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Genital herpes
Is genital herpes incurable forever?
Genital herpes is a common sexually transmitted disease characterized by its tendency to recur frequently. It often flares up when the body's resistance is low, during sleep deprivation, fatigue, or after drinking alcohol. Genital herpes is not incurable; it is generally treated with oral antiviral medications such as acyclovir, famciclovir, or valacyclovir. Topical applications, like acyclovir cream or penciclovir gel, can also be used. Recovery generally takes about a week. For those who suffer from frequent recurrences, oral immunomodulatory drugs such as thymopentin or pidotimod can be taken. Additionally, it’s important to exercise, avoid alcohol, and enhance the body's resistance to potentially achieve gradual recovery.
What are the symptoms of genital herpes?
Genital herpes is a sexually transmitted disease caused by herpes simplex virus infection, mainly by type 2 genital herpes virus. It commonly occurs in the genital area or the perineum. The skin lesions primarily appear as initial red papules, which rapidly develop into isolated or clustered vesicles, accompanied by secondary infections that can lead to pustules, erosions, crusts, and even ulcers. Clinically, the symptoms include varying degrees of itchiness or burning sensation. A minority of individuals may also experience swelling and tenderness of local lymph nodes, along with low fever, headache, or general symptoms.
What medicine is good for genital herpes?
For topical treatment of genital herpes, clinicians generally use antiviral medications such as acyclovir ointment, penciclovir cream, sodium phosphonoformate ointment, interferon ointment, and so on. If there is a concurrent bacterial infection, ointments like erythromycin, fusidic acid cream, and mupirocin ointment can be used in combination. Additionally, traditional Chinese medicine ointments that detoxify and dry dampness, such as borax and zinc oxide menthol ointment, can also be used.
How long will it take for genital herpes to heal after taking medication?
Genital herpes is categorized into primary genital herpes and recurrent genital herpes. Primary genital herpes refers to the first infection of the herpes simplex virus, with a treatment duration generally ranging from two to three weeks, after which symptoms disappear. Recurrent genital herpes refers to the recurrence of the condition after the primary infection lesions have subsided. Treatment typically leads to the disappearance of symptoms within seven to ten days. However, it should be emphasized that genital herpes cannot be completely cured, hence it is recurrent.
How is AIDS combined with genital herpes diagnosed and treated?
The treatment of AIDS combined with genital herpes requires the management under experienced infectious disease specialists and dermatologists. For AIDS, systematic and standardized antiretroviral therapy is necessary, involving a combination of three or more potent antiretroviral drugs. For genital herpes, antiviral drugs can be selected when necessary, and treatment should be tailored according to the actual situation. Through active management, most conditions can be well controlled.
Can genital herpes be completely cured?
Genital herpes is a chronic, recurrent, and difficult to cure sexually transmitted disease caused by the infection of the herpes simplex virus in the urogenital and perianal skin and mucous membranes. Currently, there is a lack of drugs in clinical practice that can kill the herpes simplex virus, and also a lack of methods to kill the virus, therefore genital herpes cannot be completely cured.
Can genital herpes be completely cured without recurrence?
Genital herpes is difficult to completely cure without recurrence because the virus from the previous herpes outbreak resides at the sacral nerve root. When resistance is low, typically during times such as drinking alcohol and staying up late, the herpes virus travels to the area served by the sacral nerve, such as the external genitals, buttocks, and perineal region, causing blisters. Therefore, it is very difficult to completely eliminate genital herpes so that it never recurs, but the likelihood of recurrence generally decreases significantly after five to six years. Therefore, what we need to do is mainly to enhance our immune function. We can use some medications to help boost immunity, and we should also try to drink less alcohol and get more sleep.
Is blood testing for genital herpes accurate?
Genital herpes testing, blood tests generally reflect antibodies, which have a certain window period. If genital herpes has just occurred, and blisters have just formed, it is very possible that the antibodies are still negative, but the disease has already manifested. Or, the genital herpes may have healed, but the antibodies are positive. Therefore, blood tests can generally only diagnose past infections and are not very accurate for current infections. Thus, the best method for testing genital herpes is to collect blister fluid for DNA testing using PCR methods when blisters are present. This approach is the most accurate, while blood tests can only serve as a reference.
What should I do if I get genital herpes?
Genital herpes is a type of sexually transmitted disease. If you contract genital herpes, first and foremost, you should avoid sexual contact to prevent transmitting it to others. Secondly, it’s important to rest and eat a light diet. Try to avoid smoking, drinking alcohol, or consuming particularly spicy foods, as these can also aid in recovery from the illness. Thirdly, treatment can include oral antiviral medications since genital herpes is an infection caused by the herpes simplex virus, mainly type 2. Therefore, antiviral medications such as acyclovir, valacyclovir, and famciclovir should be taken. Additionally, topical antiviral treatments, such as acyclovir ointment and penciclovir cream, can be used. If the blisters rupture and secondary infection occurs, antibiotic ointments like mupirocin should be applied to prevent further aggravation of the infection.
How is genital herpes tested?
Herpes viruses are generally divided into two types, type 1 and type 2 genital herpes, mainly caused by type 2 herpes virus. The best approach for type 2 herpes virus is to use blister fluid for PCR testing of DNA. If testing is not possible, you can also consider blood tests for herpes virus antibodies. If the IGM for type 2 herpes virus is positive, then consider it a current symptomatic infection. If the IGM is negative, but HCG is positive, then consider this herpes as a past infection.