Urological Concerns: Managing and Treating Your Condition - Urology

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I am very worried (Part 4)


Hello, Dr.
Hsu.
Today during my follow-up appointment, the doctor told me that I have syphilis, and it is in the primary and secondary stages.
(1) Can you tell me if syphilis can be cured with treatment? The doctor mentioned that it cannot be completely cured and that we can only suppress the viral load, is that correct? (2) What are the symptoms of syphilis when it manifests? What are the modes of transmission? [Aside from sexual contact] (3) What happens if it is left untreated? Thank you.

Nìmíng nán, 20~29 year old female. Ask Date: 2009/12/17

Dr. Xu Weikai reply Urology


Anonymous Male: Hello, herpes generally does not heal; it remains in the body and can reappear when health conditions worsen.
In Taiwan, approximately over 80% of the population are carriers.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Taitung Hospital, Department of Urology, Executive Yuan Health Department, Director Xu Wei-kai.

Reply Date: 2009/12/17

More Info


Hello! Thank you for reaching out with your questions regarding your urological concerns, specifically related to the condition you mentioned, which appears to be a sexually transmitted infection (STI). I understand that this can be a sensitive topic, and I appreciate your willingness to seek information. Let’s address your questions one by one.

1. Treatment and Cure for the Condition: You are correct in understanding that certain STIs, including those caused by the herpes simplex virus (HSV), cannot be completely cured. Instead, the focus of treatment is on managing the symptoms and reducing the viral load in your body. Antiviral medications, such as acyclovir, valacyclovir, or famciclovir, are commonly prescribed to help control outbreaks and decrease the frequency of recurrences. While these medications can significantly reduce the severity and duration of symptoms, they do not eliminate the virus from your body. Therefore, it is accurate to say that while you may not achieve a complete cure, you can effectively manage the condition and lead a healthy life with appropriate treatment.

2. Symptoms and Transmission Routes: The symptoms of the condition can vary depending on the stage of the infection. In the initial stages, you might experience painful blisters or sores in the genital area, itching, burning sensations during urination, and flu-like symptoms such as fever and swollen lymph nodes. As for transmission, while sexual contact is the primary route, the virus can also be transmitted through skin-to-skin contact with an infected area, even when sores are not present. Additionally, it is important to note that the virus can be spread through oral or anal sex, and in some cases, it can be transmitted from mother to child during childbirth.

3. Consequences of Untreated Infection: If left untreated, the infection can lead to several complications. You may experience more frequent and severe outbreaks, and the risk of transmitting the virus to sexual partners increases. In some cases, untreated STIs can lead to more serious health issues, such as pelvic inflammatory disease (PID) in women, which can affect fertility. Additionally, there is a risk of developing other STIs, as the presence of sores can make it easier for other infections to enter the body. It is crucial to seek treatment not only for your health but also to protect your partners.

In conclusion, while the condition you are dealing with may not be curable, effective management is possible through medication and lifestyle adjustments. It is essential to maintain open communication with your healthcare provider, adhere to the prescribed treatment plan, and discuss any concerns you may have about your condition. Regular follow-ups and testing are also important to monitor your health and manage any potential complications. If you have further questions or need more personalized advice, please do not hesitate to reach out to your healthcare provider. They are there to support you through this process. Wishing you the best in your treatment journey!

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