The most common causes of genital ulcers in our country are syphilis and genital herpes, both of which can occasionally be co-infected. A relatively rare cause is soft chancre. Stage II syphilis usually occurs 7 to 10 weeks after infection or 6 to 8 weeks after the appearance of a hard chancre. It can mimic any skin disease so realistically that doctors can sometimes let it slip through their eyes if they are not careful.
It is characterized by: systemic symptoms, early low fever, headache, dizziness, general discomfort, joint pain, fatigue, loss of appetite, lighter during the day and worse at night, as well as generalized superficial lymph node enlargement. The rash is characterized by a centripetal distribution along the chest, abdomen, back, and buttocks; there may also be red macules, papules, or scaly lesions, as well as flat warts.
Syphilis needs to be treated promptly, and the earlier the treatment, the better the results. Treatment must be regular and thorough, and long-acting penicillin is preferred. After treatment, regular follow-up is required for 2 to 3 years, with a review every 3 months in the first year and every 6 months thereafter. Syphilis is mainly transmitted through sexual contact, very few can be transmitted through contaminated household items, untreated syphilis pregnant women can transmit the fetus through the placenta.
Genital herpes is mainly caused by herpes simplex virus, after cure a few patients may recur, frequent recurrence can be prevented by drugs, and keep the local clean and dry. The disease is mainly transmitted through sexual contact, and a few can be transmitted through contaminated household utensils, and pregnant women can infect their newborns during delivery.
It is caused by Haemophilus ducreyi and is mostly prevalent in tropical or subtropical regions, and is less common in China. It is a common occurrence in China. The ulcers are surrounded by bright red erythema and form pustules after 24-48 hours, and the pustules break down to form vesicles or ulcers after 3-5 days. The ulcers are often 1 in the middle and surrounded by multiple ones, like satellites, which may be due to autoinoculation infection. Adjacent ulcers may interconnect or fuse to form a large ulcer. It is mainly transmitted through sexual contact.
The most important thing is that it is not only a good idea to have a good understanding of the disease. The first thing you need to do is to get a good idea of what you want to do. Therefore, there is no need to be overly worried and anxious about these diseases. In order to recover health as soon as possible, in addition to medication, good emotions, nutrition and proper exercise are crucial. During the treatment period, attention should be paid to avoid drinking alcohol and eating spicy and irritating food.
2, follow the doctor’s instructions is very necessary, their own stop, increase or decrease drugs, or to find a travel doctor treatment will have adverse consequences. Especially syphilis spirochetes can invade the whole body organs and organs to produce a variety of symptoms, incomplete treatment can be turned into asymptomatic latent syphilis or late syphilis, endangering health and infect the next generation.
3. Some patients may experience “gihai reaction” (fever, headache, nausea, etc.) a few hours after the first treatment with penicillin, which will subside within 24 hours. To reduce this reaction, oral prednisone can be taken as prescribed by the doctor before treatment. Pay attention to the problem of allergic reaction to penicillin and change to other drugs such as erythromycin if necessary.
4.Regular review is very meaningful to judge the efficacy and prognosis. You need to review at the hospital regularly.
5. Asking your spouse or sexual partner to come to the hospital for examination is a responsible act for your own health and others. If you or your family members or sexual partners have some suspicious symptoms (rash, ulcer, abnormal urethral discharge or vaginal discharge, etc.), you should go to the regular hospital for examination and treatment in time. Because early detection and early treatment can prevent complications and sequelae.
However, in order to avoid the spread of the disease within the family, you should make sure that the family is clean and hygienic and prevent the contamination of clothing and other household items, such as washing bedding regularly, not mixing underwear with children’s, sleeping in separate beds for adults and children, using separate bath tubs, and scrubbing the toilet bowl every day.
7, if you consider marriage, pregnancy, it is best to wait for the complete cure (syphilis patients should be followed up for 2 to 3 years), the body recovery period is more desirable. If you are infected with syphilis, please do not donate blood until you are cured.
8, the human body does not produce lifelong immunity after infection with STDs, and can be re-infected, so after cure, you need to change the behavior that may be dangerous to contract STDs and maintain a healthy lifestyle.
9, in order to recover as soon as possible, it is best not to have sex during treatment.
10, the correct use of condoms can effectively prevent a variety of STDs, but must use condoms in every sexual activity, and master the correct method of use.