Some cases of genital herpes may also be caused by HSV-1. This sexually transmitted infection is quite common among the adult population in the United States. It also affects children as young as 12. Primarily caused by HSV-2, it is seen now that the HSV-1 virus has been the leading cause of this infection.
Although a contagious disease, people with herpes can show few to no symptoms at all. With time, the outbreaks and the symptoms grow mild and the need to alleviate such signs subsides. Millions of cases are being reported every year, but there is still no definite cure for herpes.
The symptoms of genital herpes may occur during a primary infection, which occurs after the initial infection. Symptoms will manifest within 24 hours, but this is not always the case. Some people may not experience any symptoms whatsoever until a few weeks or even months later. Because HSV is not eradicated from the body but remains in the body mostly in the nerves or ganglia, it can be reactivated to cause symptoms again. This is referred to as a recurrent infection or an outbreak.
The severity and number of outbursts that a person will experience may vary with an average of four to five per year. Certain factors may provoke an outbreak or even intensify symptoms during an outbreak. Stress is also a major contributor to recurrent infections. Other factors include a weak immune system, poor diet, and exposure to UV radiation. It is seen that the infection caused by HSV-1 is less likely to recur than the one caused by HSV-2, which can come back as multiple episodes in a year.
One of the most common features of genital herpes is that it causes small blisters to appear on the genitals, shaft of the penis, or even the glans penis (bulbous structure at the distal end). These blisters may increase in size and finally merge to form one big blister. The blisters contain the herpes simplex virus and colorless fluid. Over the next few days, the blisters will crack open and cause fluid to ooze out. It is during this period that a person with herpes is very contagious, so it is important to avoid contact with this fluid. The blisters take up to three weeks before they can completely heal, forming a scab on the part of the skin.
Pain is usually associated with blisters. This pain can be so intense that a person may need to take over-the-counter painkillers. In very rare cases, there might be symptoms of myeloradiculitis and urinary retention due to the spread of infection to the sacral region of the spinal cord.
Symptoms are mild during an outbreak as compared to symptoms during a primary infection. With time, people experience fewer and fewer outbreaks. Other features of genital herpes include flu-like symptoms. These include itching, malaise, headache, body aches, fever, and enlarged inguinal lymph nodes.
Some people may experience pain during urination due to the presence of blisters in the urethra. Some women may have lesions in the cervix and may produce a smelly discharge from the vagina. Blisters may also occur on the buttocks, anus, and thighs.
In women, cervicitis and dysuria (painful urination) are the common symptoms that accompany this infection. People engaging in anal intercourse can be affected by an acute inflammation of the rectum and anus (herpetic proctitis).
Spread and Treatment
Genital herpes is spread through direct skin-to-skin contact with an infected person. Sexual intercourse is the main route of transmission, but touching the sores of a person with genital herpes can also be a mode of transmission of this STI. Mother-to-child transmission is also possible. That is why pregnant women who have symptoms during labor are recommended to undergo a cesarean section.
Genital herpes can be treated but not cured. Treating genital herpes largely consists of administering antiviral drugs such as acyclovir, valacyclovir, and famciclovir. These medications help improve the symptoms and keep the virus from actively reproducing, thereby decreasing the occurrence of outbreaks and also the severity of symptoms. However, this is only the case when medications are taken on a daily basis, causing the chance of a recurrent infection to decrease. Trying natural remedies such as using honey or propolis may also improve the healing rate of the sores and improve the ability of the immune system to fight the infection.
Adopting a healthy lifestyle such as exercising and eating healthy foods will help improve the overall health of a person with genital herpes. Knowing trigger factors is also important to help reduce outbreaks. Stress, which is one of the most common triggers of genital herpes, can be avoided through relaxation techniques.
Along with such measures, below are a few tips to ensure some relief:
- Do not wear jeans or trousers that can apply pressure to the affected spot. Try to wear loose clothes, which let in air and provide proper circulation.
- When in pain, put an ice pack on the sores for some time.
- Use a lukewarm solution of salt and water to rinse the affected area at least twice a day. This would clean the area of any further contamination and prevent blisters.
Prevention of genital herpes mostly consists of using latex condoms, avoiding sexual relations with a person with herpes when blisters are present, and limiting the number of sex partners. Condoms may not provide complete protection, so the transmission of genital herpes can still occur.
Sometimes, herpes is misdiagnosed, so wrong medications are taken. When you suspect a herpes infection, it is important to consult a doctor, as some bacterial or vaginal yeast infections may have the same symptoms. Avoid sexual intercourse if your partner is affected by any kind of sores. Often, herpes serves as a gateway for an HIV infection, so it is better to be safe than sorry.
While genital herpes cannot be cured, it can be adequately treated. Be sure to prevent transmitting genital herpes and avoid getting the infection by taking necessary precautions.