Genital Herpes Type 2: Treatment Options and Myths

Q: Genital Herpes Type 2: Treatment Options and Myths

Desperate person： The herpes virus generally lies dormant within the body and can become active when the immune system is weakened. <br>Typically, there are no symptoms when the virus is inactive. <br>Herpes usually presents with blisters and red rashes; it may be necessary to ta

What should I do!! I have been diagnosed with herpes simplex virus type 2?

Three months ago, I went to a medical laboratory for a sexually transmitted infection screening and found out that I have herpes simplex virus type 2.
Recently, I have been experiencing frequent outbreaks with several red lesions that are itchy but not painful.
The medical technician told me that I actually don't need to see a doctor, nor do I need to take antiviral medication, because there is no cure for it.
They said that taking antiviral medication would only harm organ function and lower immunity, and that the symptoms would eventually resolve on their own after some time.
They advised me to avoid sexual activity during outbreaks.

I would like to ask if it is true that there is no cure for herpes simplex virus type 2? Is there any way to completely eradicate it? Is it true that taking Acyclovir, Famciclovir, or Valacyclovir can lead to liver or kidney dysfunction? I once visited a urology department at a hospital in central Taiwan, and the doctor told me that herpes simplex virus type 2 can be cured, but I would need to pay for the medication out of pocket.
Should I trust this doctor? If I really need to seek medical attention, how should I choose the right specialty? Many urologists seem to have limited knowledge about sexually transmitted infections, as the answers I received from several urologists when I presented my symptoms were all about folliculitis!

Juewang de ren, 20~29 year old female. Ask Date: 2006/10/13

Dr. Xu Weikai reply Urology

Desperate person: The herpes virus generally lies dormant within the body and can become active when the immune system is weakened.
Typically, there are no symptoms when the virus is inactive.
Herpes usually presents with blisters and red rashes; it may be necessary to take a closer look to confirm the diagnosis.
Antiviral medications are generally effective, but they can only treat the current outbreak and cannot eliminate the virus that remains dormant in the body.
In other words, while the current episode can be completely resolved, it does not prevent future recurrences.
In Taiwan, the carrier rate of herpes exceeds 80% (the global carrier rate is also quite high), meaning that most people around you have likely been infected and currently harbor the virus in their bodies.
Response from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/10/13

More Info

Genital herpes, particularly caused by the herpes simplex virus type 2 (HSV-2), is a common sexually transmitted infection (STI) that can lead to recurrent outbreaks of painful sores in the genital area. Understanding the nature of this virus, its treatment options, and the myths surrounding it is crucial for effective management and care.

Firstly, it is important to clarify that while there is currently no cure for genital herpes, there are effective treatments available to manage the symptoms and reduce the frequency of outbreaks. Antiviral medications such as Acyclovir, Famciclovir, and Valacyclovir are commonly prescribed to help control the virus. These medications work by inhibiting the replication of the virus, thereby reducing the severity and duration of outbreaks. They can also lower the risk of transmission to sexual partners.

Regarding the concerns about these antiviral medications damaging organ function or lowering immune response, it is essential to note that when taken as prescribed, these medications are generally safe for most individuals. Side effects can occur, but serious complications are rare. Regular monitoring of kidney function may be recommended, especially for those with pre-existing kidney issues, but this does not mean that everyone will experience significant harm. The benefits of controlling outbreaks and reducing transmission risk often outweigh the potential risks associated with these medications.

The assertion that genital herpes can be "cured" is misleading. While some treatments may help manage symptoms effectively, the virus remains in the body and can reactivate, leading to future outbreaks. The idea that symptoms will simply disappear over time without treatment is also a misconception. While some individuals may experience fewer outbreaks over time, others may have frequent recurrences, and the virus can still be transmitted to partners even when no symptoms are present.

If you are experiencing recurrent outbreaks, it is advisable to consult a healthcare provider who specializes in STIs or infectious diseases. A urologist may not always have the most comprehensive knowledge regarding STIs, so seeking out a specialist in sexual health or a dermatologist with experience in treating herpes may yield better results. It is also beneficial to find a provider who is open to discussing your concerns and providing evidence-based treatment options.

In summary, while genital herpes caused by HSV-2 cannot be cured, it can be effectively managed with antiviral medications. These treatments do not inherently damage organ function when used appropriately. If you are experiencing symptoms, it is crucial to seek care from a knowledgeable healthcare provider who can guide you through the treatment options and help you manage your condition effectively. Remember, open communication with your healthcare provider about your symptoms and concerns is key to receiving the best care possible.

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