Managing Genital Herpes (HSV)
Genital herpes is a common sexually transmitted infection (STI) caused by the Herpes Simplex Virus (HSV). There are two types: HSV-1 (which commonly causes oral herpes or cold sores, but can also cause genital herpes) and HSV-2 (which most often causes genital herpes). While there is no cure, the virus can be effectively managed with antiviral medication.
Symptoms of a Genital Herpes Outbreak
Many people with herpes have no symptoms or very mild symptoms that go unnoticed. When symptoms do occur, they appear as an "outbreak" of one or more blisters on or around the genitals, rectum, or mouth. The first outbreak is often the most severe and may be accompanied by flu-like symptoms such as fever and body aches.
The blisters break and leave painful sores that may take two to four weeks to heal. Subsequent outbreaks are usually shorter and less severe than the first outbreak. The virus can be transmitted even when no sores are present, a process known as asymptomatic shedding.
Diagnosis
A diagnosis is often made by visually inspecting the sores. To confirm, a sample can be taken from a sore and tested in a lab (a viral culture or PCR test). Blood tests can also detect antibodies to the virus, which can tell you if you have been infected in the past, even if you've never had an outbreak.
Treatment and Management
There is no cure for herpes, but antiviral medications can prevent or shorten outbreaks and reduce the likelihood of spreading the infection to a partner. There are two main treatment strategies:
- Episodic Therapy: You take antiviral medication at the first sign of an outbreak to shorten its duration and severity. Our specialist can provide you with a prescription to have on hand.
- Suppressive Therapy: If you have frequent outbreaks (e.g., more than 6 per year), you can take a low dose of antiviral medication daily. This can reduce the number of outbreaks by 70-80% and significantly decrease the risk of transmitting the virus to a partner.
Living with Herpes
A herpes diagnosis can be emotionally distressing, but it is important to remember that it is a very common and manageable medical condition. Open communication with sexual partners is key. Using condoms and taking suppressive therapy can greatly reduce the risk of transmission.
Get an Accurate Diagnosis and a Management Plan
If you think you might have herpes, a confidential consultation can provide a clear diagnosis and a personalized management plan to control the virus and protect your partners.
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