with no long-term effects, while others can be carried for life or cause serious or life-threatening diseases.
Except for not having sex (abstinence), there is no sure way to avoid contracting an STD. You can reduce your risk of getting STDs by:
If you are sexually active and younger than 25, we recommend you come in once a year to be screened for STDs.
It can take 2 to 3 weeks for symptoms to appear. Many people with herpes have no symptoms. Symptoms could include:
The first outbreak is usually the worst. You may have a fever, swollen glands, a headache, or muscle aches. Or you may have such mild symptoms that you do not even notice them. Often, a person with herpes will notice tingling or itching at the site of infection a few days or a few hours before an outbreak. This is called the prodrome stage. It is a warning that the virus is rising to the surface of the skin. You can transmit herpes during prodrome, even before you have any sores. Avoid sexual contact if you notice any of these symptoms.
If you are experiencing these symptoms or if you are concerned, contact us.
The best time to test for herpes is when there are sores or blisters on a person's body. You will only need to be tested once. If you notice a blister or sore, contact us immediately so the sore can be tested for herpes before it heals.
Blood tests for herpes antibodies are not very useful because most people carry antibodies to herpes—often from having had cold sores in childhood. The blood test will tell you only whether the virus is HSV-1 or HSV-2, not where herpes sores will appear. For these reasons, this test is not routinely ordered.
You can get herpes when healthy skin touches or rubs skin that is infected with herpes. This can happen whether or not a sore is present. Kissing, oral sex, and sexual intercourse are the most common ways to transmit herpes.
The virus also can be moved from one body part to another. Because of this, it is important to wash your hands immediately after touching a sore. For instance, if you touch a herpes sore on your mouth and then touch your genitals, you can become infected with herpes on your genitals.
There are no reported cases of herpes being transmitted from toilets, hot tubs, or towels.
You can prevent contracting herpes by avoiding direct skin contact with someone with an active sore. Since herpes can be transmitted through sexual contact, using condoms when you have sex can protect you from infection.
Talk openly and honestly with your partner about your risk for STDs and the importance of safer sex. Remember that a person can be infected with an STD without knowing it. Be clear about what you will and will not do sexually. Also, respect what your partner will and will not do. Decide together what is right for both of you.
Unfortunately, abusive relationships are common. Abuse can include pressuring or forcing you to have sex, or refusing to use a condom to protect against pregnancy or STDs. If you think you are being abused, you can get help by talking to us or you can:
The only certain way to prevent getting an STD is to abstain from sex. If you do choose to have sex, using condoms correctly and consistently is the best way you can protect yourself.
We ask all pregnant women to inform us if they have any history of herpes.
If you are pregnant, you should take extra care to avoid getting infected. You could pass the infection to your baby during delivery, which can cause serious problems for your newborn. If you have an outbreak near your due date, you probably will need to have your baby by cesarean section (C-section). If your genital herpes outbreaks return again and again, we may talk to you about medicines that can help prevent an outbreak during pregnancy.
Herpes can be a serious problem if a woman gets genital herpes for the first time during the third trimester of her pregnancy. The unborn baby can become infected and will need treatment right after birth.
During the third trimester of pregnancy, herpes-negative women should use condoms and take special precuations if their partner has herpes.
Herpes can not be cured, but it can be treated. Once you are infected with herpes, the virus will always be in your body. Treatment can help reduce the number of days that an outbreak will last and decrease the frequency of outbreaks. Medications can:
If you have occasional outbreaks, you can take medicine for 5 to7 days, starting as soon as you feel an outbreak is about to happen. If you have frequent outbreaks (more than 6 in a year), you may take medicine daily to reduce the frequency. The medication is safe, inexpensive, and well tolerated.
Here are some ways to keep your immune system strong and decrease the number of outbreaks:
If you are worried about being exposed to herpes and:
If you are diagnosed with herpes, we will recommend a medication that will treat your herpes sores. The next time you have an outbreak, you can use more of the same medication to shorten the outbreak and reduce any discomfort.
If you have more than 6 herpes outbreaks a year, you may want to take daily medication to suppress your outbreaks. You can request a prescription for suppressive medication by e-mailing me or by calling the Appointment and Advice line.
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting your care easier for you.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay current on your health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.
We will work together to monitor and assess how your medications are working and make adjustments as needed. Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically in advance of your arrival at the pharmacy.
If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, we will schedule an appointment with the radiology department. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, you can view most of your laboratory results online, along with any comments that I have attached to explain them.
My specialty colleagues are readily available to assist me if I need additional advice about your condition. In some cases, I may contact them during your visit, so we can discuss your care together. If we decide you need a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
As part of our commitment to prevention, additional members of our health care team may contact you to come in for a visit or test. We will contact you if you are overdue for cancer screenings or conditions which may require monitoring.
As your personal physician, I have a goal to provide high-quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available 24/7 so that you can access and manage your care where and when it is most convenient. From my home page you can:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.