Genital Herpes

Genital herpes is a common sexually transmitted infection (STI) caused by the herpes simplex virus (HSV), usually type 2 (HSV-2). It causes outbreaks of painful sores or blisters in the genital or anal area. Antiviral medications can manage symptoms and reduce transmission.

Key Facts

• Lifelong infection: The virus stays in your body but becomes inactive over time.
• Asymptomatic spread: The virus can spread even when no sores are visible.
• Safe management: With care, you can reduce outbreaks and protect partners.

Common Symptoms

• First outbreak (most severe):
  • Painful blisters/sores on genitals, buttocks, or thighs.
  • Flu-like symptoms (fever, swollen glands, body aches).
  • Burning during urination.
• Recurrences: Later outbreaks are usually milder and shorter.
• Some people have no symptoms but can still spread the virus.

How is it Spread?

• Sexual contact: Vaginal, anal, or oral sex with someone who has HSV.
• Skin-to-skin contact: Even without penetration or ejaculation.
• Mother-to-baby: Rarely, during childbirth (inform your doctor if pregnant).

Testing & Diagnosis

• Swab test: Fluid from a sore is tested for HSV.
• Blood test: Checks for HSV antibodies (may not detect recent infections).

Treatment Options

1. Antiviral Medications:
   1. Acyclovir, Valacyclovir, or Famciclovir shorten outbreaks and reduce severity.
   1. Daily suppressive therapy (for frequent outbreaks) lowers transmission risk.

Frequently Asked Questions

Q: Can I still have sex?
A: Yes! Use condoms, avoid sex during outbreaks, and discuss risks with partners.

Q: Is there a cure?
A: No, but medications control symptoms. Outbreaks often decrease over time.

Q: Can I give herpes to my baby?
A: Risk is low with proper prenatal care. Inform your doctor if pregnant.

Q: How do I tell my partner?
A: Be honest and share facts. Many people accept the risk with precautions.

Q: Are home remedies helpful?
A: Lysine, aloe vera, or ice may soothe symptoms, but antivirals are most effective.

eGynaecologist Advice:

• Herpes is very common (1 in 6 adults have HSV-2 and does not define your worth or relationships.
• You should Avoid sex during outbreaks or if you feel tingling/itching and use condoms between outbreaks
• You should contact your gynaecologist if symptoms are severe or you develop frequent outbreaks.
• Seek gynaecological opinion if you are Pregnant or planning pregnancy.