Genital herpes is mainly caused by herpes simplex virus types 1 and 2, with HSV-2 accounting for the majority of cases. Once the virus has infected the body it is a lifelong companion, and I would like to emphasize that it is a lifelong companion and there is no way to completely remove the virus from the ganglia of the body, so many places talk about the disease as incurable for life, so patients are crushed at the time and feel they have an incurable disease and seek medical help. I can understand the feelings of the patients, so as a doctor, you should be especially careful in the clinical wording that it is this virus that exists in your body, not that you must develop it for life. Of course, it is true that recurrent genital herpes occupies a very important part of the whole epidemic of the disease at present, but the frequency of attacks determines the quality of life, and with a very low frequency of attacks under control, normal life can be largely unaffected. You can have a normal sex life, get pregnant and have children, etc. There are no reports of cancer from the disease, so genital herpes sufferers, embrace hope, face the road beneath your feet with courage, unload your heavy baggage of thought, and look at the disease correctly will allow you to win a high quality of life. Another important issue that needs to be discussed is the problem of confirming the diagnosis of genital herpes. In the clinic, we encountered many patients who came to consult with us with their labs, and the results of the HSV-IgG and IgM blood tests varied from doctor to doctor, and even more so, the eugenics test for women of childbearing age found that the indicators of this group were abnormal, and pregnancy was not recommended. Personally, I believe that the blood antibody test can only be used as a reference for the diagnosis of genital herpes, but not as a basis for confirmation. Many people with genital herpes have typical symptoms but all antibodies are negative, while others have positive antibodies on physical examination but have never had symptoms. So don’t panic when you see the results of a blood test for HSV antibodies, this has very limited support for a definitive diagnosis. So what tests are currently available to confirm the diagnosis of genital herpes? In my opinion, the nucleic acid test for the lesions has the greatest diagnostic value among the tests available. This test requires the patient to be tested during the onset of the disease in order to be accurate, and the significance of this test during the interval between the onset of the disease is very limited and not of high diagnostic value. In terms of treatment, it mainly consists of enhancing the body’s immunity and antiviral. Of course, the specific condition and treatment plan for genital herpes must also be individually formulated and adjusted accordingly to the differences of individual patients.