Overview
A sexually transmitted infection (STI) that is frequently contracted is genital herpes. Herpes simplex virus (HSV) infection leads to genital herpes. Skin–to–skin contact during sexual activity is a common way for genital herpes to spread.
Certain individuals who contract the virus might experience extremely mild symptoms or even remain asymptomatic. They are still capable of spreading the disease. Others have oral, vaginal, or anal pain, itching, and blisters.
Genital herpes has no known treatment. After the initial outbreak, symptoms frequently return. Taking medicine can reduce symptoms. Additionally, it reduces the chance of spreading infection. The spread of genital herpes can be halted with the use of condoms.
Symptoms
Most HSV carriers are unaware of their infection. They could have no symptoms at all or just very minor ones.
Within two to twelve days of viral exposure, symptoms appear. They may consist of:
- Itching or discomfort near the genitalia
- Painful sores develop when blisters break open and discharge or bleed.
- Tiny bumps or blisters near the mouth, genitalia, or anus
- Scabs that appear when the ulcers recover
- Vaginal discharge
- Urethral discharge
- Urination has become painful
You might frequently have flu–like symptoms during the initial outbreak, such as:
- Groin lymph node swelling
- Fever
- Body pain
- Headache
Symptoms in various location
Where the pathogen first enters the body, sores develop. By touching a sore and then rubbing or scratching another part of your body, you can transfer the illness. Your fingers and eyes are included in this.
Sores can appear on or in the mouth, penis, scrotum, vagina, cervix, vulva, urethra, anus, rectum, buttocks, or thighs.
Recurrent outbreaks
After genital herpes first flares up, symptoms frequently return. Recurrent outbreaks or recurrent episodes are what these are known as.
The frequency of repeated breakouts varies greatly. Most outbreaks often occur in the first year following infection. Over time, they might arise less frequently. Typically, your symptoms during subsequent outbreaks don’t stay as long or aren’t as bad as they were during the initial attack.
A few hours or days before a new outbreak begins, you might notice warning symptoms. The prodromal symptoms are those. They consist of:
- Pain in the genital organs
- Leg, hip, or buttock tingling or shooting pain
Consult your doctor if you think you may have genital herpes or another STI.
Causes
There are two distinct herpes simplex virus types that cause genital herpes. Herpes Simplex Virus type 2 (HSV–2) and Herpes Simplex Virus type 1 (HSV–1) are two examples of these varieties. Even if they don’t show any symptoms, people with HSV infections can still transmit the virus to others.
HSV-2
The most frequent cause of genital herpes is HSV–2. There may be the virus:
- On blisters, ulcers, or the fluid that comes from an ulcer
- The moist inner lining or fluid contents of the mouth
- The moist inner lining or fluid contents of the vagina or rectum
During sex, the virus spreads from one person to another.
HSV-1
The virus that causes cold sores or fever blisters is known as HSV–1. Children may expose to HSV–1 through close skin–to–skin contact with an infected person.
During oral sex, a person who has HSV–1 in their mouth tissues can spread the virus to their partner’s genitalia. Genital herpes is the newly acquired infection.
HSV–1–related genital herpes outbreaks tend to occur less frequently than HSV–2–related outbreaks.
HSV–1 and HSV–2 do not thrive at room temperature. So it’s unlikely that the virus will spread via surfaces like a towel or a faucet handle. However, sharing a drink or piece of silverware or kissing could spread the infection.
Risk factors
Incidences of genital herpes are associated with:
- Sexual contact that is oral, vaginal, or anal. Your risk of contracting genital herpes rises when you engage in sexual activity without a barrier. Barriers include condoms and dental dams, which are condom–like protection worn during oral intercourse. Genital herpes is more likely to affect women. Men can spread the virus more quickly to women than women can to men.
- Multiple sexual partners. The quantity of partners with whom you have sex is a significant risk factor. You have a larger risk if you have sex or engage in sexual activities. The majority of genital herpes patients are unaware of their condition.
- Having a partner with the condition who refuses to take medication to treat it. Although there is no treatment for genital herpes, medications can assist to reduce outbreaks.
- Specific groups of people. Genital herpes is more frequently diagnosed in women, those with a history of sexually transmitted diseases (STDs), older people, Black Americans, and males who have sex with other men than in the general population. People in high–risk categories may decide to discuss their individual risk with a doctor.
- History of sexually transmitted disease in the past.
- Decreased immunity.
Diagnosis
On the basis of a physical examination and a review of your sexual history, your doctor can typically determine whether you have genital herpes.
Your doctor will probably collect a sample from an active sore to verify a diagnosis. Herpes simplex virus (HSV) infection and HSV–1 or HSV–2 infection are determined by one or more tests performed on these samples.
Your blood may be tested in a lab less frequently to confirm a diagnosis or rule out other infections.
You should probably get tested for other STIs, according to your healthcare provider. For genital herpes and other STIs, your partner should also be tested.
Treatment
Genital herpes does not have a treatment. The following conditions may benefit from antiviral medication prescribed by a doctor:
- Reduce the number of repeat outbreaks.
- Promote sore healing when a first outbreak occurs.
- Reduce recurring outbreaks’ symptom severity and duration.
- Lessen the likelihood that a spouse will contract the herpes virus
Medications frequently used for treating genital herpes include:
- Acyclovir
- Famciclovir
- Valacyclovir
The best course of treatment for you will be discussed with you by your healthcare professional. Treatment is based on a number of medical parameters, including the disease’s severity, the HSV strain, your sexual activity, and others. Depending on whether you are currently experiencing symptoms, the dose will change. The long–term usage of antiviral medications is regarded as safe.
