A comprehensive guide to genital herpes

  Genital herpes is a sexually transmitted disease caused mainly by herpes simplex virus (HSV) type II. There are two types of herpes simplex virus. Herpes I virus infection occurs mainly around the mouth and nose, and the blisters that grow around the mouth after a high fever (commonly known as fever blisters) belong to this category. Type II herpes virus infection occurs mostly in the anus and around the genitals and is spread mainly through sexual contact.  The symptoms and dangers of genital herpes are The slight damage caused by friction between the genital skin and mucous membranes during sexual intercourse can give the herpes simplex virus a chance to invade the body. The incubation period between the time the virus enters the body and the onset of the disease is usually 1 week, but can be as long as 3 weeks. Ninety percent of primary infections are asymptomatic, and about 10 percent have clinical manifestations. The onset of the disease is usually seen in the penis, glans and foreskin in men and in the vulva, vagina and cervix in women. In men who have sex with men, herpes is most often seen around the anus.  It commonly presents as a pile of about 3 to 4 to 5 to 6 small blisters on the pubic area with a somewhat flushed base. After a few days the blisters break down into small vesicles or shallow ulcers, which are painful and uncomfortable and can heal quickly without treatment and leave no scarring. If the herpes occurs at the urethra, then the blistering eruption can cause the patient to feel pain when urinating, increase the frequency of urination, and discharge from the urethra. If it occurs in the vagina or cervix, vaginal discharge may increase. The herpes virus is contained in the herpes fluid of the blisters and the discharge from the erosion surface, and sexual intercourse at this time is highly contagious.  In a few patients, herpes simplex virus infection has never occurred before, i.e. the first occurrence of genital herpes, which is medically known as primary infection, and the symptoms are more pronounced. Patients may feel general discomfort, such as fever, headache, and muscle aches. Herpes simplex is the first infection with genital herpes and the symptoms are more obvious, such as fever, headache, muscle aches, etc. There are clusters of blisters on the vulva, which break down into erosions and ulcers, and the inflammation is more obvious, red and swollen, and painful. The rash usually lasts 1 to 2 weeks and takes longer to heal.  Genital herpes infection in pregnant women can cause miscarriage and death of the newborn. Herpes virus infection may also be associated with the development of cervical cancer and should be taken seriously.  The symptoms of genital herpes are mild and can heal in a few days after an attack, but the headache is that once you have contracted genital herpes, it can easily recur. Sometimes it recurs several times a year and lasts for years.  Why is genital herpes prone to recurrence? This is because the body quickly produces antibodies after being infected with the herpes simplex virus, which means that there is immunity, and the local virus is quickly removed by relying on the body’s immune response. However, some viruses can lurk retrogradely along the peripheral nerves in the corresponding ganglia. They are usually stationary and “coexist peacefully” with the body, but once they encounter the “wind blowing”, that is, the body’s resistance to decline, such as fatigue, work, mental stress, heavy drinking, women before and after menstruation and other factors they will be active, along the peripheral nerve They spread to the mucous membrane of the skin and replicate in large numbers, leading to the recurrence of genital herpes.  The symptoms of recurrent genital herpes are mild and heal quickly, with no systemic symptoms other than local discomfort. The number and frequency of recurrences varies from person to person and there is no certain pattern in the timing of recurrences, but each recurrence is preceded by a burning sensation, itching or other discomfort in the pubic area. Generally, herpes occurring in the male pubic area and female vulva have obvious symptoms, and if the recurrence of urethra and cervix is difficult to diagnose and be missed.  Prevention and treatment of genital herpes Preventing the recurrence of genital herpes is a difficult subject. Although there are drugs that inhibit the herpes virus such as acyclovir, famciclovir, and valacyclovir, which are used in the early stages of genital herpes attacks to shorten the course of the disease and reduce symptoms, they do not prevent recurrence.    The key to the treatment of this disease is to avoid the causative factors and timely and effective antiviral treatment. After effective antiviral treatment, this disease will not cause serious adverse consequences, patients should not have a psychological burden, to adhere to the scientific treatment. The patient should usually pay attention to the combination of work and rest, strengthen physical exercise, enhance physical fitness, in sexual life should be moderate. For those who are currently suffering from genital herpes, sexual intercourse should be avoided until the herpes has healed because there is a large amount of herpes virus in the lesion, which can easily be transmitted to others. Fortunately, the recurrence of genital herpes generally decreases over time and patients do not have to live with antiviral drugs for the rest of their lives.