Understanding Genital Herpes

A Comprehensive Patient Guide to HSV Infection

Dermatology

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Last updated: Mar 24, 2025

What is Genital Herpes?

Genital herpes is a common sexually transmitted infection (STI) caused by the herpes simplex virus (HSV). There are two types:

  • HSV-1 (traditionally associated with oral herpes)
  • HSV-2 (most commonly causing genital herpes)

Signs and Symptoms

Primary Outbreak

  • Small, painful blisters around genitals or rectum
  • Flu-like symptoms (fever, body aches)
  • Burning sensation during urination
  • Swollen lymph nodes
  • Symptoms typically appear 2-12 days after exposure

Recurring Outbreaks

  • Usually milder than initial outbreak
  • Shorter duration
  • May be triggered by stress, illness, or hormonal changes

Transmission

  • Direct skin-to-skin contact
  • Sexual contact (including oral, vaginal, and anal)
  • Can transmit even without visible symptoms
  • Higher risk during outbreaks

Diagnosis

  • Physical examination
  • Viral culture from blister
  • Blood tests for HSV antibodies
  • PCR testing

Treatment Options

Antiviral Medications

  • Acyclovir
  • Valacyclovir
  • Famciclovir

Supportive Care

  • Pain relief medications
  • Warm baths
  • Loose-fitting clothing
  • Stress management

Prevention

  • Use of condoms
  • Avoiding sexual contact during outbreaks
  • Open communication with partners
  • Daily suppressive therapy if recommended

Living with Herpes

  • Most people lead normal lives
  • Join support groups if needed
  • Regular medical check-ups
  • Maintain healthy lifestyle

When to Seek Medical Care

  • First outbreak symptoms
  • Severe or prolonged symptoms
  • Pregnancy
  • Frequent recurrences

Impact on Pregnancy

  • Inform healthcare provider
  • May need antiviral medication
  • Special precautions during delivery
  • Regular monitoring

Long-term Management

  • Track outbreak patterns
  • Identify personal triggers
  • Maintain good overall health
  • Regular communication with healthcare provider

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