What are the symptoms of genital herpes?

Written by Du Kun
Dermatology
Updated on September 10, 2024
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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 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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Can the genital herpes virus appear in the mouth?

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 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 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.

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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.