Herpes of the genitals in men and women

Genital herpes - A common sexually transmitted infection that causes blisters, sores on the genitals and around them.

Genital herpes is caused by the herpes simplex virus (HSV). Genital herpes often affects young people aged 20-24. Annually in the world 24 million new cases of genital herpes are registered.

Many people do not know that they have genital herpes, although herpes vesicles are usually painful. Male with genital herpes (as well as female) can still transmit herpes, even if it has no obvious signs of this disease.

What happens when a herpes virus is infected?

Herpes simplex virus (HSV) causes genital herpes. There are two types of herpes virus: HSV-1 and HSV-2. Most patients with genital herpes are infected with the herpes simplex virus type 1 (HSV-1).

As the virus penetrates the skin, it begins to move along the nerve paths. He can calm down (become inactive) in the nerves and stay there indefinitely.

From time to time, the virus may make attacks (become active). When this happens, the virus travels along the nerves to the surface of the skin, where its numbers increase exponentially.

At this point, the virus may cause an outbreak of symptoms, or it may go unnoticed.

Anyway active virus is easily transferred from one partner to another through sexual contact. Even the use of barrier contraception can not protect a healthy partner, as the virus may be present on the skin, which remains uncovered.

The number of recurrent cases or outbreaks varies from person to person.

What are the signs of genital herpes?

You can never notice the signs of genital herpes. At the same time, you may notice symptoms of herpes in a few days (up to 2 weeks) after initial contact with the patient. Or, on the contrary, you may not have an initial outbreak of symptoms up to several months or even years after infection.

When symptoms appear soon after infection, they are usually more serious than if they were later. These signs may first appear as small blisters, which eventually break open and in their place moist, painful ulcers form, which become scab-like and heal within a few weeks.

The appearance of vesicles and ulcers may be accompanied by flu-like symptoms with fever and swollen, enlarged lymph nodes.

Any of the following symptoms of a genital infection may occur. have a man or woman:

  • Cracks, weeping or red areas around your genitals or anal area without pain, itching or tingling.
  • Itching or tingling around your genitals or anal area.
  • Small vesicles that burst and cause painful sores. They can be on or around your genitals, penis or vagina, or on the buttocks, thighs, or rectal area (“fifth point”).
  • Less commonly, vesicles may occur inside the urethra. This is especially painful in women during urination, when urine passes through ulcers.
  • Headaches.
  • Back pain.
  • Flu symptoms, including fever, swollen lymph nodes and fatigue.

Genital herpes is not the only disease that can cause these symptoms.

The only way to find out if they are the result of a herpes simplex virus or another condition is to consult a qualified doctor.who will examine your body and send a smear to the laboratory for analysis to confirm or remove the diagnosis of genital herpes.

Is it possible to treat the symptoms of genital herpes?

There is no cure for herpes, but the symptoms can be reduced and removed with the help of drugs. Also, treatment can reduce the risk of transmitting the virus to someone else.

Your doctor may prescribe antiviral drugs to help prevent or reduce pain and discomfort from rashes. Medicines taken daily to suppress the virus can reduce the risk of contracting the virus.

Is it possible to treat genital herpes at home?

Yes, something can be done to reduce pain and discomfort at home. For example:

  1. Take painkillers such as ibuprofen or paracetamol.
  2. Wash the painful area with warm soda water twice a day - 1/2 teaspoon of soda with a glass of warm water.
  3. Wear loose clothing to circulate air around the ulcers.
  4. Cool the sore spot with an ice bag, after wrapping it with a towel.
  5. Rest more, do not overwork.
  6. Apply Vaseline or anesthetic or gel on the blisters or ulcers. It can reduce pain when urinating.
  7. Drink plenty of fluids that dilute urine concentration.

In order not to infect others, follow these steps:

  1. Do not kiss when you or your boyfriend / girlfriend has herpes sores.
  2. Avoid oral sex when any partner has oral or genital rashes.
  3. If you have ulcers, give up any kind of sex.
  4. Wash your hands with soap and water after touching the affected parts of the body.
  5. Do not lick contact lenses with saliva.

How serious is the health problem of genital herpes?

For most people, genital herpes does not pose a serious threat to their health. In addition to discomfort, genital herpes is more likely a source of psychological stress. O n can create the following psychological problems:

  • Anxiety.
  • Decreased self-esteem.
  • Fear of infecting close people.

In some cases, however, complications from genital herpes can be serious, even life-threatening.

Although this rarely happens, pregnant women can transmit herpes infection to their baby. This can lead to the development of a serious illness in a child. If you have signs of recurrence (recurrence) of a genital herpes infection at the onset of labor, or you first developed genital herpes in the last 6 weeks of pregnancy, your doctor may recommend a cesarean section for delivery.

Is genital herpes dangerous for pregnant women?

About 26% of adolescents and young women are infected with genital herpes. Genital herpes is one of the most common sexually transmitted diseases. This means that 1 in 4 pregnant women is a woman with genital herpes. A pregnant woman with genital herpes can infect her baby. during childbirth. But if a woman had genital herpes before pregnancy or if she is infected for the first time in early pregnancy, the probability of infecting her child will be very low - less than 1%.

Women with genital herpes should carefully check for external signs of herpes before starting to give birth. If there are signs of recurrence (recurrence) of genital herpes infection during childbirth, or if a woman develops genital herpes for the first time in late pregnancy (6 weeks before delivery) when the risk of contracting the baby is high (about 40%) (the mother’s immune system did not have time to develop antibodies against the virus), then a cesarean section is performed. Women with old herpes infections have antibodies against the virus that help protect the baby.

If you are pregnant and think you have recently become ill, tell your doctor or midwife immediately.

How not to get herpes during pregnancy

In order not to pick up genital herpes - refrain from any kind of sexual intercourse for the sake of the health of your child. Women who do not have genital herpes should be careful about sexual intercourse during third trimester. If you don’t know if your partner is sick with herpes, then avoid sexual intercourse during the third trimester. If your boyfriend / husband has a rash of herpes on the lips, mouth (oral herpes), then refrain from kissing, oral sex.

All pregnant women should be tested for herpes, especially if the husband has herpes.

Ask your doctor to examine you for herpes to give birth to a healthy baby!

Treatment of genital herpes during pregnancy

Women taking antiviral drugs for herpes — daily suppressive (herpes suppressant) therapy or one-time therapy for exacerbations — should consult with their doctor about whether they should take these medicines during pregnancy. You and your doctor should discuss the risks and benefits to decide what is right for you.

Do not self-medicate. Herpes is serious!

Infection of herpes in a newborn can bring him very serious harm. Do not let anyone with herpes kiss the baby. If you have herpes popped on the lips Do not kiss the child and wash your hands with soap and water before touching the child.

Can genital herpes be a sign of HIV, AIDS?

A person who has recurring aggravations (manifestations) of genital herpes needs to be tested for HIV. Because aggravations can be a sign of a weakened immune system. People who have genital herpes sores are more likely to get HIV during intercourse. To be precise, having herpes makes a person two to four times more susceptible to HIV infection, In contact with HIV (HIV-infected person, his body fluids). This is due to the fact that open ulcers facilitate the entry of the HIV virus into the body. In addition, when you have an infection, your immune system goes up a step, creating cells for fighting diseases called macrophages. The HIV virus can bind to these macrophages in the mucous membranes, such as the vagina or anus, and thus pass into the bloodstream. If you have an infection (sexually transmitted disease) in the genital area, macrophages are especially concentrated there, giving HIV more opportunities to enter your body.

To help prevent HIV transmission, anxious people (with and without herpes) have several options:

  • Use barrier contraception during vaginal, anal and oral intercourse.
  • Refrain from sexual intercourse during outbreaks of herpes (which may help prevent the transmission of HIV and herpes).
  • Get tested for HIV and other sexually transmitted infections regularly and encourage partners (partners) to get tested and treated if necessary.
  • Limit the number of partners and communication with partners about any past or current infections.

The combined effect of genital herpes and HIV

HIV and the herpes virus mutually reinforce each other's destructive effects. Studies show that when the herpes virus is active, it contributes to the increased reproduction of HIV (makes more copies of itself - the process is called replication). The more HIV replicates, the more cells are killed that fight the body's infection (CD4), which ultimately leads to AIDS. People infected with HIV and the herpes virus can have longer, more frequent and more serious outbreaks of herpes symptoms, because a weakened immune system cannot control the herpes virus as effectively as a healthy immune system.

Genital herpes and problems with HIV treatment

It is often more difficult to treat genital herpes if you also have HIV. Treatment of herpes in people with HIV often requires higher doses of antiviral drugs. In addition, many people with HIV have herpes virus strains that are resistant to treatment with standard antiviral drugs. If you are taking antiviral drugs for genital herpes, and the treatment does not work, your doctor may check the virus that you have for antiviral resistance. If the virus is resistant, there are other possible alternative treatment regimens that are administered intravenously.

If you have HIV, see your doctor if you still need to be tested for genital herpes. If you already know that you have herpes and HIV, discuss treatment options with your specialist.

Although there is no cure completely for HIV or herpes, both infections can be treated.

Treating herpes and / or HIV can help reduce the chance of passing the virus to another person, and can also help a person with any type of infection stay healthy.

If you have reason to believe that you may have an infection of genital herpes as a result of sexual contact - genital or oral - seek medical help from a doctor!

Diagnostics

It is possible to diagnose genital herpes of the genital organs with the help of several diagnostic methods. Modern diagnostics involves the appointment of the following types of tests to the patient:

  • polymerase chain reaction,
  • virological methodology,
  • cytomorphology,
  • antibodies to the herpes virus in the blood of the patient,
  • detection of antigens.

With the help of these methods, it is possible to determine with high probability whether there is an infection with herpes, the type of pathogen and to prescribe an effective treatment of the disease to the patient.

Diagnosis of genital herpes

Treatment of the disease depends largely on the stage of the course. Genital herpes can be cured comprehensively, prescribing several types of drugs to combat the disease. Pathology therapy is conservative, and is based on the use of antiviral drugs, immunomodulatory drugs and symptomatic medications.

Medicamentous

Among the drugs, the key role of drugs with antiviral action. They should be applied as early as possible, preferably in the first forty-eight hours after the onset of symptoms. This will help to cope with the manifestation of the disease at the stage when the amount of viral particles can be suppressed with drugs.

Among the drugs, the best activity have "Acyclovir", "Valacyclovir" and "Famciclovir". Take them in tablet form so that the daily dose was 1 g (or 1000 mg). It is very easy to calculate, focusing on the dosage indicated on each preparation. The multiplicity of reception - two or three times a day.

Acyclovir and Famciclovir

Effective treatment of genital herpes - the use of local drugs on the genitals. Antiviral ointments can be treated with rashes - “Gerpevir”, “Acyclovir”, “Zovirax”. They smear the affected surface of the genitals several times a day.

Imunofan, Panavir, Galavit, Tiloron and other drugs can be taken as immunomodulators. Symptomatic drugs are used if necessary, if the course of the disease is complicated by fever.

Galavit and Tiloron

Ethnoscience

Among the means of traditional medicine, which can fight the disease, doctors do not advise to use any means, because the virus, as such, traditional methods do not heal. It makes sense to use fortifying drugs to improve immunity, to avoid the development of relapse. In this regard, patients are recommended cranberry juice, echinacea tincture. In the diet should include citrus fruits, onions and garlic, ginger, mumiyo.

Treatment of herpes on the genitals

Prevention

It is impossible to protect yourself completely from herpes, because even the use of a condom during sexual intercourse does not give a full guarantee. If there was an intimate contact with an unreliable sexual partner, then it is necessary to immediately treat the genitals with Miramistin solution, Betadine (available in various forms), and Panavir spray treated.

Infection on the genitals can even attack a healthy person. Therefore, to get rid of the disease you should not delay the visit to the doctor - you must contact at the first manifestations of genital herpes. It is much easier to treat the disease at the initial stage, there is also a chance to avoid serious complications.

What does genital herpes look like?

Provoked by genital herpes (photo 1) a virus of the first or second type. In most patients, the symptoms of genital herpes are triggered by the entry of a second type of virus into the body. Signs of genital herpes are localized directly in the genital area. Externally, a herpetic rash appears protruding above the skin surface with bubbles filled with a clear liquid. Hyperemic areas with uneven edges appear around the rash, and the vesicles themselves are painful when touched. Yellowing the contents of the bubbles indicates that they will be opened soon. In the last stage of genital herpes, the vesicles burst and turn into sores that heal in a few days.

Urogenital herpes (photo below) is able to raise the temperature - it can reach 38 degrees and higher. Men and women experience not only pain, but also muscle aches, genital herpes also provokes problems with urination.

What does genital herpes look like in women photo

Looks like genital herpes in women (photo 2) crowded bubbles that burst a few days after maturation. At the initial stage, the symptoms of herpes type 2 in women appear on the skin with itching, burning sensation and soreness, and by the end of the first day you can notice small rashes with a clear liquid inside. Gynecologic herpes progresses rapidly - if the vesicles filled with contaminated liquid burst, then there is a high risk that new islands will appear. Herpes on the genitals of women leaves wounds, healing on average about ten days.

Genital herpes occurs in women approximately seven to ten days after sexual contact with an infected partner. A herpetic rash appears on the genitals of a woman, even if the sexual partner did not have herpes in an intimate place, but suffered rashes in the area of ​​the lips, chin and other parts of the body.

Genital herpes can appear in girls during puberty. Genital herpes during pregnancy (photo in gal.) in the later periods - a frequent companion of expectant mothers, in which there is a high risk of infecting a baby. It can provoke herpes on the body during pregnancy, because during pregnancy a child’s immunity is weakened, and the virus can migrate to the intimate zone. Genital herpes during pregnancy requires special approaches to therapy.

What does genital herpes look like in men photo

Appears genital herpes in men (photo 3) mainly in the groin area, and then rapidly progressing and affecting the penis, the head, is located on the bridle. Symptoms in men herpes type 2 are quite painful, with constant friction, the main symptom of the initial stage is a burning pain and discomfort of the intimate zone. Bubbles with fluid occur in the center of redness, genital herpes on the penis gives obvious symptoms - swelling and rash, which can not be confused with other diseases.

The first few days, genital herpes in men progresses - bubbles everywhere appear and increase in size. When a new rash ceases to form, the liquid in the bubbles begins to turn cloudy, and then the bubbles burst and in their place remain crusts formed from the festering contents and excreted blood. Under the crusts for a week, an updated epithelium appears and the crusts descend, exposing the pink skin beneath.

How herpes is manifested in the genitals

Most often, a herpetic rash affects the groin area and the genitals directly. Because there are many lymph nodes in the groin, herpes on the genitals (photo 4) may not be limited to local manifestations - a significant proportion of patients experience a deterioration in their general condition, fatigue and weakness. Genital herpes looks like islands of rash, in the center of which there are crowded bubbles filled with liquid, and a little distance away, on the periphery there are single rashes. All of them are located on the hyperemic edematous skin and are painful when touched. In its development, herpes goes through all stages - rashes, maturation and resolution of the disease, when the bubbles turn into crusts and heal.

In some cases it is possible atypical herpes (photo below p.) on the genitals - a disease in which the standard local symptoms do not manifest, therefore, the diagnosis of difficulties. Discharge with genital herpes, atypically flowing, is absent, the classic rash is also not visualized. Patients suffer only from the deterioration of general well-being, pulling back pain. Female genital herpes can cause thrush and urinary pain, similar to cystitis.

Symptoms of herpes type 2 in women and men

Striking not only the skin surface, herpes type 2 (photo 5) also applies to the mucous membranes of the genital organs. In some cases in patients with herpes in the intimate area goes to the anal region. It is impossible to identify the type of virus by symptoms, for this special tests are required. Herpes virus type 2 gives severe symptoms for five to six days, while a herpetic rash only appears and grows in size.

Locally, herpes of the second type (photo below) at the initial stage is manifested by itching and redness in the genital area, the locations of the future rash turn red, there is pain and hyperthermia, swelling. Bulk bubbles have a different nature - they are located both crowded and on the periphery, differ in size, mostly do not merge with each other.

The fluid inside the bubbles is transparent, only after a time when the herpes virus dies, does the fluid suppurate, and the bubbles burst. Such content is practically not contagious, despite the contents of the first days of the development of pathology. After the integrity of the bubbles is disrupted, crusts of dried out contents and blood remain on the surface.

Treatment of herpes in the genitals

Treatment of genital herpes comes down to eliminating the symptoms of the disease, since the virus cannot be removed from the body. Genital herpes in children (photo below) and adults are treated with some drugs - antiherpetic ointments. Among these ointments, doctors prescribe Acyclovir, Acyclostad, Valacyclovir, Famciclovir. During the day, it is necessary to treat herpes with antiherpetic ointments on the labia, the surface of the penis and in the anal area, if there is a rash there. Treatment of herpes in the genitals of women and men usually takes between seven and ten days. With increasing temperature and feeling unwell, bed rest is shown.

If there is discharge of herpes in women, this may indicate the development of complications and then the doctor prescribes additional funds for treatment, and in case of a severe form of the disease, tableted antiviral drugs are indicated. Treatment of herpes in men on the genitals can be prolonged if there are complications, such as prostatitis and urethritis. Immunomodulatory drugs and vitamins are usually prescribed after antiviral therapy.

What is genital herpes?

Genital herpes (HS) is included in an extensive group of diseases of various etiopathogenesis, the causative agents of which are sexually transmitted - STDs. The HG disease causes the herpes simplex virus of the second type (HSV-II), less commonly the herpes simplex virus of the first type (HSV-I). The disease is characterized by vesicular rashes on the skin and mucous membranes in the genital area, lower back, thighs and buttocks. Perhaps asymptomatic and atypical course of the disease, as well as systemic organ damage.

HSV-II and HSV-I are herpes simplex. Simple they are called for a characteristic feature - vesicular rash on mucous membranes and skin. This symptom has long been considered the only manifestation of herpes, and the disease was considered mundane and harmless. Clinical observations of recent years have largely changed the attitude of doctors to this disease.

Genital herpes is a widespread infection. In the statistics of confirmed STDs, the diagnosis of HSV-II occupies a leading position, second only to trichomoniasis. HSV-I also causes genital herpes. The results of 20% of tests carried out using the polymerase chain reaction (PCR) confirm the involvement of HSV-I in the formation of anogenital rashes. The influence of HSV-I on the formation of genital pathogenesis in recent years has been growing steadily.

The prevalence of the disease caused by herpes simplex viruses is due to the following factors:

Stable opinions about the safety of herpes simples among the inhabitants,

The long latent stage of the disease in the nodes (ganglia) of the nerve trunks - a person is infected, but unaware of it,

With almost life-long carrier - it is impossible to remove herpes from the body with vaccines, serums or chemicals,

The possibility of infection by contact and household means - unfortunately, this factor significantly reduces the age of the first collision with herpes in children.

In the Russian Federation, since 1993, herpes has been included in the list of diseases subject to mandatory medical statistics. Since the beginning of regular observations recorded a steady increase in the number of cases of herpes. To date, the clinical form of genital herpes is diagnosed in about 80 cases per 100 thousand people. This figure corresponds to the global statistics on the detection of herpes sexually transmitted. With the help of statistical observations, some epidemic patterns of HG have been established.

The number of cases of genital herpes is correlated with:

The socio-economic status of the diseased - the maximum number of cases of disease is recorded in near-marginal circles, the minimum - in the group with high social status,

Sex (men are more resistant to infection GG). Increased sensitivity of women to genital herpes is probably due to the extensive mucous membranes of the external genital organs, and not the special structure of the immune system,

Age (there is a sharp increase in cases of infection GG, coinciding with the age of sexual activity). The detectability reaches a maximum by 30–40 years, then a gradual decrease in the number of diseases to a minimum by 60–70 years (there may be exceptions that are not related to human sexual activity).

HSV and another representative of herpes - cytomegalovirus (both STDs), are significant factors in the etiopathogenesis of gynecological inflammatory diseases of the cervix and appendages. The involvement of HSV and cytomegalovirus in the development of radiculitis and inflammation of the membranes of the brain has been proven.

The connection of these diseases with the herpes virus is established only after a widespread introduction into the diagnosis:

PCR method used to detect the virus and its fragments in the tissues of the body,

ELISA or ELISA for the typification of the antigenic structure of viruses using monoclonal antibodies,

The appearance of commercial kits for the determination of AG-HSV-II (antigens against HSV-II) and AT-HSV-II (antibody titers to HSV-II).

The sensitivity and specificity of these methods reaches 95-100%. The time for receiving the results is from one to two days. Despite the convenience of laboratory methods, their high sensitivity and specificity, they do not always give adequate results suitable for making a definitive diagnosis.

Modern laboratory and immunological methods have limitations due to:

Cross reactions in the differentiation of specific antibodies HSV-I and HSV-II,

Low availability of equipment and a shortage of specialists with PCR and ELISA techniques in small clinics,

The high cost of high-quality commercial diagnostic kits.

Meanwhile, the absolute value of the method of PCR and ELISA is shown with neonatal herpes HSV-II or HSV-I, when specific antibodies are almost homogeneous IgM and IgG, and the patterns of serological reactions fit into the standard algorithms of the immune response.

The value of laboratory methods increases in studies conducted in dynamics with an interval of five to seven days. Some features of the body should be taken into account, for example, the timing of menstrual cycles in women, the drug background of previous treatment, and concomitant diseases.

Opinion about the unconditional and comprehensive value of the results of laboratory tests at diagnosis is a common myth. The diagnosis is made not by a laboratory technician, but by a doctor on the basis of the symptoms of the disease, patterns and epidemiology of pathogenesis identified after conducting a complex of physical, instrumental and laboratory studies.

For HSV non-sterile immunity is formed. Immune conversion of the body develops within 14-28 days with a latent and clinical course of infection.

The immune response of the body to the primary penetration of the virus of genital herpes includes three main components of protective reactions:

The primary contact of antigens (AH) -VPG-II with cells of the immune system is accompanied by the activation of phagocytosis and the stimulation of the production of interferon against the background of the body’s natural resistance,

The inclusion of cellular immunity is accompanied by an increase in T-killer and T-helper levels. An increase in B-lymphocyte levels activates the complement system,

The inclusion of the complement system activates the production of specific antibodies (AT) to HSV-II.

Herpes immunity does not reach the protective level (full protection of the body). The reason for the virtually unhindered re-infection or superinfection is not completely clear. One of the many hypotheses is the presence of a mechanism of immune suppression in the HSV-II virus. Meanwhile, the full-fledged immune status of the body is still the limiting factor in the development of infection.

Symptoms of primary herpes infection

The disease occurs after the transmission of the pathogen from the patient to a person who has not previously suffered from genital herpes who has no antibodies to HSV-II in the blood. Infection usually occurs during intimate contact, but other modes of transmission are possible.

The incubation period lasts about seven days (the timing of the onset of symptoms is indicated approximately):

A vesicular rash localized on the external genitalia appears on day 8-10,

Purulent pustules with the subsequent formation of purulent ulcers - by about 11-15 days,

Crusts (scabs) at the site of ulcers are formed from the 15th to the 20th day,

Healing lesions begins at 20-30 days from the onset of the disease.

Symptoms of genital herpes in women

Symptoms of HG in women (the above symptoms) are observed on the mucous membrane and / or skin:

The external opening of the urethra,

Small and large labia,

Perineum, perianal region, thighs and buttocks,

Vagina and cervix.

Damage to the cervix may take the form of inflammation (cervicitis).The mucous membrane of the cervix is ​​hyperemic and covered with erosions with purulent discharge.

Symptoms of primary infection GG, characteristic for women and men:

Purulent discharge from the genitals,

Inflammation of the inguinal lymph nodes.

Symptoms of a secondary disease of genital herpes

The disease occurs after a period of latent infection, when antibodies to HSV-II are detected in the body. Activation of the virus occurs after re-penetration of infection (development of superinfection) or reactivation of GG viruses persisting in the nerve ganglia against the background of low immune status. Signs of a secondary disease are similar to the symptoms of primary herpes. As a rule, the disease has less bright pathogenesis (exceptions are possible).

Symptoms of recurrent type of herpes

Once a virus enters the body, it makes a person a lifelong virus carrier. For herpes characters are periods of latent flow with recurring relapses. The frequency of relapses characterizes the state of the immune system and depends on the type of pathogen. HG, caused by CDR-II, gives frequent relapses in comparison with diseases caused by HSV-I.

There are three types of recurrent genital herpes:

Arrhythmic type with remissions in a wide range - from two weeks to five months,

Monotonous type, which is characterized by frequent relapses and short periods of remission,

A drooping type characterized by long periods of remission and short exacerbations.

Symptoms of atypical genital herpes

HG is often disguised as other diseases with similar symptoms. Atypical pathogenesis of HSV-II is established on the basis of laboratory detection of the pathogen by PCR or cell culture. It is noticed that about 5-15% of gynecological infections are caused by the atypical course of herpes with the participation of HSV-II or HSV-I.

Causes of genital herpes

Factors that ensure the spread of genital herpes infections include:

The presence of the patient virus carrier Herpes simplex virus 2 (international designation GG and abbreviated Latin - HSV-2d) in the active phase of infection, regardless of clinical manifestations (asymptomatic, atypical or other course of the disease),

The presence of a susceptible healthy or previously ill person with impaired homeostasis — a defect in the immune system and a decrease in natural resistance (as a result of a previous illness, hypothermia, overheating, and other stress factors),

Conditions contributing to infection (unprotected promiscuous sex, close household contact with the virus carrier).

What is dangerous genital herpes?

Herpes - sluggish viral infection, the death of the disease - a rare phenomenon, but it is possible with immunodeficiency syndrome. In people with high immune status, the disease is possible, but it is easy. This was largely the basis of the erroneous opinion about the triviality of herpes.

The danger of genital herpes is that:

An active viral carrier of an asymptomatic infection spreads it, unaware of it,

The first and second types of herpes simplex can complement and modify the pathogenesis of HG during primary contact in children,

Herpes can cause a kind of “vicious circle” when re-illness creates the basis for the development of the pathogenesis of concomitant infection and thereby depletes the immune system,

The risk of herpes is very high for people with imperfect immunity (in early childhood) and persons with acquired immunity defects (after organ transplantation, chemotherapy), as well as for people leading a marginal lifestyle (drug addicts, prostitutes, etc.). In these groups, herpes is a possible cause of death.

Sex with genital herpes

Genital herpes and cytomegalovirus are included in the group of sexually transmitted diseases. Naturally, sex is immoral in the active phase of genital herpes, since it contributes to the infection of an unsuspecting partner.

The danger of sex with GG is that:

Barrier contraceptives do not protect against infection, transmission of the virus can occur during contact with the body and hands,

Drugs of direct action (acyclovir and others in the form of solutions, gels and sprays) are effective only at the replication stage (viral division in tissue cells) and do not guarantee the direct elimination of herpes,

The drug Miramistin, according to the instructions for its use, is a means of individual prevention, including for genital herpes. However, it cannot completely eliminate the risk of infection due to the multiplicity of methods of transmission of this virus.

In herpes remission, sex is certainly possible, but indiscriminate unprotected sex should be avoided.

Treatment of genital herpes

A feature of the therapy of slow latent infections, which include HSV, is that:

It is totally impossible to eliminate (destroy) the HSV pathogen,

Etiotropic therapy is appropriate only in the active phase of the virus,

Antibiotics for viral diseases are ineffective,

The existing vaccine against HSV is used only in the latent phase of the disease and does not have the full protective (protective) property.

The pathogenesis of genital herpes caused by HSV-II, in comparison with the pathogenesis of labial herpes, is more aggressive, causes recurrences more often, and gives serious complications. Therefore, if a mild paralysis of herpes in people with a slightly altered immune status allows for no treatment, genital herpes should always be treated, regardless of the form, severity of the pathogenesis and the patient’s immune system.

Three principles of therapeutic therapy

Limiting pathogenesis to eliminate the main symptoms of HG:

itching at the site of the lesion,

papular and vesicular rash (single and common),

local and total pain

Reducing the period of exacerbation of the disease to the minimum possible (7-14 days).

The increase in the period of the latent course of the disease (the ideal result is a lifelong latency).

Since the elimination of the herpes virus is impossible, the goal of therapy is not to recover completely, but to establish a state of relative health based on the principles of prevention:

Recurrence of the disease GG through normalization of the immune status of the human body,

Infection of sexual partners and the further spread of infection,

Intrauterine infection of the fetus and newborn during its passage during childbirth through the genital tract, natal and postnatal complications.

Treatment methods

For the treatment of genital herpes, five therapeutic methods are used:

Etiotropic therapy. Antiviral drugs that suppress the replication of the herpes virus.

Pathogenetic therapy. Immunomodulators, including agents that increase and decrease the immune status and its individual units in the form of native substances (natural, unpurified biopreparations), separate fractions and synthetic immunogenesis stimulants.

Symptomatic therapy. Drugs that eliminate pain, itching and fever.

Specific prevention - vaccination.

In the medical arsenal of drugs that can directly affect the virus, there is a limited set of drugs. Direct acting antiviral therapy is based on drugs from the group of synthetic analogs of acyclic purine nucleosides. The basic drug of this group of drugs is acyclovir.

The pharmacological effect of acyclovir on viruses is:

The similarity of the chemical structure of acyclovir (purine nucleoside) with deoxyguanosine, a key agent for the synthesis of the genetic material of the herpes simplex DNA and some other viruses of this family,

Competition chemical components. The confrontation "acyclovir vs deoxyguanosine" inhibits and suppresses the replication (division and increase in the number of virions) of HSV in the body,

Inhibition of growth and division of viruses is the main pharmacological action of acyclovir.

The high selectivity of acyclovir to the only key molecule in the DNA of the herpes virus has made this drug less toxic in general to the human body. Since the seventies of the last century, strains of viruses that are resistant to acyclovir began to appear. This prompted the pharmacological science and industry to develop and put into practice new drugs - modified analogues of acyclovir.

The first analogue is valacyclovir. It is the metabolic precursor of the acyclic purine nucleoside (acyclovir). Valaciclovir is introduced into the body when it is advanced along the gastrointestinal tract and is metabolized to acyclovir, which, in its unchanged form at a therapeutic dose, affects the DNA of the herpes simplex virus. Several other mechanisms for enhancing the activity of the active substance are used in the pharmaceuticalcclovir preparation and in other similar herpes simplex drugs in order to enhance their bioavailability.

Several treatment regimens for patients with typical genital herpes:

The scheme of treatment of genital herpes at the initial contact. The choice: Acyclovir, Valaciclovir, Pharmciclovir and other medicines in clinical dosage, which is determined based on individual sensitivity (tolerability of the drug, patient weight, doctor's recommendations) by mouth up to five times a day for ten days or until symptoms disappear. The effect is increased in the case of treatment in the early stages of the disease,

Preventive treatment of genital herpes. Treatment is prescribed in remission if you suspect an early activation of the virus. This treatment option is used for frequent (more than 6 times a year) relapses to prevent their development. Shown drugs that stimulate the overall immune status of the body. By choice: Cycloferon, Ribotan, Gradex, Vegan, Immunofan and other medicines, the doctor determines the dosage and frequency of use. Vitamins of group B are also shown (B1, AT6 ), improving the overall resistance of the organism. Interferon stimulators are limited during this period because of their almost complete uselessness at this stage. There is no point in using antiviral drugs (acyclovir and others) - the virus is in an inactive, inaccessible for drugs phase. Treatment with acyclovir, zovirax and other drugs of this group is advisable to begin only after the detection of active herpes virus in the blood,

Treatment regimen for recurrent genital herpes. Used in the period of the appearance of precursors of recurrent disease. The choice of means of therapy, their combination and preparative forms (ointments, solutions, tablets) depend on how often herpes relapses occur, and also on the recommendations of the attending physician. The universal regimen includes a combination of herpes simplex treatment with acyclovir (and analogues) using immunostimulants, vitamins and other restorative means. At the very beginning of the appearance of precursors of the disease (itching in the area of ​​future damage), interferon preparations are shown. They are most effective in the early stages of pathogenesis. At the height of the disease, the use of interferon or its stimulants does not make sense.

The above schemes include etiotropic, pathogenetic and symptomatic therapy (to eliminate the symptoms of herpes - pain, itching, fever). The herpes vaccine is prescribed by the attending physician based on therapeutic expediency. Treatment of atypical forms of genital herpes is carried out taking into account the symptoms of pathogenesis and the results of laboratory studies.

Genital herpes during pregnancy

The effects of genital herpes during pregnancy look dramatic. The primary infection of the future mother with the HSV-II virus, depending on the period of gestation, turns into the following complications:

The first and second trimester - delay and malformations of the fetus, pregnancy freeze,

The second or third trimester - oligohydramnios and polyhydramnios, hydrocephalus and other defects of the fetal nervous system.

Treatment of a pregnant woman for herpes is carried out taking into account:

Detection of immunoglobulin M or G in the blood and the presence of virions in the cells of the body,

The state of health of the pregnant and the stage of development of the fetus,

The presence / absence of the threat of miscarriage,

Limitations of the range of acceptable for use during pregnancy drugs.

For the treatment of women during pregnancy, the use of etiotropic antiviral therapy is possible. The dosage is selected individually, taking into account the characteristics of the body of a particular woman. Below is a list of drugs most commonly used to treat genital herpes in expectant mothers. Conditions of use during pregnancy are taken from the instructions for medicines.

So, the list of acceptable medicines for herpes for pregnant women:

Panavir taking into account individual tolerance outwardly without restrictions. Attention! The solution for intravenous administration and rectal suppositories during pregnancy should be used with caution and only in cases where the expected benefit exceeds the possible risk of side effects (determined at the consultation with your doctor). During the period of use of the drug, breastfeeding should be suspended,

Acyclovir (any method of application) only in exceptional cases, in addition, the drug also can not be taken during lactation,

Atsigerpine (analog acyclovir) in the form of a cream or ointment. The effect of the drug on the gestation process is not fully understood. Pregnant women can use it with caution, and only when the expected benefit exceeds the possible risk to the fetus,

Zovirax (an analogue of acyclovir) in the form of tablets, powder for the preparation of solutions and eye ointment. When pregnancy should be applied carefully and always evaluate the ratio of "risk-benefit." During the forced treatment of pregnant women for herpes with Zovirax at a therapeutic dose, this drug is detected in the residual amount in breast milk. It should be borne in mind that infants can receive it in amounts up to 0.3 mg / kg per day,

Vivoraks (analog acyclovir) is used for local and systemic use. In pregnancy, the treatment of herpes with this drug is allowed with great care.

Taking into account the individual tolerance carefully apply fortifying agents:

Recommended in some sources of eleutherococcus is contraindicated in pregnancy, during menstruation and in hypertension,

Before using drugs based on ginseng during pregnancy and lactation, consult your doctor.

Without limitation externally, you can apply oil of fir, sea buckthorn, chamomile and calendula solutions.

The absence or ineffective therapy of HG in pregnant women causes complications and provokes diseases of the genitourinary and nervous systems, as well as organs of vision. Herpes - a possible provocateur gynecological dysplasia and oncology in women.

Specific prevention of herpes

Specific prevention is the use of vaccination products. However, with herpes with vaccines can not get a lasting protective effect. This is due to the special device of the virus, which counteracts the influence of the immunogenic properties of the vaccine antigen and the adjuvant (enhancer of the protective properties of the vaccine).

Nonspecific prophylaxis of herpes

Nonspecific prophylaxis includes:

Healthy lifestyle, monogamous intimate relationships,

Using methods of barrier contraception for all types of sex,

Preventive therapy to increase immunity after casual relationships, even if a condom was used.

Education: Diploma RSMU them. N. I. Pirogov, specialty "General Medicine" (2004). Residency at the Moscow State University of Medicine and Dentistry, diploma in "Endocrinology" (2006).

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Herpes on the lips is a viral disease. To cure it you need to fight not only with its external manifestations, which are visible on the lips, but also with an infection inside the body. There is a large number of pharmaceutical ointments and preparations, popular methods that allow in a short time to cope with herpes.

The most active in the fight against the herpes virus are such herbs as a series, wormwood, celandine, oregano. Broths and tinctures are prepared from a separate type of plant or their mixture. It is necessary to begin treatment with natural remedies with small doses. Some plants may be poisonous, so it is important to carefully observe the body's response to tincture or decoction.

Herpes is a kind of fever, when a finely bubbly rash appears in the nose or on the lips. The appearance of herpes suggests that the body's immune system is weak. And the frequent occurrence of herpes, for example, 2-3 times a year, indicates a significant decline in the human immune system. It is believed that this virus always lives in.

Herpes (from Greek - creeping) - a group of widespread diseases caused by viruses of the order Herpesvirales, family Herpesviridae. Herpes is clinically manifested by lesions of the skin, mucous membranes, nervous tissue, and sometimes internal organs. The clinical picture develops in conditions of unstable homeostasis.

What kind of disease is genital or genital herpes?

Anyone can get infected with genital herpes, regardless of gender or age, but women have a higher risk of infection from contact with an infected partner than men.

The main features of the disease are as follows:

  • Genital herpes is most common in men and women under 40 years of age., over the age of 60 is much less common, but the risk of infection is present at any age, even with low sexual activity,
  • The complete destruction of the causative agent of genital herpes in the body of a man or a woman is impossibletherapy is aimed only at suppressing its activity and eliminating symptoms,
  • The disease is characterized by a long latent form.during which the virus does not manifest itself in any way.

How can you get infected?

Men and women can get genital herpes in the following ways:

  • Transmission of the pathogen through sex - This is the most common way. The risk of infection is the same with vaginal, oral and anal contact,
  • Transmission by household, if you use common hygiene items with a carrier of the virus, is minimal. The risk is significantly increased if there are open wounds on the body and even microscopic and imperceptible violations of the integrity of the epidermis, through which the virus is able to enter the body
  • Transmission of the virus from the mother of the child during childbirth,
  • Transmission of virus through transfusion of contaminated blood,
  • Self-infection by accidental virus transfer from infected to healthy areas of the body.

Causes and risk of infection

Causes of infection of men with genital herpes are discussed below:

  • Sex with an infected partner - The most common reason, the transmission of the virus can occur, including from the lips to the penis.
  • Boys who haven't started sex life yetmay be infected through contact with parents
  • Infection of the boy is possible at birth, if the mother is diagnosed with genital herpes,
  • Transfusion of contaminated blood or transplantation of internal organs.

The risk of contracting a man increases with the following factors:

  • Age up to 40 years
  • Belonging to the Negroid race,
  • Homosexuality,
  • The presence of sexually transmitted diseases, including those suffered in the past,
  • The presence of a large number of sexual partners.

Symptoms and how does genital herpes look in men?

Regardless of the form and type of genital herpes at the initial stage in men, it manifests itself as follows:

  • Discomfort in the form of burning and itching in the genital area, local redness of the skin,
  • Feeling of pain, discomfort may increase with sexual intercourse.,
  • Inflammation and enlargement of lymph nodeslocated in the groin area
  • Edema formation on the head of the penis,
  • Increased body temperature and the occurrence of fever - These are manifestations of an atypical course of genital herpes, because of which it can be confused with the flu and other diseases.

External manifestations of genital herpes in men are described below:

  • The appearance of a rash in the genital area - rashes have the appearance of small bubbles containing turbid liquid,
  • Ulceration of vesicles occurs several days after their appearance.. On the place there are wounds, prone to constant wetting, it is possible the release of pus.

Incubation period

The incubation period depends on many factors, including the functioning of the immune system and general health.

There are two ways of developing the disease:

  • The appearance of the first external symptoms of genital herpes a week after infection - this is the most common scheme,
  • Absence of symptoms up to a month or their rapid manifestation the next day after infection, indicates an atypical course of the disease.

What is dangerous genital herpes for men?

With timely treatment for professional medical care, genital herpes and its symptoms in men respond well to treatment.

But there is a risk of the following negative consequences:

  • Exacerbation of existing chronic diseases of any type,
  • Increased propensity to develop various pathologies and inflammations of joints,
  • Inflammation in the urethra,
  • Inflammation of the prostate gland,
  • Tendency to inflammatory damage to the lining of the brain,
  • Increased risk of HIV infection,
  • Infertility,
  • The appearance of cracks in the rectum,
  • Infection of sexual partners,
  • The occurrence of relapses.

Genital herpes in women

In women, the risk of infection with genital herpes is higher than in men, due to the presence of a larger number of mucous membranes on the external genitalia. Features of the course of the disease are discussed in detail below.

Causes of infection with genital herpes in women are as follows:

  • Sexual intercourse with virus carriers - this is the main cause of infection, as well as in men,
  • Malfunctions of the hormonal background in the female bodyoccurring against the background of age-related changes or pregnancy, are the main cause of recurrent genital herpes.

In women, provoking factors may include:

  • Use of intrauterine contraceptives,
  • Deferred abortions,
  • Pregnancy and lactation,
  • Acceptance of pharmacological drugs of hormonal type.

Menstruation can provoke recurrence of genital herpes if the disease was postponed in the past.

Symptoms and how does genital herpes look like in women?

In women, genital herpes often occurs in asymptomatic form.

Clinical manifestations of the disease are as follows:

  • The appearance of a bubble rash in the genital area - in women, skin lesions capture large areas of the body and in advanced cases can spread to the thighs, buttocks and stomach,
  • If the immune system is not functioning, the lesions can spread to the uterus, fallopian tubes, ovaries, bladder,
  • Feeling of pain during intercourse and urination problems,
  • The appearance of mucous discharge from the vagina, there may be purulent impurities,
  • Burning in the genital area,
  • Swollen lymph nodes in intimate places.

What is dangerous genital herpes for women?

The tendency to asymptomatic percolation of genital herpes in women makes the disease more dangerous than in men, as this makes it difficult to make a diagnosis in time and to prescribe a treatment.

The risk may lie in the development of the following complications and consequences:

  • Malignant tumors in the cervix,
  • The spread of lesions on the uterus and ovaries,
  • Infertility,
  • Infection of sexual partner,
  • Transferring the causative agent to healthy areas of your body,
  • The accession of secondary infections
  • Development of various gynecological diseases due to inflammation of the mucous membranes of the vagina and cervix,
  • Increased risk of HIV infection,
  • The appearance of cracks in the rectum,
  • Transmission of the virus to the baby during labor.

Treatment of genital herpes

If you suspect a genital herpes or confirm the diagnosis, self-treatment is not allowed, the therapy is prescribed by a qualified specialist, taking into account the characteristics of the course of the disease.

Timely action is necessary to achieve the following goals:

  • Minimizing the risk of complications,
  • Relapse prevention,
  • Ensuring the safety of other people to whom the virus can be transmitted,
  • Restore the quality of life
  • Maintaining a normal state of the immune system, which is a serious blow.

For the treatment of genital herpes, drug therapy is usually prescribed, the course is divided into 2 stages:

  • Suppression of virus activity and getting rid of the clinical manifestations of the disease,
  • Rehabilitation and fortification measures to restore the body.

Preparations for the treatment of genital herpes

The following pharmacological agents are prescribed for the treatment of genital herpes in men and women:

  • Acyclovir - It is a synthetic drug in tablet form with a pronounced antiviral effect, it is the main drug therapy in the treatment of any types of herpes. Experts prescribe it when the activity of the virus increases and the first clinical manifestations of the disease, since the remedy does not affect herpes pathogens, which are in a latent form. The rules of treatment are determined by the doctor depending on the severity of the patient's condition, the standard scheme involves taking 5 tablets per day, between them a break of 4 hours and one night break of 8 hours is maintained. The average duration of the course is 5 days, its extension is allowed only by decision of the attending physician. The cost of a package containing 20 tablets containing 200 mg of acyclovir is from 65 rubles ,
  • Valtrex - is an analogue of Acyclovir, together these drugs are not prescribed. The tool is also available in tablet form, each tablet contains 500 mg of L-valine acyclovir ether. The use of the drug is aimed at stopping the reproduction process of the virus and suppressing its activity. The treatment regimen is determined individually by a specialist, prescribed from 2 to 6 tablets per day, which are divided into 2-3 doses. The course duration is 5-7 days, in the most severe cases, treatment can be extended up to 10 days. You can buy a package containing 10 tablets at a price. from 1200 rubles ,
  • Phenystyle - in the form of 1% cream is prescribed as an antiviral drug for topical use in areas where rashes are located. Such treatment allows you to speed up the flow of active substances to the lesions, therefore, the therapeutic efficacy of phenystyle is usually higher than that of tablet preparations, besides, the cream has no contraindications other than age 12 and individual intolerance to penciclovir. Treatment should begin at the initial stage of genital herpes, treatment is carried out every 2 hours by applying a small amount of cream on herpetic lesions. Course duration is no more than 4 days. It is possible to purchase a tube containing 2 grams of Fenistil for a price. 350 rubles ,
  • Giaferon - in the form of suppositories is a combination drug, it also has antiviral effects and stimulates the immune system. Suppositories are used for rectal or vaginal administration, so they are suitable for the treatment of genital herpes in both women and men. The procedure is repeated 2 times a day, the duration of the course is 10 days. The cost of packaging containing 10 suppositories is 300-350 rubles ,
  • Amiksin - used as an immunomodulator, but the drug has an antiviral effect. It is used to treat primary herpes and suppress relapses. The first 2 days should be taken 1 tablet per day, then between doses is a break of 48 hours. The duration of the course is determined individually by a specialist, the total course dose of Amixin varies from 10 to 20 tablets. A pack containing 10 tablets costs about 1000 rubles .

Treatment recommendations for men and women

General recommendations for men and women, following which speeds up the healing process and reduces the risk of relapse, are as follows:

  • When genital herpes is detected diagnosis and must pass the sexual partner,
  • Until full recovery should follow a dietimplying the use of food containing a large amount of plant fiber, vitamins, minerals and proteins,
  • Before discontinuation of treatment, the intake of alcohol-containing products should be completely excluded., if possible, stop smoking,
  • It is necessary to ensure healthy sleep at least 8 hours a day,
  • Preparations for local use as an independent means are used only with a slight course of the disease.In other cases, mandatory therapy includes pills,
  • Self-medication is not allowed - it can worsen the condition and cause serious harm to health, the use of any pharmacological preparations should be agreed with the attending physician,
  • Special attention is paid to personal hygiene., in order to prevent the accession of a secondary infection, especially for women.

What can not be done during treatment and what can not be treated genital herpes?

During the treatment of genital herpes, there are prohibitions and restrictions, their list is given below:

  • You can not have sex and plan a pregnancy
  • You can not cure diseases of hormonal drugsbecause they can adversely affect the body’s natural defense functions,
  • Do not touch the ulcers. and have a mechanical effect on them,
  • Do not wear synthetic or too tight underwear..

Folk recipes for men

Prescriptions for traditional medicine for the treatment of genital herpes in men are used only as an aid, such measures must necessarily be coordinated with your doctor.

The following are examples of some of the techniques:

  • Baking Soda Bottles - designed to eliminate physical discomfort in the form of itching and accelerated healing of weeping wounds. For its preparation it is necessary to dilute several tablespoons of soda with boiled water to make a thick gruel. The resulting product is applied locally to the affected areas, the procedure is carried out 1 time per day until the moist wounds are covered with dry crusts,
  • Means on the basis of honey and celandine - eliminates irritations caused by herpes and speeds up the process of full recovery of the affected skin.For its preparation, about 50 grams of the leaves of the plant are minced using a meat grinder, the resulting gruel is mixed with natural bee honey in equal proportions. The resulting tool is mixed until a homogeneous mass is formed, which is then applied to the treatment of herpetic eruptions. 20 minutes after the procedure, additional washing with water is required. The treatment is carried out 1 time per day, the duration of the course is not limited - you can continue the treatment until complete recovery, if you do not apply topical ointment
  • The use of tincture or tea with the addition of the fruit of viburnum - It is a universal remedy, suitable not only for men, but also for women, it performs the functions of a natural immunomodulator. For its preparation, viburnum fruits are crushed to a state of gruel, for one serving 20 g is taken in glasses of water, brought to a boil. The tool must be allowed to settle for 4 hours, drink should be a glass per day, the duration of the course can be from 1 to 3 weeks.

Folk recipes for women

Women are also allowed to use recipes of traditional medicine only after consultation with their doctor.

Some ways to combat genital herpes are listed below:

  • Aloe Vera Treatment - This is another recipe suitable for women, because the tool has a sparing effect and does not irritate the mucous membranes located on the genitals. Only young leaves taken from plants older than 3 years are suitable for preparation. Pre-rinse them thoroughly. Then the juice is squeezed out of them - it should be used only in its pure form, it loses its healing properties during storage. Juice moistened swabs that need to wipe the areas with herpetic lesions. The procedure can be repeated 2-3 times a day, the duration of treatment is usually 1-1.5 weeks. Aloe juice during this period will provide antibacterial protection and prevent the accession of a secondary infection, as well as reduce the severity of inflammation,
  • Bathing with the addition of essential oils - This is a good way to conduct antiseptic treatment and maintain personal hygiene, which is especially important for women in the treatment of genital herpes. For this bath is filled with water, its temperature should be not lower than 36 ° C. After which a few drops of essential oil are added to it. It is recommended to use products based on tea tree, citrus fruit, geranium or eucalyptus. The duration of the procedure should not exceed 15-20 minutes, it is best to repeat it 2-3 times a week.

Genital herpes in pregnant women

Treatment of genital herpes in pregnant women should be carried out under the full control of the gynecologist, antiviral therapy is prescribed only in case of severe disease.

In the first trimester, the treatment regimen is as follows:

  • Antiviral TherapyThe drug Acyclovir is used in the form of a solution for intravenous drip,
  • Intravenous immunoglobulin to stimulate the protective functions of the body. The procedure is carried out 3 times, a daily break is maintained between them,
  • Brilliant green aniline dye used for external treatment in order to carry out antiseptic treatment,
  • After 4 weeks it is necessary to repeat the diagnosis, practicing taking scrapings from the cervical canal or cervix.

Treatment of genital herpes in the second trimester is different, the scheme is described below:

  • Acyclovir and immunoglobulin - are administered intravenously in the same way as in the first trimester of pregnancy,
  • Acyclovir is additionally prescribed for topical use., processing can be carried out up to 8 times a day,
  • Viferon - in the form of suppositories, is prescribed for rectal administration twice a day, the course duration is 10 days,
  • After 4 weeks it is necessary to repeat the diagnosis.

Sexual intercourse with genital herpes

Many men and women are concerned about the possibility of sexual intercourse with sexual herpes.

The following basic rules should be kept in mind:

  • If there are symptoms of genital herpes and the disease is in the active phase it is required to completely abandon sexual contact,
  • Barrier contraceptives do not provide protection against the pathogen genital herpes,
  • When confirming the diagnosis should warn your sexual partnerHe will also need to seek medical help for a diagnosis.

Conclusion

Many people do not attach due importance to sexual herpes, which is the most common mistake - when the first symptoms of the disease appear, an immediate appeal to a specialist is required.

At the initial stage, it is much easier to suppress the clinical manifestations of herpes; moreover, the risk of developing dangerous complications or the addition of a secondary infection, which can significantly impair the quality of life of any person regardless of gender, is reduced.

Watch the video: What You Need to Know About Genital Herpes (January 2020).