Effective treatments for genital herpes
Genital herpes in men is considered a highly infectious disease that is difficult to diagnose and treat.
This is due to the fact that very often the infection proceeds without obvious symptoms.
Since genital herpes is transmitted at the slightest contact of the mucous membranes, the likelihood of infection is very high.
There are 2 approaches to diagnosing this disease. The first is the diagnosis after a thorough examination. A patient who has discovered major symptoms, including weakness, itching, and minor sores, should see a doctor. An experienced specialist is able to visually determine whether these rashes are characteristic of genital herpes.
Next, you need to take a sample of the liquid. Of course, smear analysis may not be accurate. It is considered true only for two days after the symptoms are detected. Later, the reliability of such a test is significantly reduced.
The second approach to diagnosis is not related to examining the patient and studying the clinical manifestations of genital herpes. The following methods are used to make a diagnosis:
- Isolation of the herpes virus. This analysis is expensive and time consuming. It takes a lot of time. Accordingly, it is carried out most often for scientific purposes.
- ELISA (enzyme immunoassay). Thanks to this method, the presence of antibodies to the virus is detected. It is worth noting that, despite the prevalence of ELISA, the method is recognized as not the most reliable. This is because most people have class G antibodies.
- PCR (polymerase chain reaction). This method is considered the most accurate. Any material is suitable for detecting the virus.
- Cytological diagnosis. Previously, this method was the most reliable, but with the advent of PCR, it is practically not used.
When should I resort to treatment and which doctor should I go to?
There is a common belief that the herpes virus remains in the body forever, because of which his treatment is ineffective. In fact, if you start treatment of genital herpes at an early stage, that is, after the first symptoms are detected, the condition of the man will improve significantly. It is known that taking antiviral drugs on the background of complex therapy is effective in 60-70% of cases.
If there is suspicion of genital herpes, it is worth contacting an andrologist or urologist. If there are no ulcers yet, you can visit a therapist. A qualified doctor after a thorough examination will write a referral to the right specialist.
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Prevention of the disease avoids relapse and possible complications.
Common preventive measures (including relapses of genital herpes) include:
- abstinence from sexual intercourse if the partner has herpes on the lips or genitals,
- condom use
- wearing underwear made from natural fabrics,
- compliance with all hygiene rules.
If the patient often has relapses, then the following will help reduce their number:
- balanced nutrition
- quitting smoking and alcohol,
- the use of vitamin complexes,
- quick and competent treatment of injuries and various diseases, including flu and tonsillitis.
Not so long ago a herpevac genital herpes vaccine has been developed. Unfortunately, it is intended only for women. Men can use the Bulgarian vaccine created in the Soviet era.Such a remedy does not relieve relapses, but significantly facilitates the course of the disease.
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The main part of genital rashes is provoked by HSV type 2. Every second person out of 10 infected has genital lesions caused by herpes simplex virus type 2. Sexual transmission of the virus is common. The carrier transmitted by the pathogen may not have obvious manifestations of pathology. Mother is able to transmit HSV during natural childbirth. The method of transmitting infection from mother to baby is called vertical. Contrary to popular belief, it is impossible to acquire pathology through dirty toilets, ponds, in a domestic way. Having penetrated the patient’s body, the pathogen starts the incubation period, lasting 1-26 days.
Pathology determines 2 types of course:
- Primary infection (accompanied by fever, burning of the skin in the genital area, malaise, the appearance of blisters),
- Relapse, exacerbation (easier, has no obvious disturbing signs, except for sores).
Therapy of genital rashes provoked by a viral infection suggests an integrated approach. It is not enough to take a universal medicine, several drugs will be required. The task is to complete the following tasks:
- removal of unpleasant manifestations of the disease, painful symptoms,
- shortening the rash period,
- rapid healing of ulcers that form
- strengthening the body, reducing the likelihood of relapse.
HSV correction is divided into episodic and suppressive:
Occasional therapy involves the integrated use of medications aimed at destroying the activity of the pathogen. It is used for relapses of pathology, initial infection. Occasional therapy is indicated for patients with clear symptoms of the disease.
- Suppressive treatment refers to prophylactic. Therapy is used for latent infection. Medications must be used to prevent recurrence of exacerbation. Suppressive treatment is prescribed for patients with relapses recurring after 1-2 months, and for people who have difficulty tolerating the active course. Mandatory prophylaxis is prescribed to partners without antibodies to HSV.
A feature of the pathology is the lifelong presence of the pathogen in the body. There are no drugs that can completely eliminate the infection. Medicines prescribed by doctors translate the acute course of the disease into a latent one. Remission lasting longer than a year is a good result.
Pharmacy products for genital herpes are prescribed by the doctor after the results of the study. Most drugs are OTC drugs, but you cannot use them yourself.
Antiviral medications are designed to prevent the introduction of the pathogen into the body, to reduce the rate of reproduction. Based on the results of the tests, the examination conducted, the appropriate type of medication is selected:
Common treatments combine the oral and topical methods. Injections that eliminate the pathogen are prescribed less often, with complications of the pathology. Most patients are treated with systemic, local drugs that have a negative effect on the pathogen.
Systemic drugs are designed to stimulate the immune system to respond to the pathogen. Oral medicines do not work directly with the virus. The active action is aimed at boosting one's own immunity, its provocation to the fight. Medicine is used to treat genital herpes with antiviral drugs:
The task of the active substance is to change the DNA of the pathogenic cell, leading to the death of the pathogen.Occasional therapy chooses a short course of volumetric dosage. A suppressive treatment technique prefers to use smaller volumes of drugs over a long period of time.
The method of using the drug of the same name is different for patients.
|Active substance||Characteristic||Drug Names||Episodic therapy||Suppressive therapy|
|Acyclovir||Acyclovir medications are contraindicated in hypersensitive patients. Cautiously used during pregnancy, lactation.||Acyclovir, Zovirax, Virolex, Medovir, Herperax.||Orally 200 milligrams of active ingredient, daily intake of 5 doses. The duration of treatment is 5-7 days.||Orally 200 milligrams of acyclovir 2-4 doses. Duration is set individually.|
|Famciclovir||Long-term use causes irreversible cell changes. It is forbidden during pregnancy, breastfeeding.||Famfir, Familar, Minaker, Famciclovir Teva.||Orally, washed down with a comfortable amount of water, 500 milligrams twice. The duration of treatment is 7 days.||Orally with a comfortable amount of liquid. A single dose is 250 milligrams, taken in the morning and evening. Duration is selected individually.|
|Valciclovir||It is forbidden for hypersensitivity, severe kidney disease, obvious symptoms of HIV. There is no teratogenic effect.||Valtex, Valcicon, Valvir, Valacyclovir.||Orally, 500 milligrams of the active substance twice. Duration of the course is 3-5 days, extension to 10 is possible.||Orally, 500 milligrams once. Duration is set in accordance with the state of the human immune system.|
Local treatment of genital herpes involves the treatment of affected skin, mucous membranes. Used drugs similar to the systemic composition. The use of external drugs is a prerequisite. The main goal is to prevent the release of the virus by opening bubbles, to prevent the spread of infection over a large area. An additional plus of local formulations is symptomatic treatment. Medicines relieve the clinical manifestations of the disease (itching, burning, hyperemia). Practice shows a favorable prognosis for the early use of ointments, creams, gels. Symptoms of the disease disappear in 2-3 days.
- Acyclovir, Zovirax - external funds based on acyclovir. Creams treat affected skin, capturing healthy areas. The course of use is 5-10 days.
- Fenistil is an antihistamine with antiviral activity. Relieves itching, redness, eliminates the virus. The gel enhances the effectiveness of antiviral agents, requires 2-3 applications per day.
- Panavir is an antiviral agent that requires 5 applications. The course of treatment is 5-10 days.
- Hyporamine is a plant ointment with antiviral activity. Processing involves 6 approaches, the duration of application is 3 weeks.
- Viru-Merz serol is a gel that actively eliminates type 1 and type 2 viruses. The substance is applied in 3-4 calls for 3 days.
Local treatment for genital herpes is done exclusively on clean skin. The patient will need a separate towel, personal hygiene products. Treatment of affected areas requires washing hands. The appointment of several external drugs requires the patient to comply with the established treatment regimen.
With genital herpes, immunomodulating agents are prescribed. Pills, capsules, injections, suppositories will help antiviral drugs work efficiently. Immunostimulants are designed to increase resistance, increase immunity. A decrease in the body's resistance often causes a recurrent rash. In order for the use of immunomodulatory formulations to be the most effective, analyzes should first be submitted. The information obtained will help the doctor choose an effective medication.
|Drug name||Use pattern||Operating principle||Contraindications|
|Imunofan||Intramuscularly, a single dose is 1 milliliter. The break is 24 hours. The course includes 5 ampoules.||Antiviral, hepatoprotective, detoxifying effect. Efficiency lasts 4 months.||It is contraindicated in hypersensitive people, pregnant women with Rh conflict, children under 2 years old.|
|Cycloferon||Orally, 4 tablets. The duration of treatment is 10 days (according to a separate scheme). Injection 0.25 milligrams 10 days.||Immunostimulating, anti-inflammatory, antiviral effect.||Contraindicated in pregnant women, nursing women, children under 4 years old. It is forbidden to persons with cirrhosis, ulcerative lesions of the gastrointestinal tract.|
|Immunomax||200 units by a single administration according to an individual scheme.||It activates inactive parts of the immune system and helps protect the body from viral, bacterial infections.||It is forbidden to hypersensitive people, children under 12 years of age.|
|Galavit||Orally 1-2 tablets three times. Injection of 100 milligrams for 5 days.||Affects the functional and metabolic activity of macrophages. It has a bactericidal effect, increases the body's defense.||Contraindicated in pregnant women, nursing women, hypersensitive persons.|
Popular immunomodulatory pharmacy products are:
- Viferon, Kipferon, Genferon - candles,
- Interferon, Reaferon - powder substances,
- Isoprinosine, Lycopide - tablets.
Suitable medicines, the scheme of use is selected by a specialist after examination.
Patients prefer to treat genital herpes with folk remedies. People find such therapy safe, inexpensive, effective. Doctors are skeptical of this approach. Traditional medicine involves the use of the following methods:
- Echinacea tea (strengthens the immune system, boosts the fight against the virus),
- calendula tincture (assumes local application),
- chamomile broth (apply compresses),
- licorice root (taken orally, being careful)
- celandine (has anti-inflammatory, analgesic effect),
- aloe (daily rubbing of the rash with a leaf of a plant disinfects, accelerates regeneration).
Practice shows that different folk remedies can not be compared with qualified treatment with pharmacy products. Doctors do not forbid to supplement the prescribed therapy with grandmother's prescriptions. However, it is impossible to replace the received appointment with natural self-cooking formulations.
Tips for Patients
Doctors prescribing medications for genital herpes give patients individual recommendations. Tips come down to following the correct regimen, changing lifestyle.
- Create the right attitude. You can not despair, give up. Modern medicines will help minimize the likelihood of relapse, unpleasant symptoms of the disease.
- Strengthen your immunity. Causes the virus to attack the body by weakening immune defenses. It is recommended to use any methods that strengthen the immune system. You can increase the body's resistance by observing the correct diet, daily regimen, and sports.
- Observe hygiene. Primary vesicles, accompanied by a burning sensation, prompt a person to smear with everything available in a home medicine cabinet. The use of oil creams, agents that impede the saturation of tissues with air, exacerbates the course of the disease. Use soap, water. Do not rub blisters.
- Wear cotton underwear. Genital rashes cause pain to a person. Free clothes, breathable, made from natural materials, will help to avoid unnecessary friction.
- Use caution. It is unacceptable to open the resulting bubbles. Puncture of blisters will cause pain, discomfort, will cause the attachment of a secondary bacterial infection. The resulting crust of ulcers is forbidden to tear off. Compliance with established rules will speed healing, prevent complications.
- Eat fully, drink more water. The virus that affects the genitals occurs due to vitamin deficiency, bad habits. The patient needs good nutrition, drinking regimen, rejection of harmful addictions. Alcohol is recognized as a provocateur of infection.
The rising temperature caused by the primary infection is reduced by antipyretics. Experts recommend taking an antipyretic when the thermometer shows a value of 38-39 degrees. You can use Paracetamol, Ibuprofen, Nimesulide, Ketorolac. The drugs will lower the temperature, eliminate the pain syndrome, and have an anti-inflammatory effect. Doctors allow taking antipyretics for 3 days.
The herpes virus of the first two types can be manifested by rashes that affect the genitals. Men and women are equally susceptible to the disease. A person may not suspect the presence of a virus in the body for a long time. It is easy to establish precisely this fact. It is necessary to conduct laboratory research.
The first symptoms of genital herpes, which appeared suddenly, should make a person seek medical help. Early therapy will help in a short time to solve the existing problem, to prevent the development of complications.
How to treat genital herpes in men?
Unprotected sexual intercourse is the main cause of infection with genital herpes. Less commonly, pathology enters the body through household items. In addition, another way of infection is isolated: placental, when the herpes simplex virus is transmitted from mother to child. In such cases, a generalized form of the disease often develops.
After infection, the body produces specific antibodies. The reaction of the immune response to the action of a pathogenic agent reduces the duration of the disease. However, during a period of relapse of the pathology, the body's abilities are not enough to suppress the virus.
To increase the effectiveness of treatment of genital herpes in men, it is necessary to start therapy when the first clinical phenomena occur.
When to start treatment?
After infection, herperovirus is introduced into the nerve endings, as a result of which the disease cannot be completely cured. The effect of therapy used in the genital form of pathology is aimed both at suppressing the activity of the herpes pathogen and at increasing the length of the period of remission.
Relapse of the pathology occurs against the background of a weakened immune system. The body loses its ability to resist the virus under the influence of the following factors:
- the course of diseases affecting the internal organs, including the genitourinary,
- severe stress
- bad habits,
- adverse environmental conditions
- exacerbation of chronic diseases and more.
Knowledge of the causes of the pathology allows effective prevention of the disease.
With primary genital herpes, the clinical picture is characterized by severe symptoms. At the initial stage of development on the skin and mucous membrane of the male genital organs appear:
In the case of a primary infection of the body, other symptoms may appear:
- body temperature rises
- inguinal lymph nodes increase
- there is pain in the perineum and problems with urination.
The leading sign of the disease are vesicle rashes, which are formed 1-2 after the onset of these symptoms. During this period, the intensity of general symptoms increases. After about a week, the vesicles open, and erosion remains in their place. With such symptoms, it is not possible to quickly cure genital herpes. The body needs up to 2-3 weeks to fully recover.
In approximately 20% of patients, the disease becomes atypical. In such cases, it is difficult to detect herpes on the genitals in men, and treatment is often not started. It is possible to suspect the presence of a pathology that proceeds in an atypical form by the following signs:
- pain, itching and swelling in the inguinal zone, fever (erythematous form),
- the appearance of vesicles on the mucous membranes of the genital organs (bullous form),
- genital bleeding (hemorrhagic form),
- intense itching and burning in the inguinal zone (itchy form).
Effective treatment of a sick person with an atypical form of herpes can be achieved if you seek help from a doctor if the described phenomena occur.
Why treat cold sores?
Against the background of the course of the infection, the man experiences discomfort in the inguinal zone. During the period of recurrence of herpes, it is recommended to avoid unprotected sexual intercourse, since the virus easily penetrates through the mucous membranes. The human body in most cases is able to independently cope with the pathology. But doctors insist on the need for genital herpes therapy against the background of an exacerbation of the infection.
The virus is dangerous not only because during the period of relapse, the man remains contagious to others. In the absence of treatment, herpes spreads to new areas of the body. And over time, the appearance of rashes is noted on the urethral mucosa and in the anus.
Complications of genital herpes in men, depending on the location of the virus, are of the following nature:
Due to the fact that the course of the pathology is accompanied by unpleasant sensations, men develop psychological problems. And the lack of intimacy provokes depression.
What drugs are used in treatment?
Treatment of genital herpes in men is carried out mainly with the help of drugs based on acyclovir. This substance acts directly on the infection and inhibits its development. An important feature of acyclovir is that it only affects the herpes simplex virus types 1 and 2. The substance is considered to be low toxic to the human body. Therefore, treatment of the child is possible with the help of such drugs.
In the treatment of pathology, “Acyclovir” and other antiviral drugs are used:
In the first trimester during pregnancy, these drugs should be used in the form of ointments, creams. Treatment of herpes on the glans penis in men is also carried out using antiviral drugs in tablet form. The dosage of medicines is determined based on the intensity of the manifestations of herpes and the sensitivity of the patient's body to the active substance. It is recommended to use antiviral ointments up to 5 times a day.
In the early stages of the development of pathogenesis, interferon preparations are used. This approach helps to prevent the appearance of bubble rashes and accelerate the recovery of the body.
Treatment of herpetic infection on the genitals is necessarily supplemented by immunomodulators or vitamin complexes. Such drugs strengthen the immune system, due to which the body begins to independently fight the activity of the virus.
It is also necessary to carry out symptomatic treatment by:
- antihistamines to eliminate itching,
- antipyretic drugs to restore body temperature,
- pain medication to eliminate pain.
During the period when the bubbles open, it is recommended to regularly treat the problem area with antiseptic drugs. This will prevent the attachment of a secondary infection.
If the patient has frequent relapses of the pathology, in order to prevent another exacerbation, the following should be used:
- Gradex and other immunomodulators.
Patients in whom the disease recurs more than 6 times a year are shown regular intake of vitamins B1 and B6. These drugs increase the body's resistance to viruses.
The use of folk remedies is designed to stop the general symptoms of pathology. In this case, the selection of drugs is also carried out by the attending physician.
In order to prevent re-infection of the genital organs and suppress the inflammatory process, it is allowed to treat the problem area:
- solutions of chamomile and calendula,
- fir and sea buckthorn oil.
During the recurrence of pathology, infusions or plant teas that strengthen the immune system should be taken orally.
Why do men get genital herpes?
The causative agent of genital herpes in men is 2 strain of herpes simplex virus. At risk are sexually active people who prefer promiscuous sexual intercourse and neglect protective measures.
Genital herpes spreads even in cases where there are no visible signs of pathogen activity.
What ways a man can get infected:
Most rarely, genital herpes is transmitted by blood transfusion. The household channel involves the transmission of the pathogen through dishes, bedding and bath items, hygiene items. Most often, herpes virus enters a healthy body through sexual contact when unprotected intercourse occurs or sex occurs with an unverified partner.
The pathogen is transferred to a new organism through the head of the penis. But infection does not always occur due to the microscopic size of the urinary canal. Therefore, if the virus is located on the tissues near the vas deferens, infection may not occur. In women, the risk of contracting a herpes infection always exists due to close contact of the vaginal environment with the male organ.
Doctors attribute the widespread occurrence of genital herpes to the fact that modern men are happy to practice oral sex, but do not care about condom protection. This leads to the fact that a cold sore on the lips of a partner instantly switches to male dignity.
Clinical features of HSV-2 in men
The main symptom of the disease is a large rash on the penis. Elements are formed on the 5-7th day after infection. First, redness occurs on the head of the phallus or on the inner surface of the foreskin, the organ itches and hurts, a burning sensation arises. After a few hours, the problem area is covered with small bubbles with a clear liquid.
Clinical symptoms of genital herpes in men are expressed by a deterioration in well-being:
- Lymph nodes swell in the groin.
- Pain in the joint and muscle apparatus.
- Gastrointestinal Disorders.
- Hyperthermia brings to a febrile state.
- The urethra rejects purulent discharge.
On 3-4 days, the blisters open and turn into wetting points. The patient experiences pain due to friction on the laundry. After some time, significant discomfort during urination can occur, associated with drying out of the ulcers during heavy rashes (foci form a continuous crust on the tissues of the penis).
External manifestations of the expressed stages of genital herpes in men are presented in the photo.
Very often, infected people do not attach importance to a mild rash and refuse treatment, but in vain. Under the influence of the virus, the body is depleted, and each time the symptoms of HSV-2 are aggravated.
In the last stage, the wounds heal completely. After the scab falls, the organ does not remain. A man becomes a carrier of herpesvirus and becomes ill again as soon as the immune system is significantly weakened.
With primary infection, the symptoms are always more pronounced. Relapses occur without fever and malaise, but the penis is also covered with blisters. The difference between the secondary form and the primary is the accelerated resolution of the elements.
Medication for intimate herpes
The main treatment for genital herpes in men is antiviral and immunomodulatory. Traditionally, patients are prescribed various forms of drugs: tablets, ointments, creams, suspensions.
The doctor chooses the appropriate medicine from the following list:
The use of drugs at the stage of mild discomfort in the intimate zone suppresses the mechanism of formation of viral vesicles. If the vesicles have appeared, the drugs accelerate their healing.
How to treat genital herpes in men from the immune system? For this, patients are prescribed interferon inducers - Amiksin or Arbidol. According to the indications for the introduction of subcutaneous injections can be used Poludan. Dosages and regimens are prescribed in the instructions. Means of the interferon group are combined with hormonal therapy.
General strengthening vegetable immunomodulators are prescribed in the form of echinacea and ginseng preparations. For vitamin support of the body, complexes with zinc, calcium, ascorbic acid and vitamins E, B1, B6, C are recommended.
For the entire period of the fight against the virus, one should refrain from intimate relationships. The use of drugs and treatment with ointments until complete recovery does not guarantee that there is no risk of infection of the partner.
Sweets, fatty and spicy dishes, alcohol and pickled vegetables are subject to exclusion from the diet.
P.S. How to cure genital herpes in men forever? While doctors do not know the exact answer to this question.
To prevent infection and reduce the frequency of relapses, lead a healthy lifestyle, temper your body and do not have sex with partners who have clear signs of herpes infection. If a condom breaks, use a disinfectant.
For many years, doctors around the world have been struggling with herpes virus infection, and especially with its sexually transmitted species. Among these "indestructible" diseases is genital herpes.
It cannot be completely cured, but it can be successfully controlled. This is not an easy disease, the danger of which lies in instant infection and rapid spread. The main concern is its asymptomatic course and the possibility of the manifestation of fairly frequent relapses.
Most male patients are carriers of genital herpes virus, but due to the absence of symptoms of the disease, they are not even aware of the existing danger. This causes involuntary infection of the sexual partner.
This ailment causes HSV of the second type, manifesting itself in the form of lesions of the internal and external genital organs in the form of vesicle rashes. In men, such manifestations are rather painful and can provoke the development of more serious diseases.
Manifestations of genital herpes in men
Type II HSV in men, sexually transmitted, is characterized by the appearance of redness, accompanied by intolerable itching, to which a burning sensation later joins.
With the further development of the disease, blisters appear with a clear liquid inside, which burst after a short time. In place of each bubble, erosion occurs, which crusts during the healing phase.
At the initial infection, these sores are quite painful and cause a lot of inconvenience to the patient. But if this is a relapse, then this form of the disease is characterized by transience and not so pronounced soreness.
Genital herpes in men is dangerous with a possible hidden course.
The lack of timely adequate treatment leads to the development of an ascending infection and, accordingly, inflammation:
- prostate gland.
The consequences can be severe and irreparable. The main requirement for all patients who notice signs of herpes virus infection is a mandatory and timely visit to a doctor.
The appearance of bubble rashes on the glans penis may be the first reason for visiting such specialists as:
In the future, the patient will be disturbed by difficult painful urination, impaired sexual function, pain in the lower abdomen.
Who is at risk?
Genital herpes is a disease transmitted, in most cases, sexually. Despite the fact that the majority of the world's population has the herpes virus in their blood, many are unaware of its existence. This is due to its atypical asymptomatic course and latent existence.
Infection is possible unintentionally in the absence of contraceptives during sexual intercourse, oral-genital or anogenital contact. Most of the patients at risk are young people during puberty
Random communications, lack of protection and protection, same-sex contacts lead to the mass spread of the virus. The possibility of infection in middle-aged men is not excluded, since the disease is often asymptomatic.
Another risk group is patients who are negligent in observing elementary rules of personal hygiene. Even with HSV type I disease, the patient himself can:
- infect yourself by transferring the infection from the lips to the genitals,
- using common care products
- visiting public baths.
In men, in most cases, the picture of the disease is not pronounced, or it proceeds so that the symptoms of the disease are not visible. Therefore, becoming a source of infection, a representative of the stronger sex does not always know about it.
The most affected are:
- immunocompromised persons
- alcohol abusers
- & nicotine addicted,
- taking hormonal drugs
- undergoing severe, volumetric surgical interventions,
- being treated in oncology.
Herpes is contagious at the stage of rupture of the vesicles. At this point, the liquid released easily spreads, carrying millions of virions.
Symptoms of genital herpes in men are not much different from the usual manifestations of the disease. Its peculiarity lies in the fact that the disease often begins suddenly. Symptoms are such that patients confuse herpes with a common cold and do not consult a doctor until a rash appears. At the initial stage, all signs indicate the presence of an inflammatory process:
- chronic fatigue,
- apathy or irritability,
- sweating and drowsiness,
- a slight increase in temperature.
All these are common symptoms of a common cold for everyone. The patient understands that he is dealing with the herpes virus at the moment when vesicles and sores appear:
- on the glans penis
- in the groin
- on the inner and outer thighs,
- on the buttocks
- around the anus.
At this time, the inguinal lymph nodes increase, the temperature rises, urination becomes frequent and painful. In men, genital herpes is not always manifested in the form of rashes on the external genitalia.
The course of the disease, in which there are no such manifestations, is recognized as the most dangerous. The defeat of these organs is quite rare, mainly for men the hidden course of the disease is characteristic, which becomes the cause of the spread of the virus.
Symptoms of genital herpes can make a preliminary diagnosis, but in order to clarify the appearance of the conditions and manifestations of the ailment listed above, a full examination is required.
Symptoms of herpes in the intimate zone in men
Signs of genital herpes in men become apparent a week or two after infection. The general picture of the course is as follows: on the foreskin or on the scrotum, the carrier can detect uncharacteristic redness. Often, patients in the first stages of infection experienced burning pain during urination - this is herpes in the urethra. Later, formation and rashes uncharacteristic of the inguinal region arise, which develop into grouped vesicle clusters filled with a clear or turbid liquid.
How does herpes appear in men: stages
To understand what genital herpes looks like and not to confuse it with another sexually transmitted disease, we consider the picture of the course of the stages:
- At the stage of development of rashes, the infected person may feel a general malaise. Often, body temperature rises, weakness and passivity are manifested. In case of infection with the urethral virus, purulent discharge is observed. Following the malaise comes itching, burning and noticeable redness forms. Stage duration - up to several days,
- The next stage is the formation of vesicle clusters in the groin area. They can be arranged randomly, have several clusters and have different sizes. In the case of a neglected form, clusters will tend to each other, forming one large group,
- After a few days, the vesicle clusters pass to the stage of ulceration and randomly open: the viral cells are released to the outside. During this stage, the carrier poses a danger to others: contacts (especially sexual) should be minimized. Even using contraceptives may not protect your partner from infection,
- At the final stage of the course after ulceration, a crust forms at the site of the accumulation of vesicles, after convergence of which the affected areas will gradually heal.
Symptoms of genital herpes in men are similar to symptoms in women. In order to speed up the treatment of genital herpes, it is necessary to visit the attending physician at the first signs of the manifestation of the virus: this will help to avoid complications and adverse consequences.
Herpes in the groin in men: the development of complications
In case of untimely treatment of genital herpes virus, the likelihood of developing adverse effects increases. Possible defeat:
- Reproductive viscera,
To cure a developing disease in the early stages means avoiding exacerbations in the future and protecting one's own health from the adverse effects of the manifestation. Timely and productive treatment of herpesvirus in men will make it possible to exclude the development of chronic and recurrent forms.
How is genital herpes transmitted?
The cause of the disease is herpes simplex viruses (Herpessimplex) of two types, mainly HSV-2. The virus of the first type was previously associated with a disease of the skin, oral cavity. HSV-2 causes genital herpes and meningoencephalitis. Now there are cases of a disease caused by the first type of virus or a combination thereof. Often the carrier does not have any symptoms of the disease and does not suspect that it is a source of infection.
How can you get this disease? The most common transmission routes for genital herpes are through sexual contact. Most often, infection occurs through sexual contact with a virus carrier or with a sick person. You can get infected with a kiss, as well as when using common household items (spoons, toys). The virus can also be transmitted by airborne droplets.
The pathogen enters the baby’s body from the mother during childbirth. The risk of such transmission depends on the type of lesion in the patient. It makes up to 75%. In addition, infection of the fetus is possible through the blood during the period of viremia (the release of viral particles into the blood) with an acute illness in the mother.
Children in most cases are infected with HSV-1 in the first years of life. By the age of 5, the infection with HSV-2 is also growing. During the first six months of life, infants do not get sick, this is due to the presence of maternal antibodies in them. If the mother was not infected earlier and did not pass on her protective antibodies to the child, then children at such an early age are very seriously ill.
Causes of Genital Herpes
The disease is more often transmitted through sexual contact, both normal and during anal sex. In rare cases, infection occurs through personal hygiene items.
Genital herpes can be contracted from a partner with herpetic eruptions in the mouth, because when exposed to the genitals, the infection passes from the lips to the genitals.
Risk factors that increase the chance of contracting this disease:
- Impaired immunity due to illness, stress or taking medications.
- Minor damage to the mucosa and skin.
- The simultaneous presence of several sexual partners.
- Having sex without a condom.
From a medical point of view, this disease is called "Anogenital herpetic viral infection caused by the HerpesSimplex virus." There are two main forms of the disease:
- genital herpes in women,
- genital herpes in men,
Infection of the rectum and skin around the anus.
The development mechanism (pathogenesis) of genetic herpes
The virus enters the body through damaged mucous membranes and skin. In the area of the "entrance gate" it multiplies, causing typical manifestations. The pathogen usually does not spread further, it rarely enters the lymph nodes and even more rarely penetrates the bloodstream, causing viremia. The further fate of the virus largely depends on the properties of the human body.
If the body has good immune defense, a virus carrier is formed that does not exclude recurrence of the infection under adverse conditions. If the body does not cope with the infection, the herpes virus through the blood enters the internal organs (brain, liver and others), affecting them. Antibodies are produced in response to infection, but they do not prevent the development of exacerbations and relapses.
With weakening of the immune system, the virus that was previously preserved in the nerve cells is activated and enters the bloodstream, causing an exacerbation of the disease.
Symptoms of the disease
HPV does not cause any symptoms in most carriers over time. The incubation period of genital herpes in previously uninfected people is 7 days. In men, the virus persists in the organs of the genitourinary system, in women, in the cervical canal, vagina, and urethra. After infection, lifelong carriage of the genital herpes virus is formed. The disease has a tendency to stubborn course with relapse.
Reasons contributing to the development of external signs of infection:
- permanent or temporary decrease in immunity, including HIV infection,
- hypothermia or overheating,
- concomitant diseases, for example, diabetes mellitus, acute respiratory infection,
- medical interventions, including abortion and the introduction of an intrauterine contraceptive ().
Under the influence of these factors, a prodromal period occurs - “pre-illness”. Initial signs of genital herpes: at the site of the future focus, patients note the appearance of itching, pain or burning. After some time, rashes appear in the focus.
Herpes virus and its types
HSV-1 and HSV-2 viruses are causative agents of genital herpes. In men, it can equally be a virus of the type HSV-1 or HSV-2. But in the second case, the symptoms of the disease will be more pronounced and will also cause a crushing blow to the genitals. The genitals of the subsequently transferred disease will carry out deeply disturbed, deformed functions.
Both types of viruses causing an unpleasant disease in men differ from each other in the structure of the membranes. They are similar to tentacles, with the help of which the virus is fixed in the male body, beginning to gradually influence the state of the organs of men. This applies to both external and internal organs and leads not only to "purely genital consequences."
200 nanometers is the diameter of a viral particle, which carries with it more than one viral symptom of the disease in men and a lot of problems of the reproductive system.It is quite resistant to environmental influences, because both types of herpes in men are not afraid of low and high temperatures. Moreover, genital herpes tends to persist and withstands the temperature of the environment even minus 70 0 Celsius. The reasons for this lie in the significant survival characteristic of such a virus.
Herpes simplex virus type 1 - 2 - characteristics
Of the eight types of herpes viruses that can parasitize in the human body, only two species have the adjective “simple”:
- 1. Herpes simplex virus type 1 - manifests itself with rashes on the lips, face
- 2. Herpes simplex virus type 2 - causes genital herpes, which affects the mucous membranes of the genitals.
The herpes simplex virus is very resistant to cold, but unstable to heat. At a temperature of 50 degrees, this one dies within 30 minutes. At a temperature of 37 degrees - dies within 20 hours.
Outside the human body, at normal temperature and humidity, the herpes virus dies within 24 hours. On metal surfaces (door handles, taps, money), it survives 2 hours, on wet (towels, linen) - 6-24 hours. All this must be known for the prevention of infection.
This virus loses its activity and ability to reproduce under the influence of x-rays and ultraviolet rays, alcohol, organic solvents, phenol, formalin, bile, and disinfectants.
What does genital herpes look like?
Elements of the rash are located separately or grouped, look like small bubbles with a diameter of up to 4 mm. Such elements are located on the reddened (erythematous), edematous base - the skin of the perineum, perianal zone and the mucous membrane of the genitourinary organs. The appearance of vesicles (vesicles) may be accompanied by mild fever, headache, malaise, and insomnia. Regional (inguinal) lymph nodes become larger and more painful. The primary episode is especially pronounced in people previously uninfected with the virus who lack antibodies to it.
A few days later, the vesicles independently open, forming erosion (superficial damage to the mucous membrane) with uneven outlines. At this time, patients complain of severe itching and a burning sensation in the erosion zone, weeping, severe pain, further aggravated by sexual intercourse. During the first ten days of the disease, new rashes appear. Of these, viral particles are actively released.
Erosion gradually crusts and heals, leaving small foci of weak pigmentation or lighter skin areas. The time from the appearance of the rash element to its epithelization (healing) is two to three weeks. The causative agent enters the cells of the nerve trunks, where it remains for a long time in a latent state.
Symptoms of genital herpes in female patients are expressed in the labia, vulva, perineum, vagina, on the cervix. In men, the glans penis, foreskin, and urethra are affected.
The pelvic nerves are often involved in the process. This leads to violations of the sensitivity of the skin of the lower extremities, pain in the lower back and sacrum. Sometimes urination becomes frequent and painful.
In women, the first episode of herpes lasts longer and is noticeable than in men. The duration of exacerbation without treatment is about 3 weeks.
Virus life span
Scientists assure that under standard environmental conditions such viruses can live no more than 20 minutes. How comforting is this information if an infection has already been received by the genital organ? A few seconds is enough for genital herpes to settle in the body of men, leading the body to catastrophic consequences in just a few days. These consequences are palpable even for the most mild symptoms of this ailment.
There are statistics that 11% of young men are infected with the herpes simplex virus and 73% of those who have crossed the 50-year-old age barrier also suffer from this disease. There are no age-related barriers to genital infections. Various social conditions are not an obstacle to a dynamically spreading genital disease in men. Genital herpes in men is observed in almost all climatic zones of the globe, as well as male frivolity in relation to the genital virus.
Do not forget that the symptoms of the same disease with genital herpes, even if its causes are completely similar, can vary widely and be transmitted by the genitals in different ways. One single symptom of a violation by the genital organ of familiar functions can confuse the familiar clinical picture. This applies to all symptoms of this disease. So, the symptom of the localization of the rash, caused by various reasons, is a well-known, but not always the leading sign of genital herpes in men, manifested by the genitals.
- Genital herpes can be active, or it may not be felt at all until a certain point.
- As a rule, herpes virus, occurring in a latent form, is almost impossible to detect if you do not pass a number of special tests.
- It is impossible to cure an infectious disease on its own, therefore, if there is a suspicion of the presence of genital herpes, it is recommended that you immediately contact a specialist, otherwise the disease may take a chronic character.
- Only a qualified doctor can determine the type of herpes, and then prescribe an effective treatment.
Recurrent Genital Herpes
About 10-20% of patients with recurrent genital herpes develop. The first manifestation of the infection is usually more violent. Relapse of genital herpes is less intense and is faster than the primary symptoms. This is due to antibodies already existing in the body at this point, which help fight the virus. Genital herpes type 1 recurs less frequently than the second.
An exacerbation of the disease can manifest itself with minor symptoms - itching, rare rashes. Sometimes the picture of the disease is represented by painful fusion erosion, ulceration of the mucous membrane. Virus isolation lasts 4 days or longer. An increase in inguinal lymph nodes appears, lymphostasis and severe swelling of the genital organs due to lymph stagnation (elephantiasis) are not ruled out.
Relapses occur equally often in men and women. Men have longer episodes, while women have a brighter clinical picture.
If the relapse rate is more than six per year, they speak of a severe form of the disease. The moderate form is accompanied by three to four exacerbations during the year, and the mild one or two.
In 20% of cases, atypical genital herpes develops. Manifestations of the disease are masked by another infection of the genitourinary system, for example, (thrush). So, thrush is characterized by discharge, which is practically absent in ordinary genital herpes.
Two transmission methods
This disease is transmitted in two main ways: sexual and domestic. Moreover, direct transmission of the virus is more than possible even when herpes is on the body, on the lips of the carrier, from where it passes to the genitals of the infected person.
With the household method of transmitting the virus, only a slight contact or contact with its carrier, and not only its genital organs, is enough to infect a person with this disease. Household items and clothing are also the medium for the spread of this disease and other genital infections transmitted by the genitals. And then, having got on the penis, not only along the genital pathway, the virus becomes the sovereign master on the human body.And only when the viruses take maximum control of the reproductive system, the clinical picture characteristic of genital disease begins to emerge. And the expressed symptoms of this disease are its indicators.
The genital form of the disease has a property that is directly related to genetics, and not only to the functions carried out directly by the genital organ. When it is believed that the disease is defeated and the body appears immune to it, destroying the viral cells of this disease, the viral genes do not disappear from the nerve cells.
That is, genital herpes transferred by the body itself does not disappear from DNA completely! And at any moment of weakening of immunity, genital herpes wakes up and captures the body. And it will spread in the body strictly according to a certain path: along the line of the spine along the body, starting from the coccyx, genitals, to the head, without limiting its “commitment” to one genital area.
In men and women
Genital or genital herpes - This is a genital disease in men and women caused by herpes simplex viruses of the 2nd type, but 20% of cases of this disease are caused by infection with the 1st type virus. For genital herpes single or grouped skin rashes are typical, it usually affects the external genitalia, perineum and anus and (less commonly) the vagina and cervix (vaginal and cervical herpes in women). In severe cases, genital herpes can pass to the body of the uterus and its appendages.
Bubbles filled with serous fluid then turn into sores and erosion. At the lesion sites, pain, itching, burning are felt. It is necessary to take measures for the fastest treatment, because the genital herpes virus can provoke even the development of cancer.
If the symptoms disappear, this does not mean that healing has occurred - the virus remains inside, and after some time the exacerbation may recur. For some, after a few weeks, for others, after a few years.
Provoking factors of exacerbation of genital herpes:
- - stress
- - colds, flu
- - diabetes
- - overheating or hypothermia
- - alcohol, caffeine consumption
Herpes treatment should be comprehensive, aimed at increasing the body's defenses. In addition, it is necessary to take vitamin - mineral complexes. During exacerbations, the dose of vitamins C, A, B needs to be increased.
Treatment of genital herpes must be combined with a diet: exclude sugar, alcohol, citrus fruits, milk from the diet.
Coffee, nuts, chocolate, beef, tomatoes contain the substance argenin, which contributes to the propagation of the herpes virus, it is also better to refuse these products. You need to include seaweed, apples, fermented milk products, cheese, yogurt in the menu
Without racism and homophobia
The risk of genital herpes in men increases with each year they live. The most numerous male categories that carry genital herpes are people aged 20 to 29 years and from 35 to 40 years old. Reason: an increase in the number of sexual partners, leading to a directly proportional increase in the incidence of herpes in men.
To say that genital herpes is a “privilege” of the male population of the planet is wrong, as well as the fact that only strictly defined categories of men suffer from this viral disease. But there are those male groups whose bodies most quickly “catch” the infection with this virus. The reasons for this science calls different. But the following has been reliably established: such categories include the peoples of the black race, males suffering from sexually transmitted diseases, homosexuals, among whom almost half are carriers of genital herpes.
At the beginning of treatment, you need to use ointments and tablets that help the immune system cope with the virus:
These drugs are recommended to be used for at least 10 days and no more than a month. Due to these ointments and tablets, the initial manifestation and further spread of the infection can be prevented.
Different stages of the disease
Genital herpes has different stages. This applies to the manifestation of the disease and its symptoms at each stage. Signs of this disease in men are shown alternately and are characterized by alternating symptoms.
In men, the symptoms of genital herpes already at the first stage demonstrate the primary signs characteristic of not only this disease. The body temperature rises, numbness in the pelvic area is felt, pains begin in the scrotum, in the perineum, in the upper thighs, the body constantly feels painful discomfort in the genital area. General malaise leads to the fact that the body is constantly "breaking". But this is a fairly rare symptom of genital herpes, characteristic of various viral diseases of the genital organs.
Only in the second stage of genital herpes are rashes covering the body. They are visible, but already secondary signs of genital herpes in men. Initially, redness occurs on the skin of the genital organs. This symptom is replaced by the appearance of numerous small transparent vesicles in the genital area, on the glans penis, in the urethra.
The next symptom takes effect when the vesicles - another important sign of this excruciating ailment - begin to burst. In their place in the genital area ulcers form. The rupture of the vesicles usually lasts no more than a day, after which the ulcers on the genitals are covered with a dry crust, and the body under it gradually heals.
The treatment regimen for acute genital herpes and its relapses includes primarily Acyclovir (Zovirax). With normal immunograms, it is prescribed in a daily dose of 1 gram, divided into five doses, for ten days or until recovery. With significant immunodeficiency or damage to the rectum, the daily dose increases to 2 grams in 4-5 doses. The earlier treatment is started, the higher its effectiveness. The best option for starting therapy, in which the drug is most effective, is the prodromal period or the first day of the appearance of rashes.
How to get rid of relapses of the disease? For this purpose, suppressive (suppressive) therapy with Acyclovir at a dose of 0.8 g per day is prescribed. At the same time, tablets are taken for months, and sometimes years. Daily medication helps to avoid relapse in almost all patients, and in a third of them repeated episodes of the disease are not observed.
Acyclovir is produced under trade names that include the word itself, as well as Acyclostad, Vivorax, Virolex, Herperax, Medovir, Provirsan. Of its side effects, digestive disorders (nausea, abdominal pain, diarrhea), headache, skin itching, fatigue can be noted. Very rare unwanted effects of the drug are hematopoiesis, renal failure, damage to the nervous system. It is contraindicated only with individual intolerance to the drug, and also with caution should be prescribed to patients with impaired renal function. Use is possible during pregnancy and while breastfeeding, as well as in children, but only after assessing the possible risk.
In the prodromal period and in the early stages of the disease, 5% Acyclovir cream is effective. It helps better if the rashes are located on the skin. Apply it several times a day for a week.
There are second-generation Acyclovir drugs that are more effective. These include valaciclovir (Vairova, Valavir, Valvir, Valtrex, Valtsikon, Virdel). It is well absorbed in the digestive organs, its bioavailability is several times higher than that of Acyclovir.Therefore, the effectiveness of treatment is 25% higher. Exacerbation of the disease develops less often by 40%. The drug is contraindicated in case of manifesting HIV infection, transplantation of a kidney or bone marrow, as well as children under 18 years of age. Use during pregnancy and while breastfeeding is possible in assessing risk and benefit.
Psychological symptoms of the disease
Genital herpes is not limited to one effect on the condition of the genital organ. The reason is psychological symptoms. This disease is usually accompanied by serious mental disorders in men. Visually manifested symptoms characteristic of genital herpes provoke depressive states. And again, genital herpes does not always manifest symptoms in strict accordance with the form of the course of the disease, and then the symptoms of the disease of the genital organ form an even more complex clinical picture.
Genital herpes is of two types: primary and relapsing. How is the first appearance manifested and what signs of herpes should every man know in order not to miss the onset of the disease? It usually occurs after infection of the genital organ. Recurrent is repeated every time the immune system weakens, making the condition of the genitals more vulnerable. As for the symptoms, both types of this disease are similar. But recurrent is characterized by the presence of several forms of the course of genital herpes, which differ in symptoms and the level of impact on the condition of the genital organ.
So, the subclinical form of the disease is not distinguished by anything special, because it does not have pronounced symptoms. A few bursting vesicles, mild itching in the genital area is usually not a reason for seeking medical help.
This disease may not show all of its symptoms at all. Viral disease of the genital organs is accompanied by the appearance of vesicles. But the pain and itching experienced in such cases by the genital organ are not. Or vice versa: the genital organ feels the pain and itching characteristic of genital herpes, but vesicles do not appear in the genital area.
An asymptomatic form is also characteristic of genital herpes. It is observed in every fifth man suffering from this disease. It is considered especially dangerous, since it does not give out any symptoms, and during the period of relapse the genital organ does not lose its sexual functions. And that means that a person’s ability to infect his partners with this disease is also not lost.
Infection affects different ways.
This disease occurs in men differently, differing in symptoms, but in no way the reasons that lie in the viral infection. In men, this virus causes prostatitis, a certain form of cystitis, urethritis, changes in the anus, rectum and a whole range of diseases that violate the functions of the genitals. Relapses of the disease are always ready to return to a person if he is fond of tobacco smoking, drinks alcohol, is infected with the immunodeficiency virus, suffers from somatic diseases, vitamin deficiency, allergies.
Drug treatment of all types of disease gives an effect. In medical institutions, antiviral drugs that relieve the effects of genital infections are successfully used. Suppressive therapy in countering this disease achieves results. But this disease still remains in the body and is waiting in the wings. How to prevent the recurrence of genital infections?
The answer is simple: a healthy lifestyle and disease prevention can pose a serious barrier to such a virus with its symptoms. It’s better to initially treat the causes than the consequences. Proper nutrition, rejection of bad habits, ordered sex life, strict adherence to hygiene rules - is it really so difficult? So why do people prefer this dangerous sexually transmitted disease? If you so cherish the causes of genital disease, be prepared for its consequences ...
The herpes virus is constantly present in the human body. While the immunity is strong, it is imperceptibly in the cells. Once the body is cold, and herpes "blooms", and not only on the lips, but also on the genitals, provoking prostatitis, urethritis and other diseases.
In most cases, the disease causes a strain of HSV II. In rarer cases, the cause of infection is HSV I. The main reasons are commonplace - non-observance of personal hygiene rules or oral-genital infection.
The following factors cause an exacerbation of a viral infection in the intimate zone:
- Stress, fatigue, nervous exhaustion.
- Immunodeficiency conditions.
- Sexual contact.
- Intercurrent disease - joining herpes and complicating its course.
The most common way to transmit the genital herpes virus is through direct contact with infected secretions. Infection can occur if the infected partner does not have any visible manifestations.
The primary manifestation of herpes in the intimate zone is nonspecific. This is an increase in body temperature, indigestion, general malaise, itching on the buttocks, groin, and pubis.
Genital herpes in men is manifested by rashes. They appear after the primary symptoms (after 2-3 days). It can be single bubbles or their accumulation. At first they are transparent, then they are filled with a whitish-yellowish serous fluid and, after a few days, burst, leaving sores with a bright red inflamed contour. Merging together, bursting bubbles form weeping erosion. The pain gradually subsides, after which the discomfort remains in the place of scabs from each ulcer. Then crusts appear, which disappear after 3-4 days.
All men care about whether traces remain after herpetic vesicles? Usually this does not happen if the crust is not torn forcibly.
It is difficult to establish the frequency of lesions of the intimate zone in both sexes. In 60% of patients, this disease is almost asymptomatic, and they do not consult a doctor.
There are 3 forms of the disease:
There is still no unified classification of forms of genital herpes. Therefore, there is terminological chaos in the definitions. Also, the disease is divided into primary and recurrent.
Primary and recurrent herpes
It is localized in the area of the coronary sulcus, inner and outer leaves of the foreskin. The penis (body and head), pubis, scrotum and groin are less commonly affected.
Even after the symptoms disappear, the patient remains the carrier of the virus for life. In about a third of cases, relapse occurs after a while (recurrent genital herpes). It is characterized by a severe course of the disease:
- High body temperature.
- Abundant rashes and rapid opening of vesicles, forming vast areas with weeping eczema.
Affected areas hurt, “burn”, itch very much. If the patient combs the affected areas, after the cold sores there will be obvious traces.
Primary herpes is very difficult, characterized by fever, headache, aching muscles and joints.
Recurrent herpes has 3 forms - typical, atypical and asymptomatic. A typical one is characterized by localization at the same place and the same clinical picture. The patient experiences itching, burning.
Atypical for men is uncharacteristic. The disease is diagnosed by the following symptoms:
- Inflammatory process (blisters, erythema).
- One component of inflammation (tissue necrosis, hemorrhage, edema).
- Symptoms characteristic of a particular patient (subjective).
The asymptomatic form is not diagnosed, since the patient has no complaints.
Herpes in the bladder
This problem rarely arises as an independent disease. Herpes in the bladder is characteristic for women, but not for men.However, any problems with the genitourinary sphere (urethritis, viral prostatitis) can awaken the virus. Typical symptoms in this case are:
- Hematuria - the presence of blood in the urine.
- Dysuria is a violation of urination.
- Frequent visits to the toilet, changing the elasticity of the stream, reducing the amount of urine.
Leukoplakia is a complication after herpes of the bladder. It is characterized by a change in the epithelium lining the organ from the inside. It becomes stiff and loses protective functions. The result is chronic inflammation of the bladder, which can lead to oncology.
Treatment is carried out by the attending physician according to the established scheme. If a secondary infection joins, additional diagnostics and new appointments are carried out.
A rare disease. For this reason, experts almost do not prescribe an analysis to detect the herpes virus in the prostate.
Herpetic prostatitis belongs to the category of serious diseases and has a number of negative consequences for the patient:
- pain during urination
- perineal pain
- genital pain
- lower back pain.
To diagnose herpetic prostatitis, PCR is always prescribed. As a material for research, saliva, blood, urine, and sperm are taken. Treatment of herpetic prostatitis is carried out according to a standard regimen plus the prevention of secondary infections.
Herpes in the urethra
Herpetic urethritis is a serious illness with a variety of symptoms. It occurs as a result of sexual contact with a sick partner or virus carrier. It is characterized by:
- Local erythema, vesicles on the penis, inner surface of the foreskin, urethra.
- Ulcers that form after bursting vesicles, with a pronounced red inflamed border.
- Problems with urination.
- Slight discharge from the urethra.
With herpetic urethritis, the PCR method is recommended as the most accurate study. The treatment is complicated. Along with the use of drugs that increase immunity and inhibit the spread of the virus, antibiotic therapy can be prescribed in case of an inflammatory process.
Herpes on the penis
The disease has a latent period. Symptoms may appear within 2 days - 2 weeks. The head of the penis is most often affected. However, vesicles on the scrotum or perineum are also not uncommon.
Symptoms are similar to other diseases caused by herpes in the intimate area. It:
- Pain in the muscles and joints.
- Bubbles on the penis.
- Enlarged lymph nodes in the groin.
- Impaired urination.
External manifestations of herpes are preceded by severe burning for several days. Symptomatic treatment - external use of antiherpetic ointments, oral administration of drugs as prescribed by a doctor.
How to treat genital herpes if it is caused by Acyclovir-resistant viruses? In this case, alternative agents are prescribed - Famciclovir or Foscarnet. Famciclovir is available under such names as Minaker, Famacivir, Famvir. The drug is tolerated very well, only occasionally causing a headache or nausea. Contraindication is only individual intolerance. Since this drug is new, its effect on the fetus has been little studied. Therefore, its use during pregnancy and breastfeeding is possible only for individual indications.
The scheme of treatment of the disease
There are certain treatment regimens for genital herpes. The choice of a particular one depends on the type of disease, its duration and the condition of the patient.
|Preparations||Treatment regimen||Duration of use|
|Acyclovir 200 mg||1 tablet 5 times a day||5-10 days|
|Zovirax Cream||5 times a day||7 days|
|Amiksin 250 mg Amiksin 125 mg||once a day after a day||2 days a month|
Treatment for relapsing genital herpes
|Acyclovir 200 mg||1 tablet 5 times a day. With immunodeficiency in a patient, an increase in dosage to 2 grams per day is required||5-10 days|
|Amiksin 250 mg Amiksin 125 mg Amiksin 125 mg||1 tablet once a day1 once a day1 once every 7 days||2 days14 days2 months|
|Polyvalent herpetic vaccine||Subcutaneously 1 time per day, 0.2 ml. They begin to apply it after the patient has undergone a course of treatment.||Within 10 days|
Treatment of genital herpes in women
|Preparations||Treatment regimen||Treatment duration|
|Acyclovir 200 mg||1 g per day, divided into 5 doses||5-7 days|
|Immunoglobulin antiherpetic||1 time in 72 hours||14 days|
|Takvitin||1 ml every 3 days||14 days|
|Vitamins B6 and B1||1 ml once a day, alternate||14 days|
|Phenazepam||1 tablet twice a day||7 days|
|Calcium chloride||20 ml once a day||21 day|
|Tincture of Eleutherococcus||3 ml 3 times a day (last dose no later than 16-00)||21 day|
Antiviral therapy is not recommended during pregnancy. An exception is severe forms of genital herpes, complicated by other diseases that threaten the patient's life.
For effective treatment in this situation, human immunoglobulin is used. It is administered intravenously at 25 ml 3 times (every other day) in the first, second and third trimester (two weeks before the expected delivery date). In complex therapy, Viferon may be prescribed.
Some antiviral drugs for the treatment of rashes are ointments. Among them, the following can be noted:
- Foscarnet, applied to the skin and mucous membranes,
- Alpizarin, the drug is in the form of tablets,
- Thromantadine is most effective at the first sign of herpes,
- Helepin also exists in the form for oral administration,
The frequency of application, the duration of treatment with local drugs is determined by the doctor. Usually they are prescribed several times a day for a week.
Scheme of the use of drugs from the pharmacy
Taking medications for infection with genital herpes
|Name of medical device||Dosage||Treatment period|
|Acyclovir||1 tablet no more than 5 times a day||2 weeks|
|Zovirax ointment||6 times a day||1 Week|
|Amiksin||1 per day||3 days|
Atypical forms of genital herpes
In some cases, herpes can be atypical. In this case, it is divided into four main forms.
- erythematous : pronounced inflammation, itching and pain, fever,
- bullous : the main discomfort occurs with the formation of ulcers after the maturation of the vesicles,
- hemorrhagic : hemorrhages in the area of localization of rashes, the internal mucous membranes in the anus and urethra are especially prone to this,
- itchy : even in the absence of vesicles, which often happens in this form, there is a strong burning sensation in the groin and on the skin of the genitals.
Women are more prone to atypical forms of genital herpes than men. Moreover, these are the most difficult to diagnose, which pushes the time to start treatment.
Sometimes the symptoms of herpes in men can be confused with the onset of colds, food poisoning, rectal diseases, allergies, and skin lesions of staphylococcus or streptococcus. In any case, it is dangerous to delay a visit to a specialist.
Herpes in the groin in men symptoms photo
Therapy of genital herpes with interferon preparations
In recent years, there has been growing interest in interferons or interferon inducers that help the body cope with the infection itself, often with a direct antiviral effect. These include the following tools:
- Allokin Alpha
- Wobe-Mugos E,
- Cycloferon and many others.
They can be prescribed both internally and locally.Some of these drugs are suppositories. So, Viferon rectal suppositories are often prescribed as part of the complex therapy of genital herpes.
Non-steroidal anti-inflammatory drugs, such as paracetamol or ibuprofen, can be taken to relieve symptoms.
Antibiotics for genital herpes are not prescribed, since they act only on bacteria, not viruses. The effectiveness of such areas of therapy as homeopathy, alternative methods has not been proven.
Taking medications for progressive genital herpes
|Name of medical device||Dosage||Treatment period|
|Acyclovir||2 tablets no more than 5 times a day||2 weeks|
|Amiksin||1 tablet once a week||60 days|
|Herpetic vaccine||It is administered 1 time per day, not more than 0.2 mg. Used after preliminary treatment.||2 weeks|
It is worth noting that for pregnant women, treatment and prevention of genital herpes is contraindicated. In case of activation of the infection, you should contact your doctor for detailed advice. As a rule, every trimester of pregnancy, a woman is given an intravenous immunoglobulin that inhibits the manifestations of genital herpes. Doctors often recommend taking Viferon.
Male immunity and the risk of relapse
Another feature of the male body is a stronger immunity and the absence of such negative effects for it as menstruation and pregnancy.
It is during these periods that the female body is subjected to serious stress, and the herpes virus has a better chance of manifesting itself. That is, in men, relapses of herpes occur much less frequently, but provided that the immunity is maintained at the proper level.
The following factors increase the risk of recurrence of genital herpes:
The more weakened the immune system, the more pronounced are the manifestations of male herpes, the larger the area it can affect, which leads to damage to the internal organs to a greater extent and is fraught with complications.
Stage 1 (relapse)
At the initial stage of the disease, the use of the following drugs is recommended:
- Alpizarin (0.1 g) - up to 5 times during the day, with a general course of 5-7 days,
- Zovirax (200 mg) - in the first 5 days up to 5 times (daily), then 4 times (daily) for 14-21 days. Instead of Zovirax, you can use Virolex or Acyclovir,
- Ascorbic acid (1 g) - 2 p. during the day, for 2 weeks.
As a specific therapy, the introduction of an antiherpetic immunoglobulin (3 ml) 1 r is recommended. during the day in / m (at least 5 injections). It can be combined with the introduction of 1 ml Activin (s / c) at least 2 times during the week (10 injections in total).
Outwardly recommended the use of ointments:
- Alpizarin (for the treatment of the vagina).
At the initial infection or with exacerbations of the infectious process, external treatment should be performed for at least 5 days.
Before treating herpesvirus, it is necessary to undergo a full diagnostic examination of the body, because the symptoms of the disease are often similar to other diseases of an infectious nature. In addition, there are a number of contraindications for taking certain medications and this must be taken into account.
Infection and pregnancy
It is believed that pregnancy is not a factor causing exacerbation of genital herpes. However, some scientists have a different opinion.
Pregnancy and childbirth with carriage of HSV without clinical manifestations usually go away normally. A pregnant woman is treated if she develops systemic manifestations, for example, meningitis, hepatitis. This usually happens when a woman first encounters the virus during pregnancy. Acyclovir is prescribed for treatment.
If such treatment is not carried out, then as a result of the ingress of viral particles into the blood of a child through the placenta (damaged or even healthy), an intrauterine infection will develop.In the first trimester of pregnancy, malformations form. In the second and third trimesters, the mucous membranes, the skin of the child, the eyes, the liver, and the brain are affected. Intrauterine fetal death may occur. The risk of preterm birth is increasing. After the birth of such a baby, he may experience serious complications: microcephaly (underdevelopment of the brain), microphthalmia and chorioretinitis (eye damage leading to blindness).
Delivery is carried out naturally. A caesarean section is prescribed only in cases where the mother has rashes on the genitals, as well as if the first episode of infection she had during pregnancy. In these same cases, prenatal prophylaxis of the transmission of the herpes virus to a child using Acyclovir, prescribed from 36 weeks, is recommended. An even more convenient and cost-effective drug for prenatal preparation of a sick woman is the drug Valtsikon (Valacyclovir). The use of antiviral agents before childbirth helps to reduce the frequency of exacerbations of genital herpes, reduce the likelihood of asymptomatic isolation of viral particles that infect the baby.
When giving birth to a sick woman, it is dangerous to prematurely pour out water, weakness of labor. Therefore, she needs the special attention of medical personnel.
2 stage (subsidence of exacerbation)
At this stage, injection is recommended - vitamins of group B (B2, B1) - 1 ml each with a break of 1 day with a course of 15 injections. In addition, autohemotherapy is recommended, according to the scheme: starting from 2 ml. up to 10 ml. (in increasing order) and in the reverse order.
- Tazepam - 1 tab. 2 p. per day (21 days),
- Eleutherococcus (20 cap.) In the morning,
- Tavegil - 1 tab. 2 p. per day (21 days),
- 10% solution of calcium chloride - 1 tbsp. l 3 p. per day (20 days) or Calcium gluconate (tab.) - 0.5 g 3 p. per day (2 weeks)
- Dibazole - 1⁄2 tab. 2 p. per day (21 days).
Locally: Gossypol, Megasin.
When suppressive (suppressing herpes virus) treatment is performed, antiviral drugs are recommended for use in the minimum dosage, but with a longer period. As a prophylactic, Alpizarin is most often used.
Complications of genital herpes
Itching and pain due to the appearance of rashes are just the external manifestations of genital herpes.
In its development, the virus affects organs adjacent to the distribution centers, causing harm to them:
Complications correspond to these organs. The occurrence of prostatitis, urethritis, cystitis - for men, these diseases, among other things, threaten inhibition of sexual function and infertility.
Up to a third of cases of prostatitis are caused by past genital herpes in men. Complications occur most often in the absence of treatment and the relapse rate more than six times a year.
Also, in advanced cases, herpetic meningitis occurs. In men, it occurs in 16% of cases, 2 times less than in women. The danger of this complication is the risk of death with improper or untimely treatment.
Appearing against a background of weakened immunity, herpes depresses it even more, hence the risk of contracting other viral and bacterial diseases, and it also provokes the development of malignant tumors.
In the list of complications of the herpes virus in men, there is a risk of psychological breakdowns, cases of suicides are recorded in medical practice.
This is due to patients' ignorance of treatment methods, which leads to an incorrect recognition of their disease as fatal or putting it out of society.
Although there is no reason for suicide in this disease due to its non-lethality, it is dangerous to consider genital herpes as a serious disease, and what's more, letting it go by itself or being carried away by it is dangerous.
What is the danger of genital herpes for a newborn?
If the baby is in contact with HSV, passing through the birth canal, 6 days after birth, he will develop neonatal herpes. Its consequences are generalized sepsis, that is, infection of all the internal organs of the child. A newborn may even die from toxic toxic shock.
In connection with the potential threat to the child, each pregnant woman is examined for the carrier of HSV and, if necessary, undergoes treatment as prescribed by the doctor. After the baby is born, he is also examined and, if necessary, treated. If the child does not show any signs of infection, he needs to be monitored for 2 months, since the manifestations of the disease are not always visible immediately.
To avoid the unpleasant consequences of the disease during pregnancy, an infected woman must undergo special training in front of her, the so-called pregravid. In particular, herbal antiviral and immunostimulating agents (Alpizarin) are prescribed orally and in the form of an ointment in case of exacerbations in the patient. At the same time, correction of her immunity is carried out using interferon inducers. Within three months before the planned pregnancy, metabolic therapy is also prescribed that improves the metabolism in the cells (riboflavin, lipoic acid, calcium pantothenate, vitamin E, folic acid). At the same time, passive immunization can be used, that is, the introduction into the woman’s body of ready-made antiviral antibodies - immunoglobulins, which reduce the risk of exacerbation.
Pregnancy planning should be carried out only in the absence of relapse within six months. Diagnosis and therapy of genital herpes before pregnancy can reduce the incidence of complications from the mother and child, reduce the likelihood of relapse during gestation, and minimize the risk of intrauterine infection or neonatal herpes. All this helps to reduce infant morbidity and mortality.
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Stage 3 (remission)
Genital herpes in the remission phase involves vaccine therapy (with a duration of relapse of more than 2 months), which is performed after a symptomatic course, as well as general strengthening measures.
Herpetic vaccine is administered subcutaneously (0.3 ml) 1 r. for 3 days. The general course of vaccination is 5 injections. Next, you need to withstand a break (14 days) with the introduction of a similar dosage (5 injection doses), but 1 p. (daily) another 7 days. If herpetic manifestations occur during this period of time, the gap between the introduction of the vaccine should be increased by at least 2 times. A repeat vaccination is recommended to be performed after six months.
In the stage of remission, herpes on the genitals involves the administration of immunomodulators.
Most commonly used:
- Imunofan - the drug is administered intramuscularly (0.1 ml each) with a break of 1 day, a total course of 5 injections,
- Meglumine acridone acetate - (0.25 mg) i / m 1 injection daily for 10 days,
- Panavir - (3 ml) iv in 1 r. in 3 days (5 injections),
- Immunomax - (100-200 IU) v / m 1 p. in accordance with the designated scheme,
- Sodium ribonucleate - (2 ml) v / m 1 p. during the day (5 introductions),
- Galavit - (1 tab.) 2-3 p. per day, according to the scheme,
- Ridostinum - (8 mg) in oil of 1 r. in 3 days (3 injections),
- Lavomax (Tiloron) - this drug has a dual effect (antiviral and immunomodulating). In order to neutralize genital herpes, a special treatment regimen (2.5 mg) of the drug is recommended on the first day, then a break for 2 days, and on the remaining days (0.125 mg).
How to treat herpes most effectively, only a qualified doctor can tell.
Important : In almost 80% of cases, genital appears arising from the background of concomitant sexually transmitted diseases, such as chlamydia, mycoplasmosis, staphylococcus, streptococcus and some other, sometimes more serious diseases.
Therefore, when a cold sore is detected, it is worthwhile to undergo a comprehensive check with a venereologist.
Turning to the doctor in the very first days of the onset of herpes symptoms can reduce discomfort, the development of external manifestations on the genitals, carry out immunocorrection, significantly reduce the frequency of relapses and their intensity.
For many years, doctors around the world have been struggling with herpes virus infection, and especially with its sexually transmitted species. Among these "indestructible" diseases is genital herpes.
It cannot be completely cured, but it can be successfully controlled. This is not an easy disease, the danger of which lies in instant infection and rapid spread. The main concern is its asymptomatic course and the possibility of the manifestation of fairly frequent relapses.
Most male patients are carriers of genital herpes virus, but due to the absence of symptoms of the disease, they are not even aware of the existing danger. This causes involuntary infection of the sexual partner.
This ailment causes HSV of the second type, manifesting itself in the form of lesions of the internal and external genital organs in the form of vesicle rashes. In men, such manifestations are rather painful and can provoke the development of more serious diseases.
This medication is available in the form of a spray and is used in emergency cases. You can apply it to a condom, as well as treat it with the area of intimate organs.
For the effective prevention of herpes, as well as any infectious diseases transmitted through sexual contact, it is very important to avoid unprotected erratic sexual contacts.
During an exacerbation of herpes virus, you should refuse to have sex, because even the most reliable contraceptives are not able to provide protection against the virus entering the body.
We use immunomodulators
It is completely impossible to get rid of the disease. With a weakening of immunity after the disease, the virus will make itself felt. The task of doctors is to translate the virus into an inactive form. Thus, the disease will sleep inside a person. In people with weak immune systems, relapses can occur every month. In people with good immunity, relapses are rare. Therefore, each carrier of genital herpes should take care of their health.
Immunostimulants are often used in the treatment of viruses, since they destroy the membrane of the cell. In the human body, an immunomodulator is produced - interferon. On its basis, many preparations are made for the treatment of viral infections.
- Viferon. With genital genital herpes, it is used as an ointment. It lubricates the affected area. The main component of the ointment is interferon human recombinant alpha-2b. In addition, the preparation contains vitamin E, which improves wound healing, petrolatum and lanolin.
- Interferon Beta. This is human fibroblast interferon. It is used as an injection. The drug is expensive, but recovery occurs in 70% of cases. After adequate treatment, relapses are extremely rare. The duration of treatment can reach 6 months.
Use caution with interferon-based medications. It is believed that they introduce additional interferon into the body, thereby reducing the production of this substance by diseased cells. It is necessary not to introduce interferon, but to stimulate its production.
With frequent relapses, it is worth taking vitamin complexes, as well as omega-3 fatty acids. Recommended spa treatment on the coast. Sea water copes with various rashes. tutknow.ru
Conditional treatment regimen
Below you can familiarize yourself with the treatment regimen and understand what the doctors are guided by when prescribing certain drugs, but this regimen can be adjusted by the doctor during a personal examination of the patient.
|Object of treatment||Treatment regimen|
|Primary infection of genital herpes. Drugs are used within 5-10 days.|
|Recurrent form of genital herpes. Medications are applied for five days.|
|Suppressive therapy. Prophylactic medication for continuous suppression of the virus. The appointment period is assigned individually.|
Indications for treatment in a hospital:
- if the body does not tolerate antiviral agents,
- complications from the central nervous system,
- disseminated herpetic infection.
What are the goals of treatment:
- reduce the risk of transmission to the fetus,
- reduce the chance of transmitting herpesvirus to a partner,
- reduce the number of relapses,
- to prevent possible complications,
- get rid of symptomatic discomfort.
People who are looking for information on how to cure genital herpes often see large lists of drugs and understand that in any case they will have to go to a specialist to prescribe a course of treatment. And rightly so, the fact is that you cannot write how many tablets of Cycloferon or the same Acyclovir can be used without knowing the individual characteristics of the patient. Even reading the instructions for use, you should not just buy pills and drink them without examination from a specialist. Especially if this applies to children or adults in certain situations, for example, during pregnancy or with immunodeficiency.
Ways of transmission of the disease
Genital herpes is a sexually transmitted disease.
Infection occurs not only from a person who suffers from rashes on the genitals (relapse), but also in the absence of characteristic manifestations of the disease, which is observed with asymptomatic virus carriers and atypical forms.
Infection is possible with oral-genital contacts. Household transmission of infection is extremely rare. The highest incidence rate is observed in the age group of 20-29 years. The herpes virus can dwell in the body throughout life. In the inter-relapse period, it is located in the nervous system and does not manifest itself, so patients, often unaware of the presence of the disease, can become a source of infection for sexual partners.
- In addition to the sexual method of transmitting genital herpes, infection is possible when a child passes through the birth canal during childbirth or the fetus through the placenta of a sick mother.
- In some cases, infection of a person can occur in the absence of sexual contact: infection in this case is the result of non-observance of personal hygiene rules, when with dirty hands a person transfers the herpes simplex virus from his lips to his genitals.
- The herpes simplex virus, which was once introduced into the body through microtrauma to the skin and genital mucosa, remains in the body for life.
- A person with strong immunity, leading the right lifestyle, may never find out about the presence of the virus in the body and not get acquainted with the clinical signs of the disease.
- However, with factors favorable for infection (severe overwork, stress, hypothermia, colds, overheating in the sun, mental and physical trauma, prolonged intoxication, hormonal changes), the virus becomes more active and exacerbates genital herpes.
The most serious complication of genital herpes is herpes of the newborn, when the infection of the child passes from the mother during childbirth. The likelihood of transmission of herpes simplex virus to newborns increases if the mother becomes infected in the last 3 months of pregnancy. Infection of newborns leads to serious violations of the child’s nervous system, blindness and even death.
If it was found that during pregnancy in a future mother, herpetic infection passed into the active phase, then cesarean delivery is recommended to avoid the passage of the fetus through the birth canal.
In adults, genital herpes does not cause disruption of the internal organs and does not provoke infertility. This disease is the least dangerous among all those that are sexually transmitted. The question of how to treat genital herpes is relevant because it brings a lot of suffering to the patient during an exacerbation, worsens his emotional and psychological state, and reduces the person’s working capacity. In addition, the infection facilitates HIV infection and provokes the transition of HIV to AIDS.
There are several ways to get genital herpes:
- Sexually. It is worth noting that a condom cannot be 100% protected from genital herpes. When the vesicles are damaged, the virus cells can get on the pubic hair, the inner thighs. Therefore, the percentage of condom protection is only 50%. Homosexuals are more likely to suffer from genital herpes, usually the disease affects the anus, colon and urethra.
- Through the use of the dishes of the patient. This method of infection is rare, since rashes on the genitals are provoked in 70% of cases by the type 2 virus.
- In public toilets. This method of infection is not common, since the virus does not live on the human body for long.
- Virus transfer from lips to genitals when touching ulcers. This is the so-called auto-infection, when a patient from one part of the body transfers disease cells to another.
- During oral sex with a person who has rashes on his lips. Possible infection of the genital organs when caressing their lips affected by herpes. But there are cases of reverse infection, when the virus from the genitals enters the mucous membrane of the mouth.
Of course, the cells of the disease in the air do not live very long, but this is enough to invade the mucous membranes of the nose or mouth. Scientists have found that the herpes simplex virus does not die with repeated freezing and thawing. At a temperature of 36 ° C he lives for 20 hours.
What can not be done with the disease?
If symptoms of the disease appear, you do not need to panic, as long-term remission is possible with proper treatment. It is also worthwhile to refrain from sexual activity until the manifestations of herpes disappear completely.
- The use of alcohol, which serves as a provoking factor for this disease, is not recommended.
- Before visiting a doctor, you should not rub the affected areas and touch them with your hands.
- This contributes to the spread of the virus and the appearance of new rashes.
- It is strictly forbidden to treat the bubbles with alcohol, since it is not intended to treat such problems and can cause chemical burns to the mucous membranes or skin.
Many patients are interested in the question, is it possible to cure genital herpes without going to the hospital? The answer is no. Self-medication will only aggravate the condition and cause frequent relapses.
You need to know how to quickly cure genital herpes, because if you untimely see a doctor, complications may occur.
Without timely treatment, genital herpes becomes the cause of:
- Dysuria or neuropathy, causing acute urinary retention.
- Massive lesions by infection of the internal organs. This occurs in rare cases, mainly with immunodeficiency (hands, buttocks, mucous membranes of the eyes are affected, and oral sex causes stomatitis, cheilitis, or pharyngitis).
- In women, the presence of genital herpes increases the likelihood of cervical cancer.
- Psychological problems and a tendency to depression.
- With primary genital herpes in pregnant women, infection of the fetus occurs in 50% of cases.More often this happens during the passage of the child through the genital tract affected by herpes, and is excluded during cesarean section. Infection of the fetus leads to damage to its eyes, skin and nervous system, and sometimes to disability.
Herpes virus transmission methods
Viability of the virus in the external environment at room temperature and normal humidity is maintained during the day, at a temperature of 50-52 ° C it is inactivated after 30 minutes, and at low temperatures (−70 ° C) the virus is able to remain viable for 5 days. On metal surfaces (coins, door handles, water taps), the virus survives for 2 hours, on moist sterile medical cotton wool and gauze - during the entire time they dry (up to 6 hours). The herpes simplex virus is most easily transmitted by direct contact with damaged tissues or body fluids of an infected person. Also, transmission of the virus is possible during periods of asymptomatic virus carrying. The herpes virus is not able to penetrate the intact stratum corneum of the skin, due to the absence of specific receptors on it.
Oral herpes is easily diagnosed only in the presence of external manifestations - wounds or ulcers. In this case, it will not be difficult to diagnose the disease yourself by comparing herpes on the lip with a photo on the Internet. However, in the early stages, the symptoms of the disease are absent, and herpes can be diagnosed only by laboratory methods. Prodromal symptoms, manifested even before the appearance of visible herpetic lesions, will make it possible to differentially diagnose symptoms of herpes virus infection from, for example, allergic stomatitis. If the disease does not appear inside the mouth, primary orofacial herpes may be mistaken for impetigo or bacterial infection. In addition, mouth ulcers (aphthae) can also be similar to oral herpes, but no bubbles appear. After contact with the source of infection, the viral particles enter the skin epithelial cells, then the virus migrates to the nerve cells by fusion of the outer envelope of the virus with the cell membrane, and viral DNA is released inside the cell. Then it is transported through the dendrites of nerve endings to the body of a sensitive neuron located in the sensory ganglion, where they are built into its genetic apparatus forever. After the virus penetrates, the process of its active reproduction in the cell begins - persistence. With viral lesions of the lips, the persistence of the virus in the neurocytes of the sensitive ganglia of the trigeminal nerve is characteristic. In most people, the reproduction and isolation of the virus immediately after infection is asymptomatic. This can occur more than a week before or after the onset of the first symptoms in 50% of cases. The causative agent multiplies intensively in it. Focal death of the epithelium occurs: the cells increase in size, then die, forming foci of dead cells. The duration of the virus excretion period when the virus is localized on the lips in herpes simplex type 1 is 6–33 days, and in herpes simplex type 2 it is 1 day. After infection, the body begins to synthesize antibodies against a specific herpes-type virus, preventing the spread of infection. In case of infection with the herpes simplex virus type 1, this production of antibodies will protect the body from other infectious processes caused by this virus, such as genital herpes, herpetic keratitis and panaritium.
Antibodies that are produced after the initial herpes simplex infection prevent infection with the same type of virus: people who have type-1 rotolitsa herpes have no panaritium or genital herpes caused by type 1 herpes.
Herpes on the lips: the course of the disease
Herpes on the lips appears for a short time. It is localized mainly on the upper lip or in the corners of the mouth.Bubbles with liquid burst and form painful wounds that dry out and crust in 3-4 days. The healing of these wounds is complicated by the fact that during a conversation or while eating, the crust may burst and the wound begins to bleed.
Cold sore lips treatment
There is currently no cure for herpes. Existing drugs only inhibit the reproduction of the virus, but do not remove fragments of viral DNA from neurocytes. Therefore, there is always the possibility of repeated rashes, especially with immunodeficiencies (for example, with HIV infection or tumors). The use of antiviral agents can suppress the activity of the virus and alleviate the symptoms. Treatment of herpes on the lips can take a long time - the wound can heal much faster if you do not touch it, but in the case of the lips it is almost impossible. Antiviral ointments such as acyclovir will help speed up the healing process. It is proved that acyclovir and valaciclovir are effective in the treatment of facial herpes (on the lips), including in cancer patients. When applied topically, aciclovir, penciclovir, docosanol (docosanol) are effective for treating facial herpes. These drugs are approved for sale without a doctor’s prescription. They must be used regularly, while observing the rules of hygiene: using only personal dishes, towels, and so on. Alternative methods act indirectly, having only a restorative, anti-inflammatory effect. Echinacea drugs stimulate the immune system. Lysine, being an essential amino acid, is a plastic material for tissue regeneration. Zinc ointments when applied to the skin have anti-inflammatory, antiseptic and drying effects, preventing the penetration of the virus and accelerating the healing of ulcers. This also includes aloe vera extract and propolis, as natural anti-inflammatory drugs. If the symptoms of the disease do not go away for a long time, you should consult a doctor who will recommend how to treat herpes on the lips more effectively and avoid complications.
Herpes and weakened immunity
At the initial infection, IgM antibodies are formed; at relapse, IgG and IgA are formed. Due to the persistence of the virus in infected people, immunity is non-sterile. In some periods, under the influence of various factors, the disease can worsen and manifest itself in the form of symptoms well known to all. In addition, the herpes virus itself is able to induce immunodeficiency. The level of immunity significantly affects the number and severity of relapses. After the stage of active infection, the virus remains inactive to live in the sensitive ganglia and ganglia of the autonomic nervous system. Viral particles are not produced in this phase. The frequency and severity of outbreaks in different people varies widely. Some have ulcers that do not heal for weeks, while others only appear as minor itching and burning for several days. There is some evidence that heredity affects the recurrence rate. In region 21 of the chromosome there is a zone including 6 genes, which is associated with the frequency of outbreaks. The severity of the outbreaks and their frequency decreases over time. After a few years, some people will not have any symptoms at all, although the virus will be secreted and can be transmitted to others. In people with immune deficiencies, outbreaks will be harder, longer and more frequent. Outbreaks can occur in former places or in the immediate vicinity of the nerve endings of infected ganglia.
Symptoms of genital herpes
Genital herpes is a viral infectious disease that, as a rule, is transmitted sexually. The causative agent of genital herpes is the herpes simplex virus (Herpes simplex). The incubation period can be up to a week after sexual contact with the virus carrier.A characteristic feature is the appearance of herpetic vesicles in the place where there was contact with the sexual partner - in the area of the external and internal genital organs, the labia. The bubbles open and in their place painful sores form, which become crusty. Then the crusts go away. Within ten days, a new rash may appear. In more than half of cases, herpes occurs without clinical symptoms, but virus carriers can also infect their sexual partners. Asymptomatic virus carriers pose the greatest danger to newborns, since herpes can cause severe neurological changes and blindness in them.