Genital herpes


Genital herpes appears in what location?
Genital herpes is a chronic, recurrent, and difficult-to-cure sexually transmitted disease caused by the infection of the urinary and genital skin and mucosa with herpes simplex virus. It primarily affects the genitals and perineal area. In males, it commonly occurs on the foreskin, glans penis, and coronal sulcus. In females, it is often seen on the labia majora, labia minora, vaginal opening, and cervical opening. Less commonly, it can also affect areas around the anus, buttocks, and groin.


Can genital herpes in women heal by itself?
Genital herpes has an intermittent onset because herpes cannot be said to be cured and never recurs. The herpes virus congregates at the sacral nerve roots in the human body. Therefore, when immunity is low, the virus travels along the sacral nerve root to the surface of the skin, causing damage in spots, commonly known as a recurrence of herpes. Thus, genital herpes does not heal on its own; it is merely in a quiescent phase of an outbreak. Therefore, genital herpes is generally harder to treat in females than in males because the female body has a cavity, and herpes inside the cavity may not be visible.


Can people with genital herpes get married?
Currently, there is no law in the country stating that individuals with genital herpes cannot get married. Therefore, people with genital herpes can marry. However, we strongly advise that patients should inform their prospective spouses about their condition truthfully and clearly, in order to gain their understanding and cooperation and to avoid potential problems in future marital life.


Can people with genital herpes eat seafood?
Genital herpes is a sexually transmitted disease caused by herpes simplex virus infection. The transmission routes mainly include sexual contact, close living contact, and mother-to-child transmission. Clinically, genital herpes primarily presents as clusters of erythema and blisters on the external genitals, with local burning and stabbing sensations. Initial outbreaks of genital herpes may include significant systemic symptoms such as fatigue and fever. After diagnosing genital herpes, antiviral medications like acyclovir are the first choice. In terms of diet, it is necessary to avoid spicy and irritating foods, pay attention to rest, and enhance immunity. Eating seafood is not a problem and does not affect the recovery and prognosis of genital herpes.


Are genital herpes and shingles caused by the same virus?
Genital herpes and shingles are caused by different viruses. Genital herpes is an infection with the herpes simplex virus, most often type 2 and in rare cases type 1; the causative agent of shingles is the varicella-zoster virus, which is the same virus that causes chickenpox, hence the two viruses are completely different. Another important characteristic is that herpes simplex virus infections tend to recur, especially during periods of low immunity, fever, or fatigue, whereas varicella-zoster virus infection can provide lasting immunity, with most people experiencing it only once in their lifetime, and only a very few with low immunity experiencing it more than once.


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.


What are the symptoms of genital herpes?
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.


What medicine is good for genital herpes?
For topical treatment of genital herpes, clinicians generally use antiviral medications such as acyclovir ointment, penciclovir cream, sodium phosphonoformate ointment, interferon ointment, and so on. If there is a concurrent bacterial infection, ointments like erythromycin, fusidic acid cream, and mupirocin ointment can be used in combination. Additionally, traditional Chinese medicine ointments that detoxify and dry dampness, such as borax and zinc oxide menthol ointment, can also be used.


How long will it take for genital herpes to heal after taking medication?
Genital herpes is categorized into primary genital herpes and recurrent genital herpes. Primary genital herpes refers to the first infection of the herpes simplex virus, with a treatment duration generally ranging from two to three weeks, after which symptoms disappear. Recurrent genital herpes refers to the recurrence of the condition after the primary infection lesions have subsided. Treatment typically leads to the disappearance of symptoms within seven to ten days. However, it should be emphasized that genital herpes cannot be completely cured, hence it is recurrent.


How is AIDS combined with genital herpes diagnosed and treated?
The treatment of AIDS combined with genital herpes requires the management under experienced infectious disease specialists and dermatologists. For AIDS, systematic and standardized antiretroviral therapy is necessary, involving a combination of three or more potent antiretroviral drugs. For genital herpes, antiviral drugs can be selected when necessary, and treatment should be tailored according to the actual situation. Through active management, most conditions can be well controlled.