Genital Herpes Treatment





Genital Herpes Treatment
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Genital Herpes Treatment Information
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Genital Herpes Treatment - in order to understand the most appropriate genital herpes treatment you need to have a general understanding of the herpes virus. Presented below is detailed genital herpes information including the symptoms of genital herpes, the diagnosis of genitlal herpes, genital herpes pictures, as well as, genital herpes pictures, etc.


Herpes is Greek is herpein meaning "to creep". The Latin name is appropriate describing the way herpetic lesions "creep" and erupt in blisters in a serpent-like pattern. The term herpes pertains to several distinct disorders, herpes simplex, herpes zoster, Epstein-Barr virus and cytomegalovirus.

Herpes Simplex

When individuals refer to herpes simplex they are primarily concerned with two prevalent types, HSV-1and HSV-2. There is a common belief that HSV-1 attacks above the waist and is responsible for cold sores, while HSV-2 attacks below the waist and is responsible for the genital herpes ulcers. However, both herpes viruses HSV-1 and II can cause ulcers on the oral mucosa and the genital region. Herpes HSV-1is primarily the cause of recurrent cold sores while HSV-2 are generally responsible for the genital herpes. This brings up the common question can herpes HSV-1 be passed to a partner during oral sex? Yes, HSV-1 herpes can be passed during oral sex.

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HSV-1 infections are tiny, clear, fluid-filled blisters that most often occur on the face. Less frequently, HSV-1 infections occur in the genital area. Type 1 may also develop in wounds on the skin.

There are two types of infections termed primary and recurrent. Primary is the first outbreak if blisters, whereas, recurrent represent the secondary outbreaks that occur at various intervals after the primary lesions appear. Although most people when exposed to the virus get infected, only 10% will actually develop lesions when this infection occurs. The lesions of a primary infection appear two to twenty days after contact with an infected person and can last from seven to ten days.

The number of blisters varies from one to a group of blisters. Prior to the blisters appearing there may be a prodromal period were the skin may be very sensitive or actually itch. Once the blisters appear they can be very sensitive and painful and eventually break permitting the fluid inside the blisters to ooze and crust.

The lesions from the primary infection general heal completely without leaving a scar. However, the herpes virus that caused the initial infection remains dormant in the nerves cells of the body. The virus can remain dormant for years or recurrent infections can occur at various intervals. Recurrent infections may occur in the same location or a nearby site. The recurrent infections tend to be milder than the primary infections and are often related to stress, fevers, sun exposure, menstrual periods etc.

The following pictures represent common lesions associated
with HSV - 1

Common lesions associated with the herpes Virus, HSV-1

Genital Herpes

Herpes HSV-2 virus is primarily responsible for the herpetic lesions in the genital area. These lesions are characterized by the formation of painful fluid-filled blisters on the genital organs of both men and women. Genital herpes is spread via sexual contact from person to person via oral, vaginal and anal sexual activity. Contrary to popular myths one does not contract the herpes virus from toilet seats, swimming pools, door knobs, etc.

HSV-2 herpes viruses has recurrent infections very similar to the recurrent infections described for the HSV-1 virus. Recurrent infections may occur in the same location or a nearby site. The recurrent infections tend to be milder than the primary infections and are often related to stress, fevers, sun exposure, menstrual period, etc.

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The prevalence of herpes HSV-2 infection in Europe alone has been estimated by the Centers for Disease Control and Prevention that some 21.1% of the population of individuals ages 18 years and older had antibodies to herpes HSV-2. This means that some 45 million Europeans have been exposed at some point to the herpes simplex HSV-2 virus.

HSV-1 and HSV-2 can be found and transmitted from the herpes ulcers. However, the ulcers does not have to be present for you to become infected with the herpes virus. The herpes virus is contagious when their are no apparent lesions present. An individual almost always acquires an HSV-2 infection during sexual contact with someone who has a genital HSV-2 infection. HSV-1 causes most infections of the mouth and lips, however, an individual can acquire HSV-1 in the genital area secondary to oral-genital sexual contact.

HSV-2 may produces only mild symptoms or an you may be asymptomatic. However, HSV-2 can also cause extremely painful recurrent genital lesions. The HSV-2 infection can also cause complications in individuals who are immune compromised.

Most individual infected with genital herpes are asymptomatic, they are not aware that they have acquired the virus. However, after a dormancy period the initial presentation of the virus can be very painful. The first episode will usually occur within two weeks after the initial contact with the virus.

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Women can experience a very severe and painful primary infection. Herpes blisters first appear on the labia majora (outer lips), labia minora (inner lips), and entrance to the vagina. Blisters often appear on the clitoris, at the urinary opening, around the anal opening, and on the buttocks and thighs. In addition, women may get herpes blisters on the lips, breasts, fingers, and eyes. The vagina and cervix are almost always involved which causes a watery discharge. Other symptoms that occur in women are: painful or difficult urination (83%), swelling of the urinary tube (85%), meningitis (36%), and throat infection (13%). Most women develop painful, swollen lymph nodes (lymphadenopathy) in the groin and pelvis. Approximately one in ten women get a vaginal yeast infection as a complication of the primary herpes infection.

Men usually experience the herpes blisters on the penis but can also appear on the scrotum, thighs, and buttocks. Fewer than half of the men with primary herpes experience the constitutional symptoms. Some 30% to 40% of men have a discharge from the urinary tube. Some men develop painful swollen lymph nodes (lymphadenopathy) in the groin and pelvis. Although less frequently than women, men too may experience painful or difficult urination (44%), swelling of the urinary tube (27%), meningitis (13%), and throat infection (7%).

The following pictures represent common lesions associated with HSV - 2

Common Ulcers Associated With Genital Herpes

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Recurrent Episodes of Genital Herpes

Recurrent genital herpes episodes vary amongst different individuals. However, most individuals have between six to ten episodes per year.

Following a genital herpes outbreak the virus then travels to the nerve cells where the virus remains dormant. Currently, it is unknown why the virus becomes active again. However, the recurrent genital herpes outbreaks tend to be milder than the primary infections and are often related to stress, fevers, sun exposure, menstrual periods etc.

You should know that the virus may be active without the presence of the typical lesions. During these times, small amounts of the virus may be shed at or near places of the first infection, in fluids from the penis, vagina, mouth or from lesions that not that noticeable.

Antiviral medications such as, Zovirax, will significantly reduce the number of outbreaks and the duration and severity of symptoms once an outbreak occurs. Shedding of the virus during these periods may not be noticeable if there is no pain or increased sensitivity in the region. However, you may be at increased risk to spread the virus to your partner at this time.

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Some 80% of all case of genital herpes remain undetected. Studies show that a high percentage of individuals that become infected from an undiagnosed partner. Therefore, proper diagnosis is essential in controlling the spread of the virus.

The genital herpes virus often goes undiagnosed secondary to a wide range of symptoms associated with the infection or there is an absence of any visible lesions or symptoms. Many individuals are often embarrassed and distressed and do not seek medical help.

Treatment of Genital Herpes

Zovirax will decrease both the frequency and the severity of genital herpes outbreaks. Zorirax is the drug of choice for the topical treatment of genital herpes infection 

Although Zovirax is the recommended medication for treating genital herpes outbreaks, other medications are also prescribed:

Zovirax is effective in treating both the primary infection and recurrent outbreaks. When applied topically to the genital herpes ulcer, Zovirax reduces the healing time, virus shedding period, and duration of vesicles.

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Clinical studies also show that there is a positive correlation between levels of stress and the severity and number of outbreaks. Stress management and relaxation exercises i.e. yoga, tai chi, meditation, and hypnotherapy.

There are several other things that a patient may do to lessen the pain of genital lesions including the following:

  • Wear loose fitting clothing and cotton underwear.
     
  • Using a blow dryer on the "cool" setting to dry the infected area.
  • Placing an ice pack on the affected area for 10 minutes, followed by 5 minutes off and then repeating this procedure.
     
  • Removing clothing or wearing loose pajamas while at home
     
  • Soaking in a tub of warm water .
     
  • Topical ointments may be beneficial if they contain: glycyrrhizinic acid, components of licorice glycyrrhiza glabra, vitamin E, tea oil, Melaleuca spp, baking soda compresses.

Protection From the Genital Herpes Virus

Since genital herpes is a sexually transmitted disease individuals can protect themselves by abstaining from sexual contact. The consistent and proper use of latex condoms can also provide some protection against infection. Condoms do not provide 100% protection, unfortunately, the condom may not adequately cover the entire region where the herpetic lesions reside allowing viral shedding. If a partner has genital herpes there should be an abstinence from sex until the lesions are no longer present.

Individuals should also adhere to the following to prevent the spread of the virus:

  • Practice abstinence
     
  • Limit the number of sexual partners you have in your lifetime.
     
  • Make sure that you and your sexual partner use condoms every time you have sex.
     
  • Wash your hands with soap and water following contact with the sores (already infected with the virus).
     
  • Keep the infected area clean and dry to prevent other infections from developing (already infected with the virus).
     
  • Avoid scratching and/or touching the sores (already infected with the virus).
     
  • Refrain from sexual contact from the first sign of a recurrent episode until the lesions are completely healed (already infected with the virus).

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Genital Herpes Picture

Genital herpes can present in many different ways if you think either you or your partner may have genital herpes please review the following webpage:

Genital Herpes Pictures (click here for details)

Diagnosing the Herpes Virus

An accurate diagnosis can help individuals who are infected take control of their health and benefit from treatments that may reduce their symptoms and their frequency of infection. Proper diagnosis also decrease the risk of spreading the virus to other individuals. Doctors should take the responsibility to properly educate individuals who are diagnosed with the disease about how to protect their partners. The following represent the different methods in which the HSV-1 and HSV-2 can be diagnosed:

Genital herpes can be accurately diagnosed by your doctor based on your medical/sexual history and visual exam of the classic fluid filled herpetic lesions.  The active or latent genital herpes in many infected patients are asymptomatic or the patient's symptoms may have already resolved by the time he/she visits the doctor.

The following represent the most accurate methods in which to diagnose the herpes virus.

Virus Culture Detection Tests

In order to prepare a viral culture a physician must collect cells at the base of the genital lesion using a sterile cotton swab The sample is then tested in the laboratory. An individual must have a active or live infection at the time of the swab test to produce a positive result. If the herpetic lesions or ulcers have begun to heal the test may give a false-negative report. However, when active lesions are present, this method is seen as the gold standard for diagnosing genital herpes.

 

Serology Blood Tests

When an individual becomes infected with the herpes virus the body will produce antibodies designed to fight the virus. These antibodies are specific to each virus and remain permanently in the bloodstream. A blood test for a herpes simplex virus can indicate if someone has been infected at some time during their life.

However this form of testing cannot indicate when or where on the body the initial infection took place, i.e. around the genital or facial region. When an individual who does not have HSV-2 first acquires the virus, their body starts to produce antibodies. They undergo a process called seroconversion which means they go from having no detectable antibodies seronegative to having detectable antibodies seropositive. The length of time from first infection to when antibodies are detectable varies from person to person, and with the ability of the test to detect antibodies in early infection. Therefore, it is possible for a person in the early stages of infection to give a negative result on a blood test despite having herpes.

Therefore, if an individual believes that he/she has been infected with the virus and the test is negative this individual should repeat the test in three to four months. The older blood tests could not reliably tell the difference between HSV-1 and HSV-2 antibodies, however, there are new commercially available tests that have recently been developed bringing new options for diagnosing HSV:

The POCkit® HSV-2 Rapid Test is a single unit, membrane-based immunoassay for the qualitative determination, either in heparinized capillary whole blood taken by finger stick or in serum, of circulating IgG antibodies specific for herpes simplex virus type 2 (HSV-2), which arise as a result of infection with HSV-2. It is intended for in-vitro diagnostic use by health professionals in Point of Care testing (the lab work does not need to be sent to a central laboratory). The presence of antibodies to HSV-2 may be indicative of a previous infection with HSV-2 and may be of value in determination of previous immunological experience and to aid in the diagnosis of HSV associated disease. This assay will not differentiate whether infection is currently in a latent or active state nor does the test diagnose HSV-1.

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