Can genital herpes be completely cured without recurrence?

Written by Luo Hong
Dermatology Department
Updated on September 05, 2024
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Genital herpes is difficult to completely cure without recurrence because the virus from the previous herpes outbreak resides at the sacral nerve root. When resistance is low, typically during times such as drinking alcohol and staying up late, the herpes virus travels to the area served by the sacral nerve, such as the external genitals, buttocks, and perineal region, causing blisters. Therefore, it is very difficult to completely eliminate genital herpes so that it never recurs, but the likelihood of recurrence generally decreases significantly after five to six years. Therefore, what we need to do is mainly to enhance our immune function. We can use some medications to help boost immunity, and we should also try to drink less alcohol and get more sleep.

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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.

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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.

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Is blood testing for genital herpes accurate?

Genital herpes testing, blood tests generally reflect antibodies, which have a certain window period. If genital herpes has just occurred, and blisters have just formed, it is very possible that the antibodies are still negative, but the disease has already manifested. Or, the genital herpes may have healed, but the antibodies are positive. Therefore, blood tests can generally only diagnose past infections and are not very accurate for current infections. Thus, the best method for testing genital herpes is to collect blister fluid for DNA testing using PCR methods when blisters are present. This approach is the most accurate, while blood tests can only serve as a reference.

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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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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.