How long will it take for genital herpes to heal after taking medication?

Written by Xie Ming Feng
Dermatology
Updated on September 09, 2024
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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.

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Written by Xie Ming Feng
Dermatology
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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.

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Written by Luo Hong
Dermatology Department
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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.

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Written by Xie Ming Feng
Dermatology
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Can traditional Chinese medicine eradicate genital herpes?

Genital herpes is a chronic, recurrent, and difficult-to-cure sexually transmitted disease caused by the infection of the urinary and reproductive organs and the perianal skin and mucosa with the herpes simplex virus. Currently, in clinical practice, neither Chinese nor Western medicine has a drug that can completely eliminate the herpes simplex virus. Therefore, Chinese medicine cannot completely cure genital herpes, nor can Western medicine.

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Written by Luo Hong
Dermatology Department
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Is genital herpes serology accurate?

Serological testing for genital herpes in hospitals generally provides testing for type 1 and type 2 viruses, including IgM and IgG. Over 90% of genital herpes cases are primarily caused by type 2 virus, so the focus is typically on type 2 virus IgG and IgM. However, IgM represents an active infection, meaning a current infection stage. If IgM is negative and IgG is positive, it indicates a past infection. These results are generally accurate, but their timeliness is not as high as DNA's timeliness. Therefore, if possible, it is best to collect vesicle fluid on the first or second day of a herpes outbreak and use PCR to test the DNA for the most accurate results.

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Written by Qu Jing
Dermatology
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Can genital herpes virus be cured completely?

Genital herpes virus, due to its residual virus, remains latently stored in the sacral ganglia. When the body's resistance decreases or some triggering factors are present, the latent virus can be reactivated and recur. Therefore, genital herpes is difficult to completely cure. Genital herpes virus is a type of chronic, recurrent, hard-to-cure sexually transmitted disease caused by herpes simplex virus type 2 infecting the urogenital and perianal skin and mucous membranes. In the past 30 years, the incidence of this disease has been continuously rising. During treatment, patients need to rest, avoid alcohol, and excessive sexual activity. Sexual activity should be avoided when clinical symptoms occur. If genital herpes becomes active before delivery during pregnancy, a cesarean section should be performed. Treatment involves the use of topical antiviral drugs, and it is also important to prevent secondary bacterial infections.