How is AIDS combined with genital herpes diagnosed and treated?

Written by Xiong Hong Hai
Infectious Disease
Updated on September 07, 2024
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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.

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Written by Luo Hong
Dermatology Department
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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.

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Written by Wang Zhi Guo
Dermatology
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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.

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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 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 Du Kun
Dermatology
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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.