Genital herpes is a common sexually transmitted infection (STI) caused by the herpes simplex virus (HSV), usually type 2 (HSV-2). It causes outbreaks of painful sores or blisters in the genital or anal area. Antiviral medications can manage symptoms and reduce transmission.
Key Facts
- Lifelong infection: The virus stays in your body but becomes inactive over time.
- Asymptomatic spread: The virus can spread even when no sores are visible.
- Safe management: With care, you can reduce outbreaks and protect partners.
Common Symptoms
- First outbreak (most severe):
- Painful blisters/sores on genitals, buttocks, or thighs.
- Flu-like symptoms (fever, swollen glands, body aches).
- Burning during urination.
- Recurrences: Later outbreaks are usually milder and shorter.
- Some people have no symptoms but can still spread the virus.
How is it spread?
- Sexual contact: Vaginal, anal, or oral sex with someone who has HSV.
- Skin-to-skin contact: Even without penetration or ejaculation.
- Mother-to-baby: Rarely, during childbirth (inform your gynaecologist if pregnant).
Testing & Diagnosis
- Swab test: Fluid from a sore is tested for HSV.
- Blood test: Checks for HSV antibodies (may not detect recent infections).
Treatment options
- Antiviral Medications:
Acyclovir, Valacyclovir, or Famciclovir shorten outbreaks and reduce severity.
Daily suppressive therapy (for frequent outbreaks) lowers transmission risk.
eGynaecologist Advice
- Herpes is very common (1 in 6 adults have HSV-2 and does not define your worth or relationships.
- You should Avoid sex during outbreaks or if you feel tingling/itching and use condoms between outbreaks.
- You should contact your gynaecologist if symptoms are severe or you develop frequent outbreaks and seek gynaecological opinion if you are pregnant or planning pregnancy..
Frequently Asked Questions
Can I still have sex?
Yes! Use condoms, avoid sex during outbreaks, and discuss risks with partners.
Is there a cure?
No, but medications control symptoms. Outbreaks often decrease over time.
Can I give herpes to my baby?
Risk is low with proper prenatal care. Inform your gynaecologist if pregnant to discuss delivery plans.
How do I tell my partner?
Be honest and share facts. Many people accept the risk with precautions.
Are home remedies helpful?
Lysine, aloe vera, or ice may soothe symptoms, but antivirals are most effective.
