Genital herpes is a viral infection that affects the mucous membrane of the genital organs caused by the herpes simplex virus. This disease is transmitted during sexual intercourse and is characterized first by the appearance of a group of vesicles, followed by ulcers and erosions. The most common genital Herpes is found in young people (in women more often) at the age of 20 to 25 years. After the infection, the herpes virus remains in the human body throughout the whole subsequent life, however, for most of this time it is dormant (inactive) and it can not be activated by every infected person
How does infection with genital herpes occur?
Infection with this disease occurs both with traditional sexual contacts, and with anal, as well as oral. The most contagious are those with obvious symptoms of genital herpes, but as it is not strange, most often the infection comes from people with asymptomatic course of the disease. In addition, it is possible to infect a herpes simplex virus with a sick mother during pregnancy.
Other methods of transmission of the herpes simplex virus are unlikely, so infection can not occur through shared towels, dishes, toilet seats, and in swimming pools. The incubation period of genital herpes is from one to twenty-five days (usually about ten)
Genital Herpes Symptoms
Isolate primary genital herpes (the disease was detected for the first time) and recurrent (second and subsequent cases).
The initial symptoms of primary genital herpes include puffiness, burning and pain in the affected area. (как при гриппе ), подъемом температуры тела и общим недомоганием. This symptomatology is often accompanied by headaches (as with the flu ), a rise in body temperature and general malaise. After a couple of days, small bubbles appear on the affected area, filled with transparent contents. Then these vesicles burst, forming on this place painful red sores. In the event that the sores are located directly on the genitals, urination becomes quite painful. Eruptions heal within about fourteen days.
With recurrent genital herpes, the symptoms are very slight. There is no general malaise and headache, body temperature remains within normal limits, rashes are much less and they heal much faster (from 7 to 10 days). The development of relapse is facilitated by hypothermia, emotional stress, alcohol consumption and various infections. Localization of relapses in most cases is observed in the same place.
Quite often, genital herpes occurs with a complete absence of severe symptoms, but infection of sexual partners is also not excluded
Genital Herpes Complications
The most serious complication of this disease is herpes of newborns, which can cause persistent neurological disorders or even the death of a child. The probability of occurrence of herpes of newborns is considered the highest in case the mother's infection with genital herpes occurred in the last three months of pregnancy.
To reduce the risk of developing herpes of newborns, it is necessary to determine the presence of antibodies to the herpes simplex virus (HSV) both in the mother and her sexual partner. In case the pregnant woman does not have antibodies to HSV and have a sexual partner, they are recommended to abstain from sexual intercourse (and oral) without a condom in the last three months of pregnancy. In case the symptoms of genital herpes appear immediately before birth, the woman is shown a cesarean section (this can be avoided if a pregnant woman with frequent recurrences of genital herpes shortly before the expected delivery will receive prophylactic treatment with acyclovir).
In the presence of typical symptoms, the diagnosis of this disease is based on a common clinical picture. To laboratory tests resort to doubtful cases
Genital Herpes Treatment
Unfortunately, all the existing methods of treatment do not completely eliminate the patient from herpes simplex virus. Outside the period of relapse, HSV is in an inactive state and manifests itself when the body's immune defenses are weakened. The existing treatment is able to reduce the risk of recurrence, accelerate the healing of rashes, reduce the excretory excretion, but it is not able to completely destroy the virus.
Treatment of genital herpes is carried out using classical antiviral drugs that are used alternately (famciclovir, acyclovir, valaciclovir) in combination with interferon preparations.
Ointment Gerpferon is already a ready-made medication that contains both interferon and acyclovir. In addition, it contains lidocaine, which provides a local anesthetic effect. With the use of Gerpferon, in patients with genital herpes, local symptoms are much easier, and the rashes heal on the fifth day.