Is genital herpes serology accurate?

Written by Luo Hong
Dermatology Department
Updated on September 03, 2024
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Serological testing for genital herpes in hospitals generally provides testing for type 1 and type 2 viruses, including IgM and IgG. Over 90% of genital herpes cases are primarily caused by type 2 virus, so the focus is typically on type 2 virus IgG and IgM. However, IgM represents an active infection, meaning a current infection stage. If IgM is negative and IgG is positive, it indicates a past infection. These results are generally accurate, but their timeliness is not as high as DNA's timeliness. Therefore, if possible, it is best to collect vesicle fluid on the first or second day of a herpes outbreak and use PCR to test the DNA for the most accurate results.

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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.

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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.

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Can the genital herpes virus appear in the mouth?

Genital herpes virus refers to the herpes simplex virus, which is divided into Type 1 and Type 2. Type 1 virus mainly causes infections of the skin and mucous membranes outside the genital and anal regions, but infections can also be caused by Type 2 virus. Type 2 virus primarily causes infections of the skin and mucous membranes of the genitals and anal area, although a minority of cases can also be caused by Type 1 virus. When herpes simplex virus Type 1 or Type 2 infects the mouth, it can lead to herpetic gingivostomatitis and herpetic pharyngitis.

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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.

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Genital herpes is what kind of situation?

Genital herpes is caused by infection with the herpes simplex virus and is classified as a sexually transmitted disease (STD). It primarily occurs after sexual contact, although infection can also happen through contact with contaminated towels or bed sheets. Initially, small blisters appear on the external genitalia, accompanied by a burning sensation and pain. Once the disease manifests, it is contagious and can be transmitted to others through sexual contact. It is crucial to seek prompt treatment at a reputable hospital upon discovering this condition. Standard antiviral medications can cure it, but the virus cannot be completely eradicated once contracted. When immunity is low or after consuming spicy and irritating foods, the disease may recur in the genital area and become active again. Therefore, it is essential to avoid sexual contact during an outbreak to prevent repeated cross-infection.