GoMDUSA is a convenient way to get prescription-strength genital herpes medicines without going to a doctor's office. If our doctors or nurse practitioners think you have genital herpes, we can send a prescription to your local pharmacy for you to pick-up and pay for your medicines.
It's very easy to use our service. Choose between treating your immediate outbreak or reducing future outbreaks and protecting partners with daily preventative medicine. Answer our simple health questions and enter your credit card information to pay the $25 visit fee. If you need immediate treatment, fill your script at your local pharmacy. If you need preventative treatment, receive your meds in the mail with free shipping. We ship 1 year of treatment, 3 months at a time.
Anyone age 18 or over and who lives the states that GoMDUSA serves.
Some health conditions mean we won't be able to give you a prescription for genital herpes treatment, but we'll ask you about those when you complete your online visit.
If you've never had genital herpes before we won't be able to give you prescription because we think you should see a doctor or nurse practitioner in person for your initial diagnosis. First time infection of genital herpes can be quite painful for some patients and often a viral culture or swab is taken at the site of a blister to help make a diagnosis.
Yes. Based on your symptoms and medical history we can diagnose genital herpes. We don't need to see a photo of your genital herpes. Unlike other skin ulcers that may appear, only genital herpes come and go.
There are 2 types of treatment: treatment for an immediate outbreak or daily preventative treatment. The prescription medicines we prescribe for both types of treatment are antivirals.
Treatment for an immediate outbreak aims to make your symptoms go away faster.
Daily preventative treatment aims to stop you getting so many outbreaks, and if you do get outbreaks, they should be less severe and not last as long. Also it can decrease the risk of giving it to your partner by 90 percent as genital herpes can spread even if you have no symptoms.
We prescribe the oral antiviral medicines acyclovir 800 mg, valacyclovir 500 mg, and famicyclovir 500 mg tablets to treat an immediate outbreak.
For daily preventative treatment we prescribe acyclovir 400mg and valacyclovir 500 mg (or recommend valacyclovir 1000mg if you have 10 or more outbreaks per year).
Although commonly prescribed in the US and approved by the FDA to treat genital herpes, the FDA has not approved use of acyclovir or valacyclovir for immediate outbreak or acyclovir for daily preventative treatment to treat genital herpes the way we prescribe them. This means the way we prescribe them is ‘off-label' use. Please note, these medicines are commonly prescribed in this manner and as outlined in peer reviewed medical references.
The risks of taking any medicine include side effects or allergic reaction to the medicine. This is true with any prescription or over-the-counter medicine. In addition, the treatment we give you at first may not work as well as expected, which may mean you'll need to change your medicines, add medicines, or see a doctor or nurse practitioner in person.
It's possible that you may see no improvement because your symptoms are due to something else besides genital herpes. In this case, you'll have used medicine for genital herpes unnecessarily and delayed your care.
If you don't feel like your genital herpes are getting better after 3-5 days of treatment, please send us a message so that we can give you additional advice. We may encourage you to see a doctor or nurse practitioner in person.
There are no over-the-counter (OTC) medicines treatments as well as other prescription medicine available for genital herpes.
You also have the option of not taking any treatment for your genital herpes. Only take a treatment if you think the risks outweigh the benefits.
With treatment, a genital herpes outbreak should go away within 5-10 days.
If you take the daily preventative treatment, you should have fewer genital herpes breakouts and when they occur they should be less severe and last a shorter amount of time. Also it can decrease the risk of giving it to your partner by 90 percent as genital herpes can spread even if you have no symptoms.
Genital herpes occur whenever the virus wakes up (reactivation) in the body. Things that can trigger these genital herpes sores include exposure to sunlight, having a menstrual period, stress, injury to the skin where the genital herpes appears, or having some other illness. Each person's trigger may be different.
Avoiding these triggers can help decrease the number of genital herpes breakouts you have.
If you have genital herpes 5 of more times per year consider taking a daily medicine to prevent outbreaks (preventative or suppression therapy). You can get a prescription for this through our service.
Once you have genital herpes you cannot get rid of it.
If you have genital herpes breakouts 5 or more times per year we recommend trying a daily medicine to help keep the blisters from popping up. This is known as preventative or suppressive therapy. If the medicine is working we would usually recommend taking it for a year and then stopping to see if the genital herpes still come back. If you don't want to take a daily medicine you can also try taking a medicine as soon as you feel the genital herpes from coming back.
The medicine cannot cure the genital herpes.
There is no vaccine to either prevent or treat genital herpes.
Genital herpes are caused by a type of ‘herpes simplex virus' (HSV) that infects the genitals and then hides out in the nerve of the low back. Most people don't know they've been infected by the virus and you can have the virus for years before you have your first genital herpes outbreak.
Your first outbreak can be quite painful starting with small painless blisters at the foreskin of the penis, around or in the vagina, or rectum. The blisters then pop open and become painful shallow ulcer. If you have these types of symptoms and it is the very first time, we recommend you see a doctor or nurse practitioner in person for further evaluation and testing.
Once the virus is in the nerve, it can come back as an outbreak of small blisters or sores on or around the genitals any time. You may notice a tingling, itching, burning around your buttocks, legs or hips before a genital herpes outbreak. Within a few hours to a few days, painful blisters will appear. The blisters usually heal within 1 week.
Once you have the virus that causes genital herpes, it never goes away. The good news is that most people get fewer outbreaks as they get older.
However even if you don't have symptoms, you can still spread it to your partner.
DO inform your current and future partners about having genital herpes before having sex.
DO think about taking daily antiviral medicine (suppression) to decrease giving the genital herpes to your partner. Daily medicine can decrease the risk of giving it to your partner by 90 percent. Genital herpes can spread even if you have no symptoms, there is no rash or blisters, or the rash or blisters are fully healed.
DO use condoms or dental dams which can help decrease the chance of spreading genital herpes. However genital herpes can spread due to skin to skin contact not protected by condoms or dental dams.
DO NOT have sex if you have a genital herpes outbreak or if you feel the symptoms of genital herpes coming on like tingling, itching, burning around your buttocks, legs or hips which typically occur a few hours or a few days before painful blisters appear.
DO NOT have sex until you are done taking the medicine and the rash and blisters has fully healed.