Are genital herpes and shingles caused by the same virus?

Written by Wang Zhi Guo
Dermatology
Updated on September 14, 2024
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Genital herpes and shingles are caused by different viruses.

Genital herpes is an infection with the herpes simplex virus, most often type 2 and in rare cases type 1; the causative agent of shingles is the varicella-zoster virus, which is the same virus that causes chickenpox, hence the two viruses are completely different. Another important characteristic is that herpes simplex virus infections tend to recur, especially during periods of low immunity, fever, or fatigue, whereas varicella-zoster virus infection can provide lasting immunity, with most people experiencing it only once in their lifetime, and only a very few with low immunity experiencing it more than once.

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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 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 Xiong Hong Hai
Infectious Disease
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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.

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Written by Luo Hong
Dermatology Department
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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.

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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.