Genital Herpes: Symptoms, Causes, and Treatment Options - Urology

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Questions related to genital herpes?


Hello Dr.
Chen, two weeks ago I started feeling unwell; there was unexplained swelling at the base of my penis and a burning sensation on the front side of my left thigh, as if it were on fire.
I didn't think much of it at the time.
Last Wednesday, the pain on the outer side of my scrotum became unbearable, so I instinctively went to see a urologist.
However, they couldn't find anything and sent me home to rest.
The next day, it felt like I was on fire, with blisters appearing around my penis, perineum, and anus, including the glans, all of which were extremely painful.
The doctor then diagnosed me with herpes zoster.
I asked the doctor how it could appear in that area, and they explained it could be due to a weakened immune system or transmitted through sexual contact.
Although I don't use condoms, I have only one sexual partner.
My main concern is whether I have herpes zoster or genital herpes.
I am already taking the antiviral medication Acyclovir and applying a topical ointment (ACLOVIR 50mg).
How long will this condition last? Can I take Tylenol for the nerve pain? Thank you, Dr.
Chen, for your assistance.

Xiao Chen, 40~49 year old female. Ask Date: 2022/07/19

Dr. Chen Jiansheng reply Urology


Shingles

Reply Date: 2022/07/19

More Info


Genital herpes is a common sexually transmitted infection caused primarily by the herpes simplex virus (HSV). It can manifest in various ways, and understanding its symptoms, causes, and treatment options is crucial for effective management.


Symptoms of Genital Herpes
The symptoms of genital herpes can vary from person to person, and some individuals may be asymptomatic. However, common symptoms include:
1. Painful Sores: The most recognizable symptom is the appearance of painful blisters or sores in the genital area, which can also occur around the anus and thighs. These sores may break open and ooze fluid before crusting over.

2. Itching and Burning: Many individuals experience itching or a burning sensation in the affected areas, which can be quite uncomfortable.

3. Flu-like Symptoms: During the initial outbreak, some may experience flu-like symptoms, including fever, body aches, and swollen lymph nodes.

4. Dysuria: Painful urination can occur if sores are present near the urethra.

5. Recurrent Episodes: After the initial outbreak, the virus remains dormant in the body and can reactivate, leading to recurrent episodes. These recurrences are typically less severe than the initial outbreak.


Causes of Genital Herpes
Genital herpes is primarily caused by two types of herpes simplex viruses:
- HSV-1: Traditionally associated with oral herpes but can also cause genital infections through oral-genital contact.

- HSV-2: Primarily responsible for genital herpes and is transmitted through sexual contact.

The virus can be transmitted even when sores are not visible, which is why it is essential to practice safe sex, including the use of condoms, even with a single partner.


Treatment Options
The treatment for genital herpes focuses on managing symptoms and reducing the frequency of outbreaks. Here are the primary treatment options:
1. Antiviral Medications: Acyclovir (as you mentioned you are taking) is a common antiviral medication used to treat genital herpes. It helps to reduce the severity and duration of symptoms during an outbreak and can also be used as suppressive therapy to decrease the frequency of recurrences.

2. Topical Treatments: Creams like Aclovir can be applied directly to the sores to help alleviate pain and promote healing.

3. Pain Management: Over-the-counter pain relievers such as acetaminophen (Tylenol) can be used to manage pain associated with the sores and any accompanying symptoms.

4. Home Remedies: Some individuals find relief through warm baths, cold compresses, or topical numbing agents.


Duration of the Condition
The duration of a genital herpes outbreak can vary. The initial outbreak may last from 2 to 4 weeks, while recurrent episodes are generally shorter, lasting about 5 to 10 days. With appropriate antiviral treatment, the healing process can be expedited.


Conclusion
It is important to follow your healthcare provider's recommendations regarding medication and management strategies. If you experience severe pain or if the symptoms worsen, it is advisable to seek medical attention promptly. Additionally, maintaining open communication with your sexual partner about your condition is essential for both your health and theirs.

If you have further questions or concerns about your condition, please do not hesitate to reach out to your healthcare provider for personalized advice and support.

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