I. What are the differences between men and women with genital herpes?
Genital herpes has some differences between men and women because of the different structural functions of the genital and urinary systems and differences in psychological behavior between the sexes.
The performance is as follows.
1, more acute onset in men, chronic infection in women, and more carriers of the bacteria.
2.Male clinical manifestations are more typical and easy to diagnose, while female manifestations are more atypical, symptoms are not obvious, easy to misdiagnose and miss diagnosis.
3, unprotected sexual contact with patients, women have a greater chance of being infected than men.
4, women can be transmitted to the next generation through the placenta, birth canal, breast milk.
5. Men can easily detect changes in their genital organs on their own, but it is more difficult for women.
What are the triggers for the recurrence of genital herpes?
What are the triggers for genital herpes?
The first episode of genital herpes usually occurs 2 to 12 days after sexual contact with a person who has an active infection. A recurrence of herpes occurs when the virus replicates within the ganglion and viral particles are transported along the nerve fibers to the primary site of infection in the skin or mucous membranes (e.g., the moist lining of the mouth, vagina, etc.). Although the exact reasons why the number of viral reactivations is highly variable are not known, the triggers of herpes recurrence can be divided into two categories: physical and psychological.
Physical triggers
There are individual differences in physical triggers. Fatigue, concurrent other genital infections (affecting localized skin areas), menstruation, alcohol abuse, strong sun exposure to the infected area, conditions that cause people to have immune deficiencies or insufficiencies (the body’s immune system does not function properly), chronic stress, and ultraviolet light (in rare cases) can trigger herpes recurrences. Abrasions or damage to the skin, such as those caused by sexual intercourse, can also lead to recurrences. In short, any factor that causes a decrease in the function of the body’s immune system or causes local damage can trigger a recurrence of herpes.
Psychological triggers
Recent studies have shown that chronic mental stress can cause frequent recurrences of herpes. The recurrence of herpes, in turn, often leads to tension and anxiety.
Third, the causes and treatment of genital herpes in Chinese medicine
Chinese medicine believes that any disease is the result of a struggle between good and evil and is no exception. The early stage of the disease is heat and actual evidence, as damp-heat and poisonous fire blocking the liver veins; the later stage is accompanied by liver and kidney deficiency.
1, damp-heat injection vegetarian eat more fat, sweet, thick, spicy products, or addicted to tobacco and alcohol, damage to the spleen and stomach, spleen loss of health, water and dampness within, depression and heat, resulting in damp-heat accumulation in the lower jiao, injected in the yin, hair for.
2, external lust poison excessive lust, unclean sexual intercourse, external poisonous evil, contained in the local skin mucous membrane, then the hair for. The external sense of lust and poison is very critical to the onset, although you have a damp-heat body, but no unclean sexual intercourse will not develop.
3, kidney deficiency kidney orifice in the front and back of the two yin, or due to overwork, or due to damp heat, lust and poison for a long time, depletion of kidney yin; day long yin loss and Yang, can also cause kidney Yang deficiency. When kidney yin and kidney yang are damaged, the body’s yin and yang will be out of balance and the disease will easily recur.
Chinese medicine treatment methods are:
1. Damp heat infusion evidence
It is common to see clusters of blisters in the genital area, surrounded by redness, or erosion, with light itching, yellow urine, bitterness, thirst, red tongue with yellowish coating and slippery pulse. This is due to the preference for fatty, sweet and thick flavors, and the damp-heat evil injected into the liver meridian.
The treatment method should be to clear heat and remove dampness, and the formula is often based on gentian diarrhea of the liver soup plus reduction.
Gentiana 10g Gardenia 10g Scutellaria 10g Radix Bupleurum 10g Plantago 10g Radix Angelicae Sinensis 10g Mouton 10g Radix Glycyrrhiza Uralensis 10g
In this formula, gentian herb clears dampness and heat in the liver meridian; scutellaria, scutellaria and Chai Hu cooperate with gentian herb to clear liver and bile; Che Qian Zi and Mu Tong clear heat and dampness; raw earth and angelica cool blood and activate blood circulation; raw licorice harmonizes all medicines. For large blisters and vesicles oozing, add 30g of raw Coix Seed and 10g of Yin Chen; for constipation, add 6g of raw rhubarb (later down).
2.Toxic-Heat evidence
See large and red herpes in the pubic area, local swelling, obvious pain, enlarged lymph nodes in the groin, or low fever, difficulty in urination, red and vivid tongue, and slippery pulse. This is due to unclean sexual intercourse, external infection with venom, and the accumulation of toxic heat in the pubic area. The treatment is to clear the heat and detoxify the toxin, often with the formula of clearing the poison sacred soup plus or minus.
Goldenseal 30g smallpox powder 30g dandelion 30g angelica 15g raw licorice 10g panax quinquefolium 30g
In this formula, honeysuckle clears heat and detoxifies the main drug; smallpox powder detoxifies and drives away decay; dandelion and panax quinquefolium strengthen the therapeutic effect with the main drug; angelica and licorice nourish blood and invigorate blood, and harmonize the drugs. If the urine is yellow and red, with painful urination, add 15g of Verbena, 10g of Tianquanzi, 10g of Tempranillo; if the lymph nodes are swollen and painful, add 30g of Di Ding and 10g of Xiaquan Cao.
3. Insufficient kidney qi evidence of
Commonly seen in recurrent herpes of the pubic area, with smaller dried herpes and no conscious symptoms, but often recurring. This is due to the deficiency of kidney qi, the evil of lust and poison is not exhausted, because of the deficiency of kidney qi so it is mostly accompanied by soreness and weakness of the waist and knees, weakness of the body.
Radix et Rhizoma Polygonatum 10g Yam 15g Cornu Cervi Pantotrichum 10g Fructus Lycii 10g Poria 15g Zeligia 10g Dan Pi 10g Panax notoginseng 10g
In the formula raw and ripe ground nourish kidney yin; yam, dogwood, wolfberry nourish the liver, spleen and kidney yin; poria, zedoary, dandan bark is tonic in the diarrhea; plate root clear diarrhea residual poison. If the yin deficiency fire, add chasteberry 10g, ZhiMu 10g; kidney yang deficiency, add the manufacture of slices of sambucus 10g, cinnamon 10g, XianLingSpleen 10g.
Why are homosexuals prone to genital herpes infection?
The United States in 1981 reported for the first time in the world the discovery of a new – AIDS among male homosexuals. In the United States, 73% of AIDS patients are homosexual or biphobic men.
In this regard, people wonder why homosexuals (mainly male homosexuals) are prone to it. The answer to this question begins with what homosexuality is and how homosexuals behave sexually.
A normal human sexual relationship is a sexual act that occurs between people of the opposite sex through external genital intercourse. Homosexuality, on the other hand, is a relationship in which such coitus occurs between people of the same sex, which includes male homosexuality and female homosexuality. Currently, psychiatrists classify homosexuality as a manifestation of sexual deviance.
Male homosexuality is primarily an expression of sexual desire through masturbation and sodomy, usually active and passive. The active are mostly physically normal males; the passive, on the other hand, are happy to play the role of “female” and use their anus instead of their vagina to have anal sex with the active. The passive are the main perpetrators of male homosexuality and are often not restrained by coercive methods. The active person can be cured by education or by having a spouse of the opposite sex. In general, the active sodomites often perform sodomy, the tip of the penis glans is small and the root is inflated, while the passive ones have a flattening of the anal mucosa radiating folds, and there are potential marks, and the anus is dilated in a funnel shape.
Female homosexuality is generally less common than male homosexuality, and because they are mainly sexually active through masturbation, they are less medically dangerous than males.
Currently, medical doctors believe that male homosexuals are susceptible, especially to AIDS, for two possible reasons.
One, some scholars believe that chaotic sexual relationships often lead to violent sexual behavior, and in addition, men themselves have a stronger sex drive and are easily impulsive, so sex between men is often rough and violent. Since the rectal mucosa is much more fragile than the vaginal wall, violent sex may cause damage to the rectal mucosa, while sodomy itself can cause lacerations and bleeding when the penis is inserted into the anus and the organ is restricted in stretching, resulting in pathogens in the semen and blood, directly through the wound blood transmission or mutual infection. In addition, the anus is the place where the human body excretes feces, not only dirty but also stagnant with many digestive tract parasites and germs, these pathogens enter the blood stream and infect each other. Therefore, hepatitis A and amoebiasis are now included in foreign countries.
Second, because male homosexuality is a sexual perversion disorder, thus those who have this behavior are, after all, a minority, and the scope of this population is limited. Since they can only have sex within a limited range, the incidence of this group rises sharply once homosexuality is introduced to prevalent areas. In the United States, some homosexuals have many “lovers” and can even have sex with a dozen people a night, and this promiscuous behavior can spread quickly. The actual fact is that male homosexuals are more dangerous than heterosexuals in terms of transmission.
The prevention and care of genital herpes
1. Prevention
The disease is not yet effective in Western medicine to cure the drug, should pay attention to prevention.
(1) Absolutely prohibit active patients from having sexual relations with anyone. The use of condoms can be considered during the asymptomatic period when the herpes subsides, but it does not completely prevent the transmission of the virus.
(2) To prevent fetal and neonatal infections, female patients should be treated actively during pregnancy. In cases of primary infection before 28 weeks of gestation, pregnancy should be interrupted. Those infected in late pregnancy, confirmed by HSV-II culture, should be delivered by cesarean section before the water breaks.
(3) Patients with recurrence who are found to have obvious triggers should try to avoid them in daily life in order to reduce recurrence.
2.Care
(1) Care of the damaged local area should be kept clean and dry to prevent secondary infection. The glans prepuce herpes can be fixed with a thong belt to prevent it from breaking down by friction when walking, and those who have broken down and eroded should be less active. The female genital herpes should pay attention to local cleaning after urination and defecation to prevent infection.
(2) Herpes is recurrent and painful, easily causing anxiety, irritability and fear in the patient, who should be patiently comforted and pay attention to spiritual care.
In recent years, HSV-II infection has been found to be related to cervical cancer, which is an issue that should be observed in the prognosis of this disease.
6. How is genital herpes transmitted?
The source of infection of genital herpes is the patient and subclinical asymptomatic virus carrier, especially in the patient’s genital skin or mucous membrane herpes contains herpes simplex virus, which can be transmitted to the spouse or other sexual partners through sexual contact, and can also be transmitted among homosexuals.
Sometimes people who have herpes in or around the mouth can infect each other through oral-genital intercourse. Thus, different modes of heterosexual sex can also transmit the disease.
Herpes simplex can also be transmitted indirectly through contaminants because the infectious virus can survive in a moist environment for several hours.