Genital Herpes: Symptoms, Treatment, and Testing Options

Genital herpes

Hello Doctor, my partner and I have been in a monogamous relationship for over 7 years.
Recently, after sexual intercourse, my partner developed symptoms of genital herpes and was diagnosed with genital herpes.
We are still waiting for the test results.
I have never experienced any herpes-related symptoms myself, but I have not been tested.
I would like to ask the doctor:
1.
My partner's herpes blisters have ruptured, and the wound is large, bleeding, and oozing.
Is it advisable to use artificial skin, or what would you recommend for wound care?
2.
Since I currently have no symptoms, would you recommend that I get tested (does the absence of symptoms affect the diagnosis)?
3.
If testing is necessary, which specialty should I consult? Thank you very much for your response, Doctor.

San San, 20~29 year old female. Ask Date: 2021/07/02

Dr. Du Shixi reply Urology

1.
If a partner's herpes blister has ruptured, resulting in a large wound that is bleeding and oozing, is it advisable to use artificial skin, or what would you recommend for wound care? -- Regardless of whether artificial skin is used, it is essential to maintain cleanliness.
If the area is not clean, the effectiveness of artificial skin will be limited.
Pay attention to immune health, such as sleep and nutrition.
2.
Currently, I have no symptoms.
Would you recommend getting tested? (Does being asymptomatic affect the assessment?) -- Testing is only for reference.
3.
If testing is needed, which department should I visit? -- Gynecology (for females), Urology, Dermatology, or Family Medicine should all be able to assist, as long as the hospital and physician have the capability for testing.
Wishing you good health.
You can refer to https://www.vghtc.gov.tw/UnitPage/UnitContentView?WebMenuID=3ba3ec24-895a-4161-b990-31d4db025216&UnitID=7cda4673-6096-4748-a034-3bab9638288c&UnitDefaultTemplate=1.

Reply Date: 2021/07/02

More Info

Genital herpes is a common sexually transmitted infection caused primarily by the herpes simplex virus (HSV), specifically HSV type 2, although HSV type 1 can also cause genital infections. Understanding the symptoms, treatment options, and testing methods is crucial for managing this condition effectively.

1. Symptoms of Genital Herpes
The symptoms of genital herpes can vary significantly among individuals. Many people may not experience any symptoms, while others may have noticeable outbreaks. Common symptoms include:
- Painful blisters or sores in the genital area, which can rupture and lead to open wounds.

- Itching or burning sensations in the affected area.

- Flu-like symptoms, including fever and swollen lymph nodes during the initial outbreak.

- Pain during urination if sores are present near the urethra.

In your partner's case, the presence of large, bleeding sores indicates an active outbreak. It is essential to manage these symptoms properly to promote healing and prevent secondary infections.

2. Treatment and Wound Care
For the management of open sores caused by genital herpes, here are some recommendations:
- Keep the Area Clean: Gently wash the affected area with mild soap and water. Pat dry with a clean towel.

- Avoid Irritation: Wear loose-fitting clothing to prevent further irritation of the sores.

- Topical Treatments: While artificial skin products can be used to cover wounds, they are not typically recommended for herpes sores. Instead, over-the-counter topical treatments like aloe vera gel or hydrocortisone cream may help soothe the area. However, it is best to consult a healthcare provider for specific recommendations.

- Antiviral Medications: Oral antiviral medications such as acyclovir, valacyclovir, or famciclovir can help reduce the severity and duration of outbreaks. Your partner should consult their healthcare provider for appropriate treatment options.

3. Testing for Genital Herpes
Even if you are currently asymptomatic, it is advisable to get tested for genital herpes, especially since your partner has been diagnosed. Testing can provide peace of mind and help you understand your status. Here are some points to consider:
- Asymptomatic Testing: It is possible to have the virus without showing symptoms. Blood tests can detect antibodies to HSV, indicating a past infection even if no current symptoms are present.

- Testing Options: The most common tests for genital herpes include:
- Polymerase Chain Reaction (PCR) Test: This test detects the virus's genetic material and is highly sensitive.

- Serological Tests: These blood tests check for antibodies to HSV-1 and HSV-2. They can help determine if you have been exposed to the virus in the past.

4. Which Specialist to See
For testing and treatment of genital herpes, you can visit:
- Primary Care Physician: They can perform the necessary tests and provide treatment options.

- Dermatologist: They specialize in skin conditions and can offer targeted treatments for herpes sores.

- Sexual Health Clinics: These clinics often provide comprehensive testing and treatment for sexually transmitted infections, including herpes.

Conclusion
In summary, it is essential to manage your partner's symptoms carefully and consider getting tested for genital herpes yourself, even if you are asymptomatic. Proper wound care, antiviral treatment, and testing can help manage the condition effectively. Always consult with a healthcare provider for personalized advice and treatment options tailored to your specific situation.

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