Is blood testing for genital herpes accurate?

Written by Luo Hong
Dermatology Department
Updated on September 05, 2024
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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 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 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.

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Written by Xie Ming Feng
Dermatology
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Can people with genital herpes get married?

Currently, there is no law in the country stating that individuals with genital herpes cannot get married. Therefore, people with genital herpes can marry. However, we strongly advise that patients should inform their prospective spouses about their condition truthfully and clearly, in order to gain their understanding and cooperation and to avoid potential problems in future marital life.

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Written by Luo Hong
Dermatology Department
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Can genital herpes in women heal by itself?

Genital herpes has an intermittent onset because herpes cannot be said to be cured and never recurs. The herpes virus congregates at the sacral nerve roots in the human body. Therefore, when immunity is low, the virus travels along the sacral nerve root to the surface of the skin, causing damage in spots, commonly known as a recurrence of herpes. Thus, genital herpes does not heal on its own; it is merely in a quiescent phase of an outbreak. Therefore, genital herpes is generally harder to treat in females than in males because the female body has a cavity, and herpes inside the cavity may not be visible.

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How to completely cure genital herpes virus?

Genital herpes is a chronic, recurrent, and difficult-to-cure sexually transmitted disease caused by the infection of the urinary and genital mucous membranes and perianal skin by the herpes simplex virus. Currently, there are no drugs or methods in clinical practice that can completely eliminate the herpes simplex virus, so the genital herpes virus cannot be completely killed, and genital herpes cannot be completely cured.