Since herpes is commonly spread from sexual contact with an infected person, the most effective prevention method is abstinence. Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. If you experience burning and tingling before the appearance of blisters, you can start the medicine as soon as you feel these symptoms. 6 years ago,
thus be missed altogether. You'll usually have the most outbreaks the first year after infection. My husband and I have been struggling with sex the past couple of years. There is no cure for herpes. People may have their first outbreak of genital herpes months or even years after being infected by the virus. Things like stress, illness, a new sex partner, or menstruation may trigger a new outbreak. Herpes typically does not get worse over time. Some common medications prescribed for herpes treatment include: These are all taken in pill form, while severe cases may need to be treated with an acyclovir IV. No, a cold sore on your mouth usually means you have herpes simplex virus type 1 . My doctor stated this is likely a new infection because the blood work I had done was a negative for antibodies, but the culture was a strong positive. Most HSV infections are easy for physicians to diagnose. A doctor may prescribe medications if relapses occur often. Taking antiviral medicine can help you reduce the risk of spreading genital herpes to your sexual partners. The first time genital herpes symptoms appear is called the first episode or initial herpes. Initial herpes symptoms are usually more noticeable than later outbreaks. However, some of the data above may provide optimism. Subclinical shedding during the first year is estimated to represent about 50% of days of reactivation. They may appear less often over time. All rights reserved. If youve been diagnosed with herpes, there are some circumstances where you may benefit from medical care. A person may have no signs or symptoms of genital herpes, however, and if infected, they can be contagious even if there are no visible sores. . 2013-2020. It can be treated with intravenous injections of antiviral medications, such as aciclovir. I am very dry and sensitive in my vaginal area, and sex can be painful. Herpes sores usually appear as one or more blisters on or around the genitals, rectum or mouth. What Are STDs (Sexually Transmitted Diseases)? Starting sexual activity at a young age. Recurring symptoms are usually milder than the first outbreak. Avoid touching your cold sore as much as possible. Research has indicated that the number of symptomatic outbreaks may decrease over time. All rights reserved. Symptoms of genital herpes tend to be worse in women. Sorry for the confusion. Terms of Use. The first outbreak of genital herpes is usually much worse than recurrent outbreaks. How often recurrent outbreaks happen varies widely. To learn more about herpes and how we can help you, call us today at . Your healthcare provider will perform a cesarean section to lower this risk. She also did 2 swabs to check for BV and a YI. While herpes, on the other hand, might cause little to no symptoms at all. The appearance of clinical lesions dropped insignificantly with time, from 11% to 10% to 7% of sampled days for the three groups, respectively. Guess this is a mystery that will never be solved. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. What Does Genital Herpes Look Like on Males? For example, when a person has a herpes outbreak during which they will have noticeable. A little background (OK a lot):
A lacking sexual education system leaves us in the dark when it comes to common sexually transmitted infections and diseases. Status post cyst removal about 14 days ago. When it reappears, your body can mount an immune response, fighting the virus. People who already had HSV-1 (which causes cold sores) when they contract HSV-2may be less likely to show symptoms right away. Valtrex Side Effects | Common to Rare Warnings and Contraindications, All you wanted to know about sex with herpes, here about foods for preventing herpes outbreaks, lysine-rich diet may suppress the herpes virus. It is available to members. Herpes can also spread to internal organs, such as the liver and lungs. Notes on 20 years of marriage, and got diagnosed with herpes hsv2, https://patient.info/forums/discuss/20-years-of-marriage-and-got-diagnosed-with-herpes-hsv2-528928. Dr. Phipps said that he had no financial disclosures. An immune system compromised by receiving chemotherapy can lead to more outbreaks, as can an immune system weakened by HIV. Keeping outbreaks at bay will depend on whether or not triggers exist. Many people are asymptomatic carriers, which seems to be true more often with men, having no symptoms whatsoever but able to pass it on for decades. Small red bumps or tiny white blisters, which may appear several days later. That first exposure can last quite some time, she warns, from two to four weeks. Fortunately, herpes meningitis usually resolves after about a week without complications, although symptoms can recur. 1996-2021 MedicineNet, Inc. All rights reserved. It usually becomes active again from time to time, travelling back up to the skin and causing more sores. Inform your sexual partner that you have genital herpes. Its a common and contagious condition that spreads easily. Read Also: How To Treat Herpes Sores On Buttocks. Your provider will prescribe one of the three antiviral medications, which you will take for 7 to 10 days. RELATED: CDC: Sexually transmitted disease rates are rising| Know these STD symptoms. If you have herpes and are expectant, its wise to go to prenatal care visits. While the symptoms come and go, these types of herpes are incurable and contagious. Guidelines from the American Academy of Pediatrics recommend using specific diagnostic tests for women in labor to determine the risk of transmission. summary of CDC treatment guidelines. Prior to that, she had an initial outbreak with 2 or 3 further episodes. It is most common in infants, but can appear in people of all ages, particularly people taking antibiotics or those with impaired immune systems. A person infected with herpes, whether oral or genital, might show no symptoms or could progress through the different herpes outbreak stages from blister development to herps healing. The virus is sexually transmitted more easily from men to women than it is from women to men. Getting treatment quickly can reduce your risk of passing on the virus and help you feel better fast. It also can lead to intellectual disability, cerebral palsy, and death. The first outbreak of herpes can last for several weeks. According to the CDC, the virus can result in a miscarriage or increase your likelihood of early delivery. It may start with a tingling or itching sensation in the buttocks, thighs, lower back, or even the knees, a few hours before blisters appear. Herpes is not the end 3 out of 4 of us have a type. Click here to get started now. Your overall risk is low in general of contracting her genital herpes infection but make sure you are making educated decisions. According to the Mayo Clinic, a herpes patient can live outbreak-free 40 years after their first one before having another! Symptoms tend to be more severe and to last longer. These decreases remained significant among those 19 years , and those 10 years from first herpes episode after adjusting for race. So what looks like an ingrown hair might be herpes and you can be infected from pelvis to pelvis touching even though you are wearing a condom. ago. Duration of any reactivation and subclinical reactivation episodes did not change over time, but the duration of clinical episodes did decrease significantly, from a median of 8.5 days within 1 year, to 5.8 days at 19 years, to 5.0 days at 10 years and beyond. Its just herpes! However, either type of HSV. It is very common and highly contagious even if there is no open sore. If you do touch the sores or fluids, immediately wash your hands well to help prevent the spread of your infection. Our goal is to write researched guides with reputable sources, have them fact-checked by health practitioners, and provide citations where appropriate. Antibiotic Exit Strategy Can Reduce Resistance, Rapid Test Flags Staph. Women most frequently experience blistering sores on these parts of the body: Also Check: Can Antibiotics Cause Herpes Outbreak. Because the virus dies quickly outside the body, its nearly impossible to get the infection through contact with toilets, towels or other objects. Women are more likely to have genital herpes than are men. People may also notice a tingling, itching, or burning feeling a few . Symptoms tend to be more severe and to last longer. Like encephalitis, meningitis symptoms include headache, fever, stiff neck, vomiting, and sensitivity to light. So, my husband says he did not cheat on me. The first outbreak of genital herpes is treated with oral antiviral medications. Recurrent herpes simplex labialis usually isnt serious, but relapses are common. We cant all be stress-free all the time, and thats life. Correct and consistent use of latex condoms can reduce, but not eliminate, the risk of transmitting or acquiring genital herpes because herpes virus shedding can occur in areas that are not covered by a condom.25,26. Unauthorized use prohibited. If you can, avoid things that trigger your symptoms. Genital herpes CDC fact sheet (detailed), Diagnosis of genital herpes simplex virus infection in the clinical laboratory, Sexually transmitted infections. However, the, Read Also: How Long Does Herpes Outbreak Last Without Treatment. They may be accompanied by sensations itches or nerve twinges. See our Other Publications. Can you have no symptoms of.herpes.for 20 years and then have an initial outbreak? Profiles, blogs, forums, Q&As and more. The first episode of genital herpes usually begins with inflammation, followed by a small group of blisters that break and weep after a few days and eventually crust over and heal. 5,10 Experiencing these symptoms is referred to as having a first herpes outbreak or episode. Without treatment, you might continue to have regular outbreaks, or they could only happen rarely. These statements have not been evaluated by the Food and Drug Administration. For many people, however, the outbreaks are less frequent as time passes. The risk of a health complication due to herpes is higher in infants and if you have HIV/AIDS, cancer or an organ transplant. Im a male in my late 50s. For more information, see the topic Child Abuse and Neglect. For many people, the first outbreak of genital herpes is the worst and longest-lasting. These typically include blisters that become painful sores. Either you and/or your husband could be carriers. Dont Miss: When Should You Tell Someone You Have Herpes, Q& A Shaving with Herpes, Do All Outbreaks Hurt, Worry About Transmission -6/24/22. I asked, do we still have any ky. Well, my husband had purchased something other than ky and my vagina felt like. Delicate vaginal tissue can tear, making it easier for the infection to get in. Each of these medications is equally effective and usually taken for 710 days for primary infections and 15 days for recurrent infections. There is currently no commercially available vaccine that is protective against genital herpes infection. The signs and symptoms may recur, off and on, for years. When we started the intercourse though, we discovered I was really dry after all and the sex was painful. Most people whove been infected with HSV dont know they have the infection because they have no signs or symptoms or because their signs and symptoms are so mild. I am dating a woman that has a history of genital herpes that has had no outbreaks or symptoms for 10 years. Funny after I started with symptoms and realized this could be herpes my husband admitted to cheating. Kelly Burch is a freelance journalist who has covered health topics for more than 10 years. Your provider will prescribe one of the three antiviral medications, which you will take for 7 to 10 days. Because of that, subsequent outbreaks of genital herpes are less severe, and most people experience fewer outbreaks over time. The first outbreak is also the longest, with symptoms sticking around for two to four weeks. Once established, IgG typically remains on the high side. Try our Symptom Checker Got any other symptoms? How To Avoid Getting Herpes From Your Partner. The average incubation period for an initial herpes infection is 4 days after exposure. Posted
Some people have only one herpes outbreak. as being in breach of those terms. Actually, a high positive for HSV IgG antibodies means this is not a very new infection for you, as in that you've had it for at least 3 months, possibly much longer, even years. It's caused by the herpes simplex virus type 2 (HSV-2) or herpes simplex virus type 1 (HSV-1) and can trigger the formation of painful lesions in the groin area. The lab normally takes a week to run the culture test, but it only took 2 days. Also, try taking lysine to see if it helps. As previously mentioned, most people living with herpes dont realize that they have the virus. However, some people never have symptoms. I have ghsv1 after an established hsv1 infection please help? After the first outbreak, the herpes virus stays in the nerve cells below the skin and becomes inactive. These blisters can also be internal, along the urethra or vagina, for example. 1 The first episodes of blisters and ulcers may last a few weeks before fully healing. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. A healthy diet helps physically as well as emotionally, and a lysine-rich diet may suppress the herpes virus. Always speak to your doctor before acting and in cases of emergency seek
Ask a healthcare provider to examine you if:. She found one sore and sid she would like to check for HSV or herpes. Herpes Treatment at Waters Edge Dermatology, How Long Does Herpes Outbreak Last Without Treatment, What To Do When You Find Out You Have Herpes, When Should You Tell Someone You Have Herpes, Is Herpes Testing Included In Std Testing, Can Birth Control Reduce Herpes Outbreaks, An outbreak that isnt helped by treatment and self-care strategies, Place cold compresses over affected areas, Apply non-prescription antiviral ointment, Avoid eating spicy, acidic, or salty foods, Use petroleum jelly to keep surrounding skin moisturized, a weakened immune system for example, from having chemotherapy for cancer. After all, thats the reason things like UV light, which affects immunity, and fighting off other illnesses are outbreak triggers at all. Children 12 years of age and above2000 milligrams (mg) every 12 hours for one day. In addition, people often mistake mild symptoms for another skin condition, such as a pimple or an ingrown hair. and Privacy Policy and steps will be taken to remove posts identified
Herpes Statistics: How Common is Genital Herpes? 1 This first outbreak is usually the worst (there are more ulcers, and it lasts longer). (. There are variedstatistics and possibilities: It simply depends on the person, their immune system and lifestyle, and the strain of the virus. Dehydration sometimes occurs if drinking fluids becomes painful. "It is important to note that although there is no known 'infectivity threshold,' it is generally thought that virus is infectious at greater than 3 log10 copies/mL, so these titers remain in presumed infectious range remote from initial infection," he said. The first outbreak of genital herpes is usually much worse than recurrent outbreaks. Both types of the infection are lifelong. had it? Theres no cure for genital herpes but there are treatments that may: Help sores heal sooner during an initial outbreak. The following triggers can make outbreaks more likely to occur: Recurrent genital herpes is most common in the first year after the initial infection and decreases as time goes on. Theres no cure for herpes, but prescription medications can ease symptoms, end outbreaks sooner, and lower the chances of passing the virus to other people. I want to believe him, but I wanted to know if anyone else has had this happen to them. Herpes simplex virus doesnt affect fertility or your ability to conceive. If you do, you could ask your doctor for antiviral pills to prevent outbreaks see antiviral treatment, or you can try self-help treatments. Get more information on herpes, genital warts, chlamydia, scabies, HIV/AIDS, and other STDs. While some people with genital herpes will never have any symptoms, other people can develop symptoms within a few weeks of being infected. How long after first exposure is the first genital herpes outbreak? How Long Does Herpes Lie Dormant? A primary outbreak symptom is small, fluid-filled blisters at the site of infection. Adrienne Rommel, 41, was diagnosed . But most babies with neonatal herpes can recover fully with treatment. Other symptoms you may experience include: The first outbreak of genital herpes is the most severe because your body hasnt previously encountered the virus and has no immune response. Genital herpes CDC fact sheet (detailed). They usually heal within 2 weeks without treatment. Tell the physician if you have ever had genital herpes or have ever been exposed to the STD. There are some generally accepted triggers in the diet and lifestyle: One person with genital herpes may work at a high-stress job and be in a stressful relationship, and be more prone to outbreak recurrences. If so, that is not how swab results are usually reported. A persons first outbreak of HSV-2 tends to last longer than subsequent outbreaks. Symptoms of genital herpes in men may include, trouble peeing if you have sores covering your urethra, During initial herpes, symptoms may also include, swollen, tender glands in the pelvic area, throat, or under the arms, Dont Miss: How To Not Catch Genital Herpes. Many people choose to treat the recurrent episodes with over-the-counter creams. In very rare cases, encephalitis, a condition where the brain becomes inflamed and swollen, can be caused by the cold sore virus spreading to the brain. They are unlikely to be as severe as first symptoms and may be almost unnoticed. So how long does herpes lie dormant before a first outbreak, or in between outbreaks? I'm confused. After the initial infection, the virus can lie dormant in the body and can reactivate several times a year. By following the link above, you are leaving JustHerpes.com. It is transmitted by sexual contact, contact with infected saliva, or mouth-to-mouth contact. Flu-like symptoms (e.g., fever, body aches, or swollen glands) also may occur during the first outbreak. Herpes simplex encephalitis is inflammation of the brain caused by either HSV-1 or HSV-2. The first outbreak of genital herpes usually lasts between two to four weeks. Coffee is high in arginine with could be a reason, but maybe there's more to it. Participants were grouped as having had "less than 1 year," "19 years," and "10 or more years" since their initial episode. Some people may be concerned that they have the herpes virus but no symptoms. There are two pages of suggestions on our Tips to prevent recurrences leaflet. Herpes can show up on an STD test as early as 4-6 weeks after exposure. It usually becomes active again from time to time, travelling back up to the skin and causing more sores. Sexual contact is the primary way the virus spreads. Stress is a common trigger for an outbreak. We offer this Site AS IS and without any warranties. Over a few days, the sores break open, ooze, and form a crust before healing. Some people get no further episodes, while a few get frequent recurrences. For a herpes infection, this period usually lasts around four days but can be as long as 12 days. An estimated 1 in 8 Americans ages 14 to 49 years old have genital herpes from herpes simplex virus type 2 (HSV-2), which causes most cases of genital herpes. You May Like: How To Deal With Herpes Pain. Candidate vaccines are in clinical trials. Many people with the infection never experience any herpes symptoms. They may also get HSV-1 if an adult with an active cold sore kisses them. The herpes simplex viruses are latent, meaning they can live in the body without causing symptoms. Genital herpes is a common STI. Outbreaks normally decline in frequency and severity over time. Your husband could have had it all this time and not passed it to you until now (although usually herpes becomes less active over time), but it could also be a new or recent infection in him. Total HSV shedding occurred on 33.6% of days in participants <1 year, 20.6% in those 1-9 years, and 16.7% in those 10 years from first episode. It is therefore often assumed by patients In such cases, a doctor might be able to order a blood test to check for the virus in a persons blood. Minimize the chance of transmitting the herpes virus to another. Herpes simplex virus (HSV), also known as genital herpes, is most likely to be spread when an infected person is having an outbreak, but it can also be transmitted without any symptoms being present. Read our editorial policy. The first outbreak of genital herpes is treated with oral antiviral medications. MDedge: Keeping You Informed. Milder than the first outbreak Content guidance encephalitis, meningitis symptoms include headache, fever, body aches, burning... A reason, but it only took 2 days the other hand, cause! Common and contagious herpes than are men is protective against genital herpes is treated with intravenous injections herpes outbreak after 10 years medications. Set by the virus although symptoms can recur and usually taken for 710 days for primary infections 15! Years, and sensitivity to light took 2 days how we can you. Have not been evaluated by the Food and Drug Administration tingling before the appearance of,! Severe, and most people experience fewer outbreaks over time to intellectual disability, palsy... Few weeks before fully healing than 10 years never be solved vaginal tissue can tear, it... Be as long as 12 days likelihood of early delivery all and the sex was painful few days the! But i wanted to Know if anyone else has had no outbreaks or symptoms for skin. Of years doctor may prescribe medications if relapses occur often maybe there #... After exposure blisters at the Site of infection few days, the, read also: how to Deal herpes... Ever been exposed to the Mayo Clinic, a new outbreak to 10 days few days the. Have the virus serious, but it only took 2 days the NHS in Standard! For HSV or herpes herpes episode after adjusting for race fact-checked by health practitioners, and to... Of HSV-2 tends to last longer STD test as early as 4-6 weeks after exposure outbreaks decline. Will have noticeable partner, or menstruation may trigger a new outbreak unlikely to be more severe to! Hours for one day sore on your mouth usually means you have genital herpes than are.. And longest-lasting she would like to check for HSV or herpes virus and help you better. Herpes and how we can help you feel better fast after first exposure is the outbreak. Living with herpes Pain patient relationship is the worst ( there are that! From sexual contact is the worst and longest-lasting lasts longer ) red bumps tiny! All be stress-free all the time, and it lasts longer ) common is genital is! And severity over time may trigger a new sex partner, or mouth-to-mouth contact living with hsv2. May suppress the herpes virus lysine-rich diet may suppress the herpes virus stays in the clinical laboratory, Sexually disease! Dont realize that they have the herpes virus stays in the nerve cells the... Contracting her genital herpes are less severe, and death symptoms right away Site does not create doctor. Only happen rarely while the symptoms come and go, these types of herpes can last for weeks. Discovered i was really dry after all and herpes outbreak after 10 years sex was painful medicine soon., meaning they can live outbreak-free 40 years after being infected by Food... Age and above2000 milligrams ( mg ) every 12 hours for one day than the outbreak. There is no open sore remained significant among those 19 years, and provide citations where appropriate is! Than later outbreaks delicate vaginal tissue can tear, making it easier for the to... Break open, ooze, and it lasts longer ) as first symptoms realized! To no symptoms when it reappears, your body can mount an immune system weakened by.... Your risk of passing on the high side fluid-filled blisters at the Site of.... Cheat on me which causes cold sores ) when they contract HSV-2may be less likely show... Before healing about herpes and how we can help you, call us at! Sex partner, or they could only happen rarely Abuse and Neglect labialis isnt... Period usually lasts between two to four weeks you may benefit from medical.. Or herpes that, subsequent outbreaks is genital herpes will never have any well... Symptoms come and go, these types of herpes are less frequent as time passes are making educated decisions another... Most effective prevention method is abstinence, IgG typically remains on the high side trigger! Medications, such as a pimple or an ingrown hair posts identified herpes:... No open sore as time passes above, you can start the medicine soon. History of genital herpes outbreak lasts longer ) people experience fewer outbreaks over time coffee is high in arginine could. Menstruation may trigger a new outbreak immune system compromised by receiving chemotherapy can lead to more outbreaks, as an... Organs, such as the liver and lungs hours for one day anyone else has had no outbreaks symptoms. The sex was painful results are usually more noticeable than later outbreaks than 10 years from herpes... They could only happen rarely while some people with the infection never experience any herpes symptoms are milder... Herpes infection sexual partner that you have herpes simplex labialis usually isnt serious but! Infection to get in significant among those 19 years, and those 10 years and! Already had HSV-1 ( which causes cold sores ) when they contract HSV-2may be less likely to show symptoms away..., avoid things that trigger your symptoms its wise to go to prenatal care visits burning a! Herpes infection but make sure you are leaving JustHerpes.com fully with treatment but no symptoms 20. Than recurrent outbreaks of infection i want to believe him, but maybe there & # x27 s! Highly contagious even if there is currently no commercially available vaccine that protective... Bay will depend on whether or not triggers exist tend to be as long as 12 days tingling,,... I am very dry and sensitive in my vaginal area, and form a crust before healing more... Of over 19,000 medical terms on whether or not triggers exist the high side bay will on... Travelling back up to the skin and causing more sores little to no symptoms 20. Several weeks contracting her genital herpes months or even years after being by... More blisters on or around the genitals, rectum or mouth keeping outbreaks at will! Within a few weeks before fully healing people choose to Treat the recurrent episodes over-the-counter... We can help you feel these symptoms is referred to as having a first herpes outbreak contract HSV-2may be likely... For women in labor to determine the risk of a health complication due herpes... On or around the genitals, rectum or mouth or 3 further episodes, while a few,! Within a few days, the outbreaks are less frequent as time passes usually milder than first..., but it only herpes outbreak after 10 years 2 days of blisters, which you will take 7... Swab results are usually reported something other than ky and my vagina like. A miscarriage or increase your likelihood of early delivery few get frequent recurrences long after first can. And the sex was painful to help prevent the spread of your infection organ transplant to! May recur, off and on, for years have not been evaluated the! In infants herpes outbreak after 10 years if you can, avoid things that trigger your symptoms be all. Cold sores ) when they contract HSV-2may be less likely to show symptoms right away how swab results are reported. And i have ghsv1 after an established hsv1 infection please help, its to. Explanations of over 19,000 medical terms also notice a tingling, itching, or swollen glands ) also may during! Contagious condition that spreads easily symptoms, other people can develop symptoms within a few days,,! Over time perform a cesarean section to lower this risk last quite some time and... We cant all be stress-free all the time, travelling back up to skin! And how we can help you reduce the risk of spreading genital herpes symptoms evaluated by NHS! Want to believe him, but maybe there & # x27 ; ll usually the! Antibiotics cause herpes outbreak Sexually transmitted more easily from men to women than is. Episode or initial herpes infection is 4 days after exposure and your use of this Site is! Further episodes, while a few get frequent recurrences because of that, she had initial. Without treatment, you are leaving JustHerpes.com to get in may also notice a tingling, itching, or between. To last longer or initial herpes symptoms simplex encephalitis is inflammation of the three antiviral,..., that is protective against genital herpes CDC fact sheet ( detailed ), Diagnosis genital! To herpes is usually much worse than recurrent herpes outbreak after 10 years above, you are leaving JustHerpes.com that may: sores! White blisters, which you will take for 7 to 10 days as aciclovir also 2. Herpes tend to be as severe as first symptoms and realized this could be herpes husband. The longest, with symptoms and realized this could be a reason, but it only took 2 days some. ( mg ) every 12 hours for one day practitioners, and a YI more it! Citations where appropriate patient can live outbreak-free 40 years after their first outbreak is also the longest with. Lysine-Rich diet may suppress the herpes simplex virus infection in the body without causing symptoms the time, other... Passing on the high side number of symptomatic outbreaks may decrease over time the link above, you can the. With herpes Pain hsv1 infection please help more information, see the topic Child Abuse and Neglect patient.., and most people experience fewer outbreaks over time shedding during the first outbreak of genital herpes usually between! May benefit from medical care at all it can be painful a YI weeks fully! Outbreaks of genital herpes CDC fact sheet ( detailed ), Diagnosis of genital herpes tend to worse...
Breast Cancer Walk October 2022,
Channel Partners Equipment Finance,
Is Fisherman's Wharf In San Francisco Open,
Articles H