Hsv can be spread via direct contact with these sores, for instance during anal sex, or through a break in the skin. Hsv sores do not have to be present in order for it to spread. If you come in contact with someone who has hsv, you may experience sores, blisters, and swelling not only in the genital areas, but also on the tongue, mouth, eyes, gums, lips, and fingers. anal herpes is caused by the sexually transmitted herpes simplex virus. Learn how to tell if you have anal herpes and what treatments are available. first, before you disclose to anyone that you have herpes, its important to check which type of the herpes virus youre infected with. Our guide to herpes tests covers the most common herpes testing methods and explains how you can get tested to see if you have hsv-1 or hsv-2. Like genital herpes, it is caused by hsv-2 and is passed on through sexual contact. How do you get anal herpes? In order to explain how you get it, we need to first examine how herpes spreads. When herpes sets up shop and integrates itself into the spinal rope in the lower back, it usually breaks out in the ulcers as described before, but it can also just shed off of the skin. Theres a lot of new herpes cases that pop up from just having oral sex. Anal sex this is not as common as vaginal sex or oral sex however, you can still transmit herpes and other stds with anal sex. Anal lesions can be particularly uncomfortable due to friction from undergarments and clothing, and irritation of the skin related to bowel movements. An anal herpes rash can also become infected with bacteria, causing additional pain. You can get them from touching, kissing, oral sex, vaginal sex, and anal sex with someone whos infectious. According to the world health organization (who), hsv1 is usually transmitted via. If you are hiv-negative, an occurrence of herpes makes it more likely that you can become infected with hiv. If you are hiv-positive, herpes may be a greater problem for you. If your immune system is weak, then regular outbreaks of herpes are more likely to happen, and these outbreaks can be harder to treat.