Is blood testing for genital herpes accurate?

Written by Luo Hong
Dermatology Department
Updated on September 05, 2024
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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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Written by Luo Hong
Dermatology Department
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How is genital herpes tested?

Herpes viruses are generally divided into two types, type 1 and type 2 genital herpes, mainly caused by type 2 herpes virus. The best approach for type 2 herpes virus is to use blister fluid for PCR testing of DNA. If testing is not possible, you can also consider blood tests for herpes virus antibodies. If the IGM for type 2 herpes virus is positive, then consider it a current symptomatic infection. If the IGM is negative, but HCG is positive, then consider this herpes as a past infection.

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Written by Liu Gang
Dermatology
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What does it mean when blisters appear on a man's reproductive organ?

Blisters in the male genital area are mostly genital herpes. This is caused by infection with the herpes simplex virus type 2 and is clinically a sexually transmitted disease. It is generally contracted through direct sexual contact. Once this disease occurs, it is generally not possible to completely eradicate it, and the virus will be carried for life. During an outbreak, antiviral medications can be used for treatment, such as taking oral acyclovir tablets and applying acyclovir ointment. Recovery generally takes about a week. However, recurrences can occur if immunity decreases or if one consumes spicy and irritating food. Some patients may trigger the disease with every sexual encounter, so it is essential to maintain proper dietary and lifestyle habits. (Use medication under the guidance of a doctor)

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Written by Luo Hong
Dermatology Department
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Can genital herpes be completely cured without recurrence?

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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Written by Liu Gang
Dermatology
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Genital herpes is what?

Genital herpes is a disease caused by infection with the herpes simplex virus type 2, which is a type of sexually transmitted disease. It is mostly transmitted through direct sexual contact. Initially, small blisters appear on the genital area, which can cause burning or pain. Most patients will gradually recover on their own within about a week, and can also recover quickly with oral antiviral medication. However, the virus is not completely eliminated and once infected, it cannot be completely eradicated. The virus is carried for life. When one's immune system is weakened, there is a possibility of recurrence of the condition. Therefore, if such a disease occurs, it is essential to seek proper treatment and, during an outbreak, try to avoid sexual contact to prevent transmission to others.

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Written by Wang Zhi Guo
Dermatology
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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.