Can the genital herpes virus appear in the mouth?

Written by Xie Ming Feng
Dermatology
Updated on September 27, 2024
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Genital herpes virus refers to the herpes simplex virus, which is divided into Type 1 and Type 2. Type 1 virus mainly causes infections of the skin and mucous membranes outside the genital and anal regions, but infections can also be caused by Type 2 virus. Type 2 virus primarily causes infections of the skin and mucous membranes of the genitals and anal area, although a minority of cases can also be caused by Type 1 virus. When herpes simplex virus Type 1 or Type 2 infects the mouth, it can lead to herpetic gingivostomatitis and herpetic pharyngitis.

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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 Liu Gang
Dermatology
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What are the transmission routes of genital herpes?

Genital herpes is caused by the herpes simplex virus type 2 infection, with the primary transmission route being sexual contact. However, some patients can also be infected through contact with contaminated clothing or through activities like bathing, swimming, or staying in hotels, although these methods have a relatively lower chance of transmission. Once infected with genital herpes, it generally persists for life and cannot be completely eradicated. Antiviral medications such as valacyclovir can be used during outbreaks, and topical acyclovir ointment can be applied locally. Regular exercise and consuming medications that enhance the immune system can help reduce the recurrence of this disease. If one frequently stays up late or consumes spicy and irritative food, the likelihood of recurrence increases. Moreover, this disease is highly contagious during outbreaks and can be transmitted to others through sexual contact.

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Written by Xie Ming Feng
Dermatology
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Genital herpes appears in what location?

Genital herpes is a chronic, recurrent, and difficult-to-cure sexually transmitted disease caused by the infection of the urinary and genital skin and mucosa with herpes simplex virus. It primarily affects the genitals and perineal area. In males, it commonly occurs on the foreskin, glans penis, and coronal sulcus. In females, it is often seen on the labia majora, labia minora, vaginal opening, and cervical opening. Less commonly, it can also affect areas around the anus, buttocks, and groin.

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Written by Xie Ming Feng
Dermatology
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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.

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Written by Li Ya Ping
Dermatology Department
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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.