Herpes in women in gynecology symptoms. Genital herpes in women: how does infection occur? Methods of treatment and complications of the disease. Which doctor treats this disease

Herpes is an incurable viral disease that affects the nervous system. For the female genitourinary system, the second type of HSV 2 is the most dangerous. It has a recurrent nature of the course. With proper therapy, it is only possible to suppress the activity of viruses, but it is impossible to cope with them forever. Therefore, it is necessary to remember what genital herpes looks like, the features of its treatment and prevention.

Features of the infection

According to statistics, about 90% of the population of our planet is infected with herpes virus. There are 8 main varieties of it that are dangerous to human health. The greatest harm female reproductive function causes genital herpes. It is characterized by the appearance of specific rashes in the genital area.

Women are twice as likely to suffer from this problem than men. The risk group includes girls aged 20 to 25 and 35 to 40. Often the disease is asymptomatic. The lady may not be aware of the presence of an infection. In doing so, she becomes her carrier.

The human body develops immunity to herpes. But this does not exclude the possibility of re-infection and relapse of the disease. The reason for this is not fully understood by experts.

Ways of transmission of infection

The key reason for the development of the disease is the entry of the virus into the human body. Among the main ways of transmission of herpes in women are:

• Sexual. The infection is transmitted during sexual contact with an infected partner. This can happen with any form of sex. The virus settles on a man's penis and may not manifest itself in any way. During the act, he falls into female body and in the presence of aggravating factors, it begins to actively multiply.
• Domestic. This mode of transmission is rare, but cannot be completely ruled out. The virus can exist for some time on the patient's personal hygiene items. If they are used by a healthy person with a weakened immune system, then there is a high probability of developing the disease in him.
• Self-infection. This is possible if a person suffers from herpes, for example, on the lips. With insufficient hygiene, he can transfer the virus to the genitals with his hands.
• Vertical. Infection occurs in phase prenatal development fetus if the pregnant woman is a carrier of the virus. The infection freely penetrates the placental barrier. The baby is born already infected. With a high concentration of the virus in the mother's blood, the risk of miscarriage or complications during childbirth increases.

Avoiding genital herpes in women is possible only if all the rules of individual hygiene are strictly observed. The main one is the rejection of promiscuity and the use of a condom during intercourse.

Factors provoking the acute stage of the disease

Herpes of the genital organs in women remains in the latent phase for a long time and does not manifest itself in any way. The following factors can provoke active reproduction of viruses and the manifestation of vivid symptoms:

• Passing a course of chemotherapy, application medications exacerbation of chronic diseases.
• Prolonged stay in conditions of mental and emotional overstrain.
• A monotonous diet devoid of a sufficient amount of fresh vegetables and fruits.
• Regular excessive physical activity.
• Hypothermia or overheating.
• Moving to a region with different climatic conditions.
• Hormonal changes in the body.
• Installation of an intrauterine device.
• Bad habits.
• Prolonged exposure to sunlight.

Any other factors that lead to a decrease in the protective functions of the body can cause the disease to become acute. In a particularly severe form, the disease occurs in people diagnosed with HIV.

An important role in reducing the number of relapses of the disease is played by the elimination of provoking factors. All forces must be directed to strengthening immunity.

Forms of the disease

Experts distinguish three main forms of genital herpes in women:

• Primary. Symptoms of this type of herpes appear immediately after infection. In the blood, antibodies to HSV are not detected.
• Recurrent. It implies the systematic appearance of periods of exacerbation of the disease. Depending on the frequency of relapses and their clinical picture, mild, moderate and severe forms are distinguished. If the disease is mild, then the symptoms appear no more than three times a year.
• Asymptomatic. It is characterized by the complete absence of any manifestations of the disease. At the same time, the virus continues to live in the woman's body and harm the health of her reproductive system. Such a problem can be identified only during a thorough medical examination. At the same time, the lady becomes a carrier of the infection, which is dangerous for her sexual partners.

The method of its therapy will depend on how genital herpes manifests itself. The asymptomatic form becomes the most insidious, so women are advised to regularly take appropriate tests for genital infections.

Stages of genital herpes

It is customary to classify diseases according to where exactly the focus of infection is located. The following stages of development of the problem are distinguished:

• First. Infection of the external genitalia occurs. Characteristic rashes appear on the skin of the perineum, as well as on the mucous surfaces of the vagina. Symptoms are similar to vulvitis.
• Second. Herpes appears on the cervix. The infection affects the cervical canal and urethra. At the same time, urethritis, endocervitis, vulvovaginitis develops.
• Third. The infection spreads to the area of ​​the uterus and fallopian tubes. The bladder is also involved in the process. At this stage, the development of endometritis, cystitis, salpingitis is possible. In severe cases, the rectum is also affected.

It is important to prevent the transition of the disease to the third stage. Herpes of the cervix and the organ itself is fraught with problems with conception up to complete infertility. Therefore, it is important to diagnose the problem in a timely manner and competently approach therapy.

Characteristic symptoms

The first signs of infection appear 3-14 days after infection. They can persist for three weeks, even with proper treatment. There are the following characteristic symptoms of genital herpes in women:

• Redness, swelling, feeling of unbearable itching and burning in the affected area.
• After a while, rashes in the form of small bubbles begin to appear.
• There is an increase in the size of the lymph nodes.
• Sometimes the body temperature rises.
• getting worse general state health. The woman feels tired and overwhelmed, her ability to work decreases.
• There are pains that spread to the hips and lower back.

Emerging rashes cause real torment. During walking, friction occurs, which aggravates the course of the disease. There may be sharp pains in the process of emptying the bladder. This is due to the ingress of urine particles on the wounds formed at the site of the bubbles. Genital herpes in men has similar symptoms, but its manifestations are not so bright and painful.

How do rashes change with the course of the disease?

It is important to know what herpes looks like. Often it resembles lichen. Therefore, you should not make a diagnosis on your own, it is better to seek help from a professional. Herpetic lesion looks like this:

• Infected areas initially change color. There is slight swelling. There is a feeling of mild discomfort. The duration of this stage is about three days.
• Small blisters filled with a clear liquid appear. They are painful and cause suffering to a woman. The size of the affected area gradually increases. After four to five days, the color of the bubble changes to pale yellow.
• The bubbles start to burst. The liquid contained in them flows out.
• Wounds from bubbles are covered with crusts. Gradually, the skin regenerates, and the affected area heals completely.

In the liquid with which the bubbles are filled, the maximum concentration of viruses is noted. Therefore, at the stage of its outflow, a woman becomes the most dangerous for the sexual partner.

Diagnostic measures

What genital herpes in women can look like, only a specialist knows. Do not try to make a diagnosis on your own, let alone prescribe therapy. This can be done only after passing a medical examination. The following diagnostic methods are used:

• The doctor conducts a visual examination of the patient's genitals. The nature of the rashes, their localization and the presence of concomitant symptoms are assessed.
• The biological material taken from a woman is examined using the polymerase chain reaction technique. This allows you to detect the presence of virus DNA in it.
• Direct immunofluorescence helps determine the stage of the disease. Using this technique, the presence of antibodies to herpes in the blood is detected.
• A general biochemical analysis of blood and urine is carried out. This determines the general health of the patient, the presence of inflammatory processes in the body.

The liquid contained in the vesicles is taken as the material for PCR. If the examination reveals the presence of an attached infection or concomitant diseases, consultation of highly specialized specialists will be required.

Therapy Methods

As soon as the first signs of genital herpes in women appear, it is necessary to begin treatment. The specialist will select the right strategy based on the characteristics of the patient's body. The following methods are applied:

• Taking antiviral drugs. Among the most effective drugs are: Acyclovir, Penciclovir, Zovirax, Famciclovir and some others. Such drugs can be used to treat girls with early age. They act on the DNA of the pathogen and stop the process of reproduction. The duration of the use of such medicines is about ten days.
• Elimination of painful symptoms. To eliminate pain, itching and burning, analgesics are used. Douching with the use of local antiseptics is also shown. It is better to use Chlorgeskidin or Miramistin. If herpetic manifestations are accompanied by an increase in body temperature, then antipyretics are prescribed.
• Restoration of full immunity. The attending physician prescribes immunomodulators, vitamin-mineral complexes and preparations based on interferon.
• Adjustment of lifestyle and nutrition. It will require a complete rejection of wearing synthetic underwear. It creates a favorable atmosphere for the spread of a viral infection. A woman should carefully monitor compliance with the rules of personal hygiene. For washing it is necessary to use only specialized non-aggressive products. Avoid rubbing damaged areas with a towel. It is better to blot the skin with paper towels or blow it with a hair dryer after washing.
• Physiotherapy. This technique is applied in Lately less and less.

In total, 8 types of herpes infection occur in humans, and the symptoms of different viruses for the most part are not similar to each other. The range of signs of herpes varies from simple - the so-called. "colds" - to psychiatric and oncological diseases.

Symptoms of herpes type 1 - the virus that causes the "cold"

Herpes type 1 is the simplest and most rapidly suppressed virus. The infection is mainly stored in the nerve endings cervical the spine in a dormant state, but with a decrease in immunity or under the influence of stress, it is activated and manifests itself with the following symptoms:

1. At first, the skin turns red and there is a burning sensation and itching.
2. After 6-48 hours, one or more vesicles are formed on the inflamed area - vesicles, inside of which there is a clear liquid.
3. If left untreated or scratched, the vesicles burst, spreading the infected fluid around and causing the damaged area of ​​the skin to enlarge.
4. In place of the burst bubbles, a wound appears, over time, tightened with a crust.
5. With the support of the immune system, the disease gradually "falls asleep" again - it goes into a latent state. Without support - all large areas are damaged, the wounds do not heal normally.

If symptoms are present, a person can infect others through contact. Most often, herpes 1 is localized on the face and mucous membranes of the mouth. It can affect the lips, cheeks, chin, nose, eyes, mouth or throat. Sometimes the infection gets on the skin of the trunk, causing the disease to spread to the body.

Symptoms of herpes type 2 - the genital form of the virus

The symptoms of herpes type 2 are similar to type 1, but the localization of the vesicles is different. In a dormant state, this virus is located in the nerve endings of the sacral clutch. Vesicles are formed mainly in the inguinal zone, on the thighs, buttocks, in the anus and genitals.

In addition to the usual symptoms, there is a deterioration in mood and mental state, loss of appetite, signs of intoxication. There may be an increase in lymph nodes in the groin. In women, vesicles can occur inside the vagina and on the cervix, in men - in the urethra.

Attention! Most often, relapses of the second occur in autumn or winter, when the prevalence of other viral diseases is high. On average, with immune support, symptoms resolve in 2-3 weeks.

Symptoms of herpes type 3 - the Zoster virus that causes chickenpox and shingles

The herpes Zoster virus is usually infected in childhood, and it manifests itself in the form of ordinary chicken pox. When a child recovers, an infection remains forever in the endings of his trigeminal nerve, however, it does not manifest itself under normal conditions of life.

When immunity falls, a person falls ill with an acute respiratory disease or simply lives unhealthy, the symptoms of the disease appear again. Most often, the lesion occurs in people over 50 years old, while the recurrence of this type of herpes is the rarest (observed in only 5% of patients).

Recurrent disease is called shingles and has the following symptoms:

As a rule, the disease disappears after 1-3 weeks. After the appearance of rashes, the pain is replaced by itching. In rare cases, pain does not go away, they subside, but appear throughout life.

Symptoms of herpes type 4 - mononucleosis from the Epstein-Barr virus

The Epstein-Barr virus causes a disease called infectious mononucleosis. The disease is quite dangerous and requires treatment to prevent undesirable consequences - deep genital ulcers in women, destruction of blood cells, oncological pathologies (types of lymphomas), autoimmune diseases and chronic fatigue syndrome.

Usually, when infected with the herpes virus type 4, the following symptoms are observed after 7-14 days:

The patient is often thirsty, he has a fever for about a week. Lymph nodes decrease within a month, blood changes can last up to 6 months. Correct treatment leads to recovery and lifelong immunity, its absence leads to chronic form diseases:

1. Erased- muscle pain, aching joints, frequent subfebrile temperature, fatigue.
2. Atypical- frequent relapses of infectious diseases (ARI, diseases of the gastrointestinal tract or genitourinary system).
3. Active- the usual mononucleosis symptoms are complicated by herpetic eruptions, fungal or bacterial infection. Possible damage to the mucous membranes of the gastrointestinal tract, dyspepsia.
4. Generalized- severe damage to the central nervous system, including meningitis, encephalitis, radiculoneuritis. Increased risk of myocarditis, hepatitis, or pneumonitis.

The symptomatology of chronic Epstein-Barr infection manifests itself in waves - the number and intensity of symptoms gradually increase and also gradually decrease depending on the state of the immune system.

Symptoms of herpes type 5 - cytomegalovirus infection (CMV)

Cytomegalovirus does not appear immediately after infection, the carrier of the infection often does not even know about his own situation. With strong immunity, the disease may never go into the active phase, but simply asymptomatically "sleep" in the body until the end of life (in 90% of cases this happens). However, the person will continue to transmit the virus to other people.

Patients with symptoms of CMV most often complain of signs of acute respiratory infections and mononucleosis (fever, fatigue, headaches, chills) that occur 20-60 days after infection. The duration of the disease is generally 4-6 weeks. If the activity of the virus is caused by immunodeficiency, pleurisy, pneumonia, arthritis, encephalitis or myocarditis may join. Vegetative disorders are observed.

In a generalized form, CMV causes damage to the whole body - tissue inflammation internal organs, eye, brain, and paralysis. In men, there may be damage to the tissues of the testicles and urethra, in women - inflammation or erosion on the cervix, uterus, vagina or ovaries, white-blue discharge.

Symptoms of little-studied forms of herpes virus types 6, 7 and 8

Herpes type 6 lives in microphages and lymphocytes. Among all adults, about 50% are carriers of this infection, infecting the rest through blood and saliva, as well as by airborne droplets.

Symptoms of the disease are itchy and mucous, fever, ulcers or spots on the skin of the back, chest or abdomen (exanthema), mononucleosis syndrome, asthenia. With immunodeficiency, encephalitis is possible.

Often the infection occurs in young children (3 months - 4 years). It is manifested by sudden exanthema and fever (up to 40 ° C), signs of intoxication. Symptoms last up to 4 days, then they are replaced by a rash that disappears within 3 days. Sometimes there is no rash after a fever, but there may be convulsions due to too much high temperature. Upon reaching the age of 5, most children develop immunity against type 6 herpes; only a particularly strong immunodeficiency can cause a relapse.

Herpes type 7 contributes to the activation of the type 6 virus and increases the risk of developing chronic fatigue syndrome. This syndrome is the main manifestation of a viral infection.

It manifests itself with the following symptoms:

• general loss of strength;
• constant fatigue and lack of tone;
• bad mood, anxiety and psycho-emotional overload;
• loss of ability to work and concentration of attention;
• lack of positive changes even after a long rest;
• memory disorders;
• headaches and tearfulness;
• sleep disturbances and lack of sleep even with prolonged sleep;
• signs of depression;
• slight increase in temperature long time(up to six months);
• swollen lymph nodes.

Worth noticing! When making a diagnosis based on these symptoms, a specialist needs to differentiate the disease from psychiatric / nervous pathologies, HIV infection, cancer, anemia, and thyroid dysfunction.

Herpes type 8 least studied. Its symptoms include the development of other diseases - Kaposi's sarcoma, primary lymphomas, Castleman's disease and multiple myeloma. In this case, the patient develops malignant neoplasms on the skin, mucous membranes, internal organs and lymph nodes, which look like symmetrical plaques or spots of dark red or purple. There may also be a bloody cough, severe dyspepsia, and pain when eating.

Symptoms of eye herpes of any type

Ophthalmoherpes develops on the retina, eyelids or mucous eyes. Relapses can occur 3-5 times a year - this is one of the most common forms of herpes infection, mainly caused by types 1 and 3 of the virus.

Symptoms of eye herpes are similar to allergic or from a bacterial infection, herpetic vesicles appear in the eyes, and the following signs are also observed:

• eyeballs and eyelids redden;
• there is pain and a feeling as if there is foreign body;
• at good lighting there is discomfort;
• visual acuity falls, becomes "foggy";
• sparks or flashes are visible before the eyes;
• the shape and size of objects appear to be irregular or split in two;
• twilight vision is significantly reduced;
• blepharospasms - the eyelids are convulsively compressed.

Patients often complain about severe pain in the eye socket and above the eyebrow. The field of view becomes narrower, there may be a blind spot in the center. Moving the eyes is difficult and painful. All this can be accompanied by nausea, subfebrile temperature and headaches.

Symptoms of herpetic sore throat

In adults and children with the herpes virus in the body, a sore throat caused by this infection is often found. Its onset is usually abrupt and extremely acute:

1. The temperature rises to 40-41 ° C, as in pneumonia.
2. There are severe pains in the throat, it is very difficult to swallow, the discomfort lasts for at least 3 days.
3. The mucosa of the pharynx is subject to swelling, on the tonsils and the palate is visible with white bubbles.
4. Vesicles merge with each other over time, forming a dense white "plaque", covered with a film and surrounded by redness.
5. Suppuration of the rash lasts up to 3 weeks, during which herpes can move to the skin of the face.

The incubation period of herpetic sore throat lasts 1-2 weeks. Sometimes the patient recovers easily - intoxication disappears until the rash of vesicles by 6 days, treatment is greatly simplified. Sometimes there are complications - herpetic rhinitis, chronic tonsillitis, otitis media, myocarditis, encephalitis, etc.

Symptoms of herpes on the internal organs

Internal herpes is manifested by the usual symptoms of other diseases, as it causes them. None visible signs it is herpesvirus that is usually not observed; it is possible to determine the type of infection only by clinical studies and laboratory tests.

As a rule, with ulcers in the esophagus due to herpes rashes, a person suffers from pain behind the sternum and when swallowing. A doctor can detect ulcers through endoscopy. Pneumonia, bronchitis and tracheitis with characteristic symptoms(fever, cough, shortness of breath) are detected through special tests for herpes type 1, often these diseases are accompanied by a fungal or bacterial infection.

If the patient has herpetic hepatitis, the symptoms will be similar to those of hepatitis B or C - jaundice, discoloration of urine and stool, fever. To identify the cause of the disease, the patient is prescribed an analysis for herpes viruses. AND so with any other lesion of internal organs - this virus does not have a separate specific symptomatology.

Symptoms of postherpetic neuralgia

Postherpetic neuralgia is an echo of the disease after recovery from type 3 herpes. After a relapse of the Zoster virus, the patient remains a feeling of discomfort and symptoms of infection, although the disease has already “subsided”. Acute symptoms are already completely gone. So, with such neuralgia there are:

• residual drying and flaky crusts in places where it was;
• throbbing pain or tingling in this area, sometimes extremely severe;
• itching between pain attacks, causing irritation, which only increases subsequent pain;
• numbness of the skin areas at the site of the former lichen or an over-strong reaction to external stimuli;
• muscle weakness and paralytic conditions (more often in old age).

Usually postherpetic neuralgia lasts 2-3 weeks, but sometimes it stays for 2 months or even a year. Some symptoms persist even longer, such as muscle weakness or extreme skin reaction. All this interferes with the normal way of life of people who have suffered repeated activity of the varicella-zoster virus.

In order to understand how to treat genital herpes, it is necessary first of all to understand the symptoms and eliminate the ways of transmission of the disease, so that the following situation does not happen: you will treat responsibly, and your partner, being a carrier, will remain in the dark or simply simply refuse any use of medications, referring to the fact that there are no external manifestations. Before starting the treatment procedure, cut off all possible ways of transmitting the virus.

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In a rare case, the disease is transmitted through hygiene products and personal items, most often it is unprotected sex, kissing with a carrier. We have collected for you detailed instructions for the treatment of illness folk remedies, and medical methods, however, before proceeding with the procedure, you should conduct an accurate diagnosis of the disease with a doctor, this will help you clarify the degree and type of the disease, but when you know who to fight, you can use everything modern facilities well, there are a lot of them.

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 sores in the mouth area, since oral contact with the genitals spreads the infection from the lips to the genitals.

Risk factors that increase the chance of contracting this disease:

1. Violation of the immune system due to illness, stressful situations or taking medicines.
2. Minor damage to the mucous membranes and skin.
3. Simultaneous presence of several sexual partners.
4. Having sex without a condom.

Symptoms of genital herpes

The symptoms of genital herpes are somewhat difficult, since this infectious disease can exist in a latent state and only in exceptional situations make itself felt.

Herpes rash in women is most often formed in the following places:

• around the anus;
• inside and outside the vagina;
• in the region of the cervix;
• in the buttocks.

Rashes in men appear:

• on the scrotum;
• in the anus or thighs;
• on the head of the penis.

And yet, there are several symptoms that indicate the presence of an infection in the body:

• Noticeable itching and redness, accompanied by severe burning in the groin.
• The formation of a small number of bubbles filled with a clear liquid.
• A few days later, the bubbles burst, then covered with a kind of crust.
• Discomfort during urination.
• The presence of purulent discharge in the fair sex.
• Noticeable painful enlargement of the lymph nodes in the groin area.
• Sometimes there is a weak state, impotence.

With primary infection with herpes, the incubation period is up to 8 days. Then, the following symptoms appear:

• itching, redness and burning in the genital area;
• small vesicles filled with a cloudy liquid form on the skin or mucous membrane;
• bursting bubbles are transformed into small erosions or ulcers covered with a crust;
• sensation of itching and tingling during urination;
• with damage to the cervix, the mucosa becomes hyperemic, erosive, with purulent discharge;
• lymph nodes in the groin are enlarged.

Sometimes there is a general weakness, malaise. It may take up to 30 days for the symptoms of the disease to completely disappear. Effective treatment of genital herpes shortens this period.

With secondary infection, the disease manifests itself with similar symptoms. Once in the human body, the virus turns it into a carrier of the disease. In this case, periods of remission are replaced by exacerbations.

The herpes virus lives in the spinal nerve ganglions, and not on the mucous membranes and skin, therefore, before the appearance of rashes, precursor symptoms occur in the form of pulling pain along the nerve ganglions, itching and burning in the area where the rash appears.

Noticed unpleasant symptoms, but do not know which doctor treats genital herpes? If there are signs of this disease, women should contact a gynecologist, and men - a urologist or andrologist.

The virus received from the partner does not always lead to rashes, decisive role This is the state of the immune system.

Types of herpes virus

1. 1. Simple virus herpes type 1- manifests itself as rashes on the lips, face,
2. 2. Simple virus herpes type 2
3. herpes type 3 causes chicken pox in childhood and shingles in old age
4. herpes type 4- causes the disease infectious mononucleosis, hairy leukoplakia of the tongue
5. herpes 5, 6, 7, 8th types rarer and less well understood

The most common herpes that affects the lips and skin, the second most popular is genital herpes. Herpes can lead to the development of diseases nervous system, damage to internal organs, eyes, mucous membranes. Among the infectious causes of death, the herpes virus ranks second (the first place is occupied by the influenza virus).

Herpes simplex virus 1 - 2 types - characteristics

1. 1. Herpes simplex virus type 1- manifests itself as rashes on the lips, face
2. 2. Herpes simplex virus type 2- causes genital herpes, which affects the mucous membranes of the genital organs.

The herpes simplex virus is very resistant to cold, but not 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 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. Everything you need to know to prevent infection.

This virus loses its activity and ability to reproduce under the influence of X-ray and ultraviolet rays, alcohol, organic solvents, phenol, formalin, bile, disinfectants.

Diagnosis

• Genital herpes may be active, or it may not make itself felt at all until a certain point.
• As a rule, the herpes virus, which occurs in a latent form, is almost impossible to detect if you do not pass a series of special tests.
• It is impossible to cure an infectious disease on your own, therefore, if there is a suspicion of the presence of genital herpes, it is recommended to immediately contact a specialist, otherwise the disease may become chronic.
• Only a qualified doctor can determine the type of herpes, and then prescribe an effective treatment.

In men and women

Genital or genital herpes is a disease of the genital organs in men and women caused by herpes simplex type 2 viruses, but 20% of cases this disease is caused by infection with the type 1 virus. For genital herpes characterized by solitary or grouped skin rashes, it usually affects the vulva, perineum and anus, and (less often) the vagina and cervix (vaginal and cervical herpes in women). In severe cases, genital herpes can spread to the body of the uterus and its appendages.

Vesicles filled with serous fluid then turn into sores and erosions. Pain, itching, burning are felt at the sites of the lesion. Measures need to be taken to the fastest treatment, since the genital herpes virus can even provoke the development of cancer.
If the symptoms disappear, this does not mean that a cure has occurred - the virus remains inside, and after a while the exacerbation may recur. For some, after a few weeks, for others, after a few years.

Provocative factors of exacerbation of genital herpes:

• – stress
• - colds, flu
• – diabetes
• - overheating or hypothermia
• - consumption of alcohol, caffeine

Treatment of herpes should be complex, aimed at increasing the body's defenses. In addition, it is necessary to take vitamin and mineral complexes. During exacerbations, the dose of vitamins C, A, B should be increased.

Nutrition

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 promotes the reproduction of the herpes virus, it is also better to refuse these products. You need to include seaweed, apples, dairy products, cheese, yogurt in the menu

Treatment with medications

At the beginning of treatment, you need to use ointments and tablets that help the immune system cope with the virus:

• "Acyclovir";
• "Lizavir";
• "Zovirax";
• "Fenistil";
• "Penciclovir";
• "Amixin";
• "Interferon".

These drugs are recommended to be used for at least 10 days and no more than a month. Due to these ointments and tablets, it is possible to prevent the initial manifestation and further spreading infections.

Medical treatment

Therapy is carried out with tableted drugs, as well as ointments for external use.

Effective drugs for the treatment of genital herpes:

• Acyclovir (Acivir, Zovirax, Acyclovir-BSM, Virolex, Lizavir, Cyclovax);
• "Famciclovir" ("Valtrex");
• "Penciclovir".

There are two ways to use antiviral drugs - in the form of an episodic appointment (short course up to 10 days) and preventive (within a month or two).

More often in medical practice use "Acyclovir" (in tablets or capsules) and its analogues. Adult patients are prescribed a therapeutic dose of the drug, according to the instructions. Taking medication early in the course of the disease helps prevent the rash.

If you start treatment after the appearance of bubbles, then the symptoms will become less pronounced, and healing will occur faster. With frequent relapses of the disease, it is worth taking antiviral drugs for prevention.

How to treat genital herpes with topical products? For this, ointments are used as part of the complex therapy of the disease:

• "Acyclovir";
• "Zovirax";
• Virolex;
• "Fukortsin" (if the skin is affected);
• Oxolinic ointment.

Together with antiviral agents, immunomodulators are prescribed:

• "Amixin";
• "Polyoxidonium";
• "Likopid";
• "Interferon".

These drugs affect the immune system of patients with genital herpes, stimulating its specific and non-specific factors. This allows you to block further distribution virus and reduce the frequency of relapses.

The scheme of treatment of the disease

There are certain treatment regimens for genital herpes. The choice of a specific one depends on the type of disease, its duration and the condition of the patient.
Reception of drugs at primary infection

Treatment of recurrent genital herpes

Treatment of genital herpes in women

During pregnancy, antiviral therapy is not recommended. The exception is severe forms genital herpes, complicated by other diseases that threaten the life of the patient.

For effective treatment in this situation, human immunoglobulin is used. It is administered intravenously in 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" can be prescribed.

Scheme for the use of drugs from a pharmacy

Reception medical devices when infected with genital herpes

Taking medications for progressive genital herpes

It is worth noting that the treatment and prevention of genital herpes is contraindicated for pregnant women. 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 injected intravenously with immunoglobulin, which inhibits the manifestations of genital herpes, and doctors often recommend taking Viferon.

Stage 1 (relapse)

• Alpizarin (0.1 g) - up to 5 times during the day, the general course is 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 gr) - 2 p. during the day, for 2 weeks.

As a specific therapy, it is recommended to administer antiherpetic immunoglobulin (3 ml) 1 r. during the day in / m (course of at least 5 injections). It can be combined with the introduction of 1 ml of Activin (s / c) at least 2 times a week (10 injections in total).

• Gossypol;
• Megasina;
• Bonafton;
• Alpizarin (for the treatment of the vagina).

In case of primary infection or exacerbations of the infectious process, external processing should be done for at least 5 days.

Before treating herpesvirus, it is necessary to undergo a complete diagnostic examination of the body, because the symptoms of the disease are often similar to other infectious diseases. In addition, there are a number of contraindications for taking certain medications and this must be taken into account.

Stage 2 (reduction of exacerbation)

At this stage, it is recommended to inject - vitamins of group B (B2, B1) - 1 ml with a break of 1 day with a course of 15 injections. In addition, autohemotherapy is recommended, according to the scheme: starting with 2 ml. up to 10 ml. (ascending) and vice versa.

Orally:

• Tazepam - 1 tab. 2 p. per day (21 days);
• Eleutherococcus (20 caps) in the morning;
• Tavegil - 1 tab. 2 p. per day (21 days);
• 10% calcium chloride solution - 1 tbsp. l. 3 p. per day (20 days) or Calcium gluconate (tab.) - 0.5 g 3 r. per day (2 weeks);
• Dibazol - 1⁄2 tab. 2 p. per day (21 days).

Local: Gossypol, Megasyn.

When suppressive (suppressing herpesvirus) treatment is carried out, antiviral drugs are recommended to be taken at a minimum dosage, but with a longer period. Alpizarin is most often used as a prophylactic.

Stage 3 (remission)

Genital herpes in the remission phase involves vaccine therapy (with a duration of relapses of more than 2 months), which is performed after a symptomatic course, as well as restorative 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 endure a break (14 days) with the introduction of a similar dosage (5 injection doses), but 1 p. (daily) for 7 more 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. Repetition of vaccination is recommended after six months.

In the stage of remission, herpes on the genitals involves the use of immunomodulators.

Most commonly used:

• Imunofan - the drug is administered intramuscularly (0.1 ml each) with a break of 1 day, with a total course of 5 injections;
• Meglumine acridonacetate - (0.25 mg) IM 1 injection daily for 10 days;
• Panavir - (3 ml) in / in 1 r. in 3 days (5 injections);
• Immunomax - (100-200 IU) i / m 1 p. in accordance with the assigned scheme;
• Sodium ribonucleate - (2 ml) i / m 1 r. during the day (5 injections);
• Galavit - (1 tab.) 2-3 p. per day, in accordance with the scheme;
• Ridostin - (8 mg) i / m 1 p. in 3 days (3 injections);
• Lavomax (Tiloron) - this drug has a dual effect (antiviral and immunomodulatory). 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.

Means for prevention

If unprotected sex has occurred, emergency preventive measures should be taken in the form of antiseptics to help localize the possible appearance of herpes sores on the genitals.

The group of such drugs includes the following drugs.

Miramistin

This antiseptic is available as a 0.1% solution packed in a plastic bottle. Before using it, the area on the genitals, and then the groin area, is pre-washed with soap, dried and treated with a cotton swab dipped in Miramistin solution.

• Women are advised to inject the solution (using a special nebulizer attached to medicine), inject approximately 10 ml of the solution deep into the vagina and 1.5 ml into the urethra, holding the solution for 2-3 minutes.
• After the treatment, it is not recommended to urinate for 1 hour.
• This treatment is recommended to be performed at least 2 times a day.

Betadine

The medicine comes in the form of an ointment vaginal suppositories and antiseptic solution. It is necessary to use Betadine after unprotected sexual contact (within 2 hours). To prevent infection, a woman needs to insert a candle into the vagina with additional treatment of the mucous membrane with an antiseptic solution.

Panavir

This medication is available in the form of a spray and is used in emergency cases. You can apply it on a condom, as well as treat the area of ​​\u200b\u200bthe intimate organs with it.

For effective prevention herpes, and any infectious diseases transmitted through sexual contact, it is very important to avoid unprotected promiscuity.

During the period of exacerbation of the herpes virus, you should stop having sex, because even the most reliable contraceptives are not able to provide protection from the virus entering the body.

We use immunomodulators

It is completely impossible to get rid of the disease. When immunity is weakened after an illness, the virus will make itself felt. The task of physicians is to convert the virus into an inactive form. Thus, the disease will sleep inside the person. In people with weak immunity relapses can happen every month. In people with good immunity, relapses are rare. Therefore, every carrier of genital herpes should take care of their health.

Immunostimulants are often used in the treatment of viruses, as they destroy the cell membrane. The human body produces an immunomodulator - interferon. Based on it, many drugs are made for the treatment of viral infections.

Interferon-based drugs:

• Viferon. For genital herpes, it is used as an ointment. It lubricates the affected areas. The main component of the ointment is human recombinant interferon alpha-2b. In addition, the preparation contains vitamin E, which improves wound healing, petroleum jelly and lanolin.
• . This is human fibroblast interferon. It is applied in the form of injections. The drug is expensive, but recovery occurs in 70% of cases. After adequate treatment, relapses are extremely rare. The duration of treatment can be up to 6 months.

Interferon-based drugs should be used with caution. There is an opinion 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 sea coast. Sea water does a great job with various rashes.<

We use antiviral drugs

At the acute stage of the disease, the patient should take tablets. Antiviral drugs damage the cells of the virus and block its reproduction, preventing them from growing.

For treatment, the following drugs are used:

1. Acyclovir. It is used for the prevention and treatment of recurrent and primary herpetic lesions of the skin and mucous membranes, which are caused by Herpes viruses types 1 and 2. Efficiency is due to inhibition of the DNA of the virus cells.
2. Pharmaciclovir. A drug based on penciclovir. It is used for frequent recurrences of genital herpes. With it, you can get rid of the neuralgia provoked by the virus.
3. Denavir. Cream based on penciclovir.
4. Groprinosin. The basis of the drug is inosine pranobex. It destroys the DNA of the virus and improves the body's resistance. Sold in the form of tablets. You need to take the drug for 1-3 months.
5. . It is an ester of acyclovir. After administration, it breaks down into valine and acyclovir. It is sold in tablets. You need to take it during an exacerbation. Does not improve immunity, but only destroys virus cells.

Most often, Acyclovir and its analogues are used. It is quite effective, as it destroys the membrane of the virus, preventing its reproduction. Treatment should begin even before the appearance of rashes or on the first day of the appearance of bubbles. This will reduce your risk of developing a rash.
Together with antiviral drugs, interferon is prescribed (Viferon, Genferon, Anaferon).

Treatment of the disease in women

Doctors state the fact that the beautiful half of humanity is more likely to experience genital herpes than men. Therapy for men and women is not much different. Antiseptics are used to treat genital herpes with internal rashes. For this purpose, Dekasan is prescribed for douching. This is a solution that has an antiviral effect.

Consequences of infection with genital herpes in women:

• cervical cancer, dysplasia. The saddest thing is that the herpes virus can cause cancer. Rashes on the cervix often degenerate into dysplasia. If left untreated, it can lead to cervical cancer.
• Dryness of the mucous membranes of the vagina. Often there are cracks. This is due to a change in the hormonal background, as a result of which a negligible amount of lubricant is produced.
• Decreased libido. Due to damage to nerve cells, lower back pain and constant aching pain in the lower abdomen are possible. As a result, sex drive decreases.
• endometritis, colpitis. These are inflammations of the walls of the uterus and vagina. Can lead to the formation of adhesions inside the uterus. This reduces the likelihood of conception and may adversely affect the bearing of a child.

How to treat in men

In a strong half of humanity, genital herpes is less common. It mainly affects the glans penis, anus. In rare cases, rashes appear in the urethra and rectum. Initially, temperature and swelling appear at the site of future ulcers. 3 days after the appearance of the vesicles burst. At this time, the pain and temperature subside. Treatment is carried out according to the standard scheme: antiviral drugs and strengthening the immune system.

Consequences of genital herpes in men:

1. Chronic and acute prostatitis. Virus cells infect the prostate gland. Usually, exacerbation of prostatitis is observed simultaneously with rashes and fades with the use of antiviral drugs. But in some cases, antibiotics are required.
2. Herpetic proctitis. This is a disease of the rectum, characterized by the appearance of ulcers or hemorrhages on the mucous membranes. During the acute phase, bleeding may occur during the act of defecation. The absorption of nutrients in the intestines is reduced.
3. Urethritis. This is an inflammation of the urethra. It is characterized by painful urination.

Rules for the treatment of genital herpes in pregnant women

During pregnancy, all women are tested for TORCH infections, among which there is herpes. If a high concentration of antibodies to the herpes virus is detected, the pregnant woman is prescribed antiviral drugs and immunomodulators.

The most dangerous is the infection of a child with the herpes virus through the birth canal. In this case, the risk of transition of the disease to the acute phase is high.

If a high concentration of antibodies is detected, a pregnant woman is prescribed the following drugs:

• Zovirax. The active substance is acyclovir. It inhibits the DNA of virus cells and prevents their reproduction.
• Oxolinic ointment. An antiviral ointment that deactivates the acids that keep the virus alive.
• Viferon. A drug based on human interferon. Sold in the form of suppositories, ointments and gels.

The choice of drug depends on the gestational age. The most dangerous is the acute form in the first trimester of pregnancy. In this case, spontaneous abortion is possible. Often, fetal malformations are diagnosed after a mother's illness. In the third trimester, the disease is less dangerous for the child, since almost all organs are formed. In this case, the pregnant woman is treated with local preparations and strengthens the immune system.

tutknow.ru

Conditional treatment regimen

Below you can familiarize yourself with the treatment regimen and understand what doctors are guided by when prescribing certain drugs, but this regimen can be adjusted by the doctor during a personal examination of the patient.

Indications for treatment in a hospital:

• if the body does not tolerate antiviral agents;
• complications from the central nervous system;
• disseminated herpes infection.

What are the goals of treatment:

• reduce the risk of transmission of infection to the fetus;
• reduce the possibility of transmitting herpesvirus to a partner;
• reduce the number of relapses;
• prevent possible complications;
• get rid of symptomatic discomfort.

People 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 it is impossible to write how many tablets of Cycloferon or the same Acyclovir should 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 being examined by a specialist. Especially if it concerns children or adults in certain situations, for example, during pregnancy or with immunodeficiency.

herpess.ru

Treatment of genital herpes folk methods

There are several folk ways to deal with genital herpes:

• Tea tree oil solution. Dilute 10 drops of oil in 500 ml of warm water. For 10 days, wash the genitals, preferably at night.
• Collection of herbs. Mix herbal collection with 400 ml of warm water, put on a small fire for 5-10 minutes. Remove from heat and let the broth cool to room temperature. Perform genital washing once a day for 14 days.
• Infusion of a series. This recipe is used in the initial stages of infection to relieve itching and burning. Mix 10 g of string and 200 ml of hot water, let the ingredients stand for an hour. Next, you need to strain the prepared infusion and apply to the affected area of ​​\u200b\u200bthe skin for 15 minutes.
• Camomile tea. It will help relieve pain and stop the inflammatory process. Dilute 5-10 g of dry collection in 250 ml of boiled water, mix thoroughly and let it brew for an hour. It is necessary to treat the affected areas of the skin no more than 2 times a day for 2 weeks.
• Sea salt. Fill the tub with 10 liters of hot water, add 60 grams of sea salt and mix thoroughly. Wait for the water to cool slightly, then sit in it for about 45 minutes. The procedure should be carried out daily, for about 2 weeks.
• Echinacea root tincture. The prepared remedy will help strengthen the immune system. Mix 30 g of crushed root and 120 ml of alcohol, mix the ingredients thoroughly. Leave the product to infuse for about 6-7 days. Then carefully strain the finished infusion and consume 20 drops, 4 times a day. within 2 months.

Funds from the village

In addition to medicinal methods, it is possible to treat genital herpes with folk remedies:

1. Tea tree oil. To use, add 10 drops of oil to 400 ml of boiling water. Means to use for washing the genitals. The procedure should be performed before going to bed.
2. Herbal collection. Mix equal amounts of birch leaves, red clover flowers, calendula, dandelion root and motherwort herb. 10 g of the collection pour 350 ml of water. Boil the broth over low heat for 5 minutes. After cooling, it is filtered and used for washing or douching. The procedure is performed once a day before bedtime for two weeks.
3. Series. To relieve itching at the initial stage of herpes, you need to pour 10 grams of dry grass with 250 ml of boiling water and let stand for an hour. Strain the infusion, soak a piece of gauze in it and apply to the affected area for 10 minutes. Also, the drug can be taken orally (100 ml twice a day).
4. Chamomile. It has an anti-inflammatory effect, helps relieve pain. 5 grams of dried flowers are poured into 200 ml of boiling water and left for 40 minutes. Strain and use for irrigation of mucous membranes or douching. You can use this infusion 2 times a day.
5. How is genital herpes treated with sea salt: 50 grams of sea salt are dissolved in 10 liters of boiling water, and after the product has cooled down, it is used for taking sitz baths. The procedure is carried out daily (for a quarter of an hour for 14 days). It is not necessary to wash off the saline solution, it is enough to gently blot the external genitalia.
6. Echinacea root. Used to strengthen the immune system. To prepare the product, you need to pour 20 grams of crushed raw materials into 100 ml of 70% alcohol. The tincture is kept for a week in a dark, cool place. Then, the agent is filtered and taken 25 drops 3 times a day. The course of treatment is 2 months. If necessary, it can be repeated.

Herbal treatment

Take 4 tbsp. l. herbs of lemon balm, thyme and motherwort, chamomile flowers, raspberry leaves, juniper fruits, 2 tbsp. l. wormwood, adonis and St. John's wort. Pour 2 tbsp. l. mixture with two cups of boiling water. Leave for an hour, take 1/4 cup 4 times a day. Course - 2 weeks.
With this disease, baths with the addition of essential oils of lemon, geranium eucalyptus and tea tree help well. The duration of the bath is 15 minutes.

Arnica in folk treatment

15 g of dried arnica flowers pour 0.5 liters of boiling water, leave for 2 hours, use for compresses on the affected areas

Alternative treatment of genital herpes with birch buds

Pour 15 g of birch buds with 1 glass of milk, boil for 5 minutes, cool, wrap in gauze, use as an external anti-inflammatory agent in the form of compresses.

Kalina in the folk treatment of genital herpes in men and women

Pour 20 g of crushed dry fruits of viburnum with 1 cup of boiling water, leave for 4 hours. Take 1/2 cup 4 times a day. The course of treatment is 10 days.

Alternative treatment of lungwort

1 st. l. lungwort pour 1 cup boiling water, insist in a thermos for 45 minutes. Take 1 glass 2 times a day. The course of treatment of genital herpes - 10-12 days

narrecepti.ru

Ways of transmission of the disease

Genital herpes belongs to the category of sexually transmitted diseases.

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 also possible through oral-genital contact. Domestic transmission of infection is extremely rare. The highest incidence rate is observed in the age group of 20-29 years. The herpes virus can live in the body throughout life. In the interrecurrent 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 transmission of genital herpes, infection is possible when a child passes through the birth canal during childbirth or the fetus passes through the placenta of a sick mother.
• In some cases, human infection can occur in the absence of sexual contact: infection in this case is the result of non-observance of personal hygiene rules, when a person transfers the herpes simplex virus from his lips to his genitals with dirty hands.
• The herpes simplex virus, which once entered the body through microtrauma to the skin and mucous membrane of the genital organs, remains in the body for life.
• A person with strong immunity, leading a correct lifestyle, may never know about the presence of a 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 alcohol intoxication, hormonal changes), the virus is activated and genital herpes is exacerbated.

In newborns

The most severe complication of genital herpes is neonatal herpes, when the infection of the child passes from the mother during childbirth. The chance of transmission of the herpes virus to the newborn increases if the mother becomes infected during the last 3 months of pregnancy. Infection of newborns leads to serious disorders of the child's nervous system, blindness and even death.

If it was found that during pregnancy in the expectant mother, the herpes infection entered the active phase, then delivery by caesarean section 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 exacerbation, worsens his emotional and psychological state, and reduces a person’s performance. In addition, the infection facilitates the transmission of HIV infection and provokes the transition of HIV into AIDS.
jlady.ru

Infection with pathology

There are several ways to get genital herpes:

1. sexually. It is worth noting that a condom cannot 100% protect against genital herpes. Virus cells, when the vesicles are damaged, can get on the pubic hair, inner thighs. Therefore, the percentage of protection with a condom is only 50%. Homosexuals are more likely to suffer from genital herpes, usually the disease affects the anus, colon and urethra.
2. Through the use of the patient's dishes. This method of infection is rare, since rashes on the genitals are provoked in 70% of cases by a type 2 virus.
3. In public toilets. This method of infection is rare, since the virus does not live on the human body for long.
4. Transfer of the virus from the lips to the genitals when touching the ulcers. This is the so-called autoinfection, when a patient transfers disease cells from one part of the body to another.
5. During oral sex with a person who has rashes on his lips. It is possible to infect the genital organs when caressing them with lips affected by herpes. But there are also cases of reverse infection, when the virus from the genitals enters the mucous membrane of the mouth.

Of course, disease cells do not live very long in the air, but this is quite enough to infiltrate 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 20 hours.

What can not be done when sick?

If symptoms of the disease appear, there is no need to panic, because with proper treatment a long-term remission is possible. It is also worth abstaining from sexual activity until the complete disappearance of the manifestations of herpes.

• It is not recommended to drink alcohol, which is a provoking factor for this disease.
• Before a visit to the doctor, you can 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 vials with alcohol, as 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 to it is negative. Self-medication will only aggravate the condition and cause frequent relapses.

Possible Complications

You need to know how to quickly cure genital herpes, because if you do not see a doctor in time, complications may occur.

Without timely therapy, genital herpes causes:

1. Dysuria or neuropathy causing acute urinary retention.
2. Massive infection of the internal organs. This occurs in rare cases, mainly with immunodeficiency (the hands, buttocks, mucous membrane of the eyes are affected, and oral sex causes stomatitis, cheilitis or pharyngitis).
3. In women, having genital herpes increases the chance of cervical cancer.
4. Psychological problems and tendency to depression.
5. With primary genital herpes in pregnant women, infection of the fetus occurs in 50% of cases. More often this happens during the passage of a child through the genital tract, affected by herpes, and is excluded during a caesarean section. Infection of the fetus leads to damage to his eyes, skin and nervous system, and sometimes to disability.

Prevention

Specific prevention methods include the use of vaccines. But due to the fact that the virus is arranged in a special way, it is not always possible to obtain a lasting effect.

Nonspecific measures for the prevention of genital herpes are:

• moderate exercise and a healthy lifestyle;
• avoiding alcohol and smoking;
• strengthening the immune system;
• the use of barrier contraceptives for any type of sex.
• proper personal hygiene (do not use someone else's underwear, towels, etc.).

If you are already infected with the herpes virus, in order to prevent frequent exacerbations, avoid overheating and hypothermia, take vitamin complexes for prevention. Be attentive to your body and always stay healthy!

Useful video: living with the genital herpes virus (doctor's advice)

sovetclub.ru

Methods of transmission of the herpes virus

The viability of the virus in the external environment at room temperature and normal humidity is maintained for a 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 wet sterile medical cotton wool and gauze - during the entire time of their drying (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. Transmission of the virus is also 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 lack 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 on your own by comparing herpes on the lip with a photo on the Internet. However, in the early stages there are no symptoms of the disease, and herpes can only be diagnosed by laboratory methods. Prodromal symptoms, which appear even before the appearance of visible herpetic lesions, will allow differential diagnosis of symptoms of infection with the herpes virus from, for example, allergic stomatitis. If the disease does not manifest inside the mouth, primary orofacial herpes may be mistaken for impetigo or a bacterial infection. In addition, mouth ulcers (aphthae) can also look like oral herpes, but no blisters appear. After contact with the source of infection, viral particles enter the cells of the skin epithelium, then the virus migrates to nerve cells by fusing the outer shell of the virus with the cell membrane, and the viral DNA is released inside the cell. Then it is transported along the dendrites of nerve endings to the body of a sensitive neuron, located in the sensory ganglion, where they are permanently integrated into its genetic apparatus. After the penetration of the virus, 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 shedding of the virus immediately after infection is asymptomatic. This can happen more than a week before or after the first symptoms appear in 50% of cases. The causative agent multiplies intensively in it. Focal death of the epithelium occurs: cells increase in size, then die, forming foci of dead cells. The duration of the period of virus excretion during the localization of the virus on the lips in herpes simplex type 1 is 6-33 days, and in herpes simplex type 2 - 1 day. After infection, the body begins to synthesize antibodies against a specific type of herpes virus, preventing the infection from spreading. In the case of infection with the herpes 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 an initial herpes infection prevent infection with the same type of virus: people who have had type 1 orofacial herpes do not get panaritium or genital herpes caused by type 1 herpes.

Herpes on the lips: the course of the disease

Herpes on the lips appears within 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, which dry out and become covered with a crust in 3-4 days. The healing of these wounds is complicated by the fact that when talking or eating, the crust can burst and the wound begins to bleed.

Treatment of herpes on the lips

There is currently no cure for herpes. Available drugs only suppress 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 relieve symptoms. Treatment of herpes on the lips can take a long time - the wound can heal much faster if left untouched, but in the case of the lips this is almost impossible. Antiviral ointments such as acyclovir will help speed up the healing process. It has been proven that acyclovir and valaciclovir are effective in the treatment of facial herpes (on the lips), including in cancer patients. When applied topically for the treatment of facial herpes, acyclovir, penciclovir, docosanol (docosanol) are effective. These drugs are allowed for sale without a doctor's prescription. They must be used regularly, while observing the rules of hygiene: using only personal utensils, towels, and so on. Alternative methods act indirectly, having only a tonic, anti-inflammatory effect. Echinacea preparations 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 agents. 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 immune system

During primary infection, IgM antibodies are formed, with relapses - IgG and IgA. Due to the persistence of the virus in infected individuals, immunity is non-sterile. In some periods, under the influence of various factors, the disease can worsen and manifest itself in the form of well-known symptoms. In addition, the herpes virus itself is capable of inducing immunodeficiency. The level of immunity significantly affects the number and severity of relapses. After the stage of active infection, the virus remains in an inactive state to live in the sensory ganglia and ganglia of the autonomic nervous system. No virus particles are produced in this phase. The frequency and severity of outbreaks varies widely from person to person. Some develop ulcers that do not heal for weeks, while others appear only as a slight itching and burning sensation for a few days. There is some evidence that heredity affects relapse rates. In the region of chromosome 21, there is a zone that includes 6 genes, which is associated with the frequency of outbreaks. The severity of 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 shed and able to be transmitted to others. In immunocompromised individuals, outbreaks will be more severe, longer, and more frequent. Outbreaks can occur in the same places or in close proximity to the nerve endings of the infected ganglia.

https://medportal.ru/enc/venerology/reading/10/

Symptoms

Allocate primary and recurrent herpes. Symptoms of primary herpes appear on average 2 to 14 days after infection. With recurrent herpes, the disease worsens periodically. The number of relapses determines the severity of the course of the disease, while there are three degrees:

• Mild, when exacerbations occur up to 3-4 times a year.
• Moderately severe, when exacerbations occur from 4 to 6 times a year.
• Severe, in which exacerbations occur monthly.

Before the onset of rashes in the genital area, harbingers of relapse are noted: burning, itching, pain and swelling. There may be periodic numbness, heaviness and aches in the upper thigh, sometimes extending to the lower back or buttocks; drawing pains in the perineum. These symptoms may be accompanied by fever and general malaise. Then bubbles filled with a clear liquid form on the skin and mucous membranes of the genitals, which soon burst. In their place, small painful sores form.

Very often, genital herpes is asymptomatic. In this case, infection of sexual partners is possible even in the absence of symptoms.

Due to the variety of clinical manifestations of genital herpes and its frequent combination with other urogenital infections that have similar symptoms, identification of the causative agent of the disease is of great importance.

Diagnostics

With typical symptoms, the diagnosis is based on the clinical picture. Careful examination of the patient allows you to make a diagnosis.

In non-obvious cases resort to laboratory research. For laboratory tests, swabs and blood tests are taken. Studies for the diagnosis of the disease are divided into two groups - the detection of HSV, the detection of antibodies to HSV.

Treatment

Treatment of genital herpes is carried out comprehensively and for a long time. Even after therapy, HSV remains in the body, but as a result of antiviral treatment, the activity of the virus decreases, the duration and number of exacerbations are reduced, and the periods of remission are lengthened.

Prevention

A long-term relationship with one regular partner who has been tested for genital herpes can reduce the risk of infection.

The use of condoms during sex with a new partner helps to prevent infection with herpes. After accidental unprotected sexual contact, preventive measures should be taken.

https://chaika.com/what-do-we-treat/diseases/genitalnyi-gerpes

Symptoms of genital herpes

Genital herpes is a viral infection that is usually 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 a 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, labia. Bubbles open and in their place painful sores are formed, which are covered with crusts. Then the crusts come off. Within ten days, a new rash may appear. More than half of the cases of herpes occur 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.

Diagnosis of genital herpes

To confirm the diagnosis of genital herpes, immunofluorescence assay (ELISA) reactions and diagnostics by polymerase chain reaction (PCR) are used. But even in the presence of a characteristic clinical picture of the disease, laboratory methods can give negative results.

Treatment of genital herpes

The main factor in the treatment is stimulation of the body's own immune system and the appointment of antiviral drugs. In severe exacerbations, acyclovir is prescribed, cycloferon is locally prescribed. However, it should be borne in mind that even modern antiherpetic drugs only reduce the severity and frequency of exacerbations of the disease, but do not destroy the virus in the body.

Prevention of genital herpes

The main method of prevention is the observance of hygiene and the orderliness of sexual contacts, the exclusion of oral-genital contacts unprotected by contact contraceptives.

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Genital or genital herpes is an infectious disease of the genital organs, which is extremely common on the planet. These are not only unpleasant and itchy blisters on the skin and mucous membranes, but also a serious threat to immunity and health in general.

In our review and video in this article, we will talk about how the symptoms of herpes manifest in women, as well as methods for diagnosing and treating this pathology.

Currently, science knows 8 types of herpesviruses, united by common features, but having their own distinctive features. In women, herpes in 80% of cases causes HSV-2 (virus herpes simplex type 2), in 20% - HSV-1 (it is usually associated with the appearance of a "cold" on the lips).

Herpesviruses have a rounded shape and rather large sizes - in the range of 150-200 nm. They consist of a nucleocapsid, which protects the DNA genetic code, and a supercapsid, an outer shell that is pierced by glycoprotein spikes.

Mechanisms of infection: how herpes is transmitted

Variants of infection with herpes are not too diverse. Most often, infection occurs after reaching puberty, during sex.

Note! According to statistics, about 14% of the adult population of the planet are carriers of HSV-2.

Much less often, herpes infection occurs:

• household way in case of non-observance of personal hygiene, use of common underwear, towels, washcloths, etc.;
• transmissible way, with blood transfusion;
• vertically - from a sick mother to a child in the womb (read more).

Also in medicine, cases of autoinoculation are described - the transfer of the virus with one's own hands from one infected area to another. Self-infection with herpes is possible, for example, during masturbation.

Clinical manifestations of pathology

So, what happens to the virus after it enters the body of the victim, and what does female herpes look like?

Primary infection

Immediately after infection, there are usually no clinical manifestations, and the pathogen is transported to the nearest nerve plexus - the sacral (translated from Latin - sacred) ganglia of the spinal cord.

Only in 1-15% of patients, the primary infection is characterized by violent infection.

Typical signs of herpes in women:

• swelling, redness of the mucous membrane of the vulva, vagina, cervix;
• the appearance of one or more groups of small bubbles (see table below);
• burning, soreness, itching at the site of the lesion;
• pain, discomfort during intercourse;
• increase, soreness of inguinal l / nodes;
• fever, signs of intoxication - malaise, weakness, loss of appetite, myalgia, arthralgia.

Table: Herpes in women: symptoms and characteristics of the rash:

After the signs of primary infection subside, the disease can be asymptomatic for a long time. But the virus does not go anywhere: it has permanently settled in the patient's nervous system and is just waiting for the right moment to activate.

Relapses

An exacerbation can be provoked by:

• decrease in general or local immunity;
• concomitant diseases and infections;
• stress;
• hypothermia;
• food with insufficient content of nutrients and vitamins, starvation;
• excessive physical activity.

How does herpes manifest itself in women during an exacerbation? In general, the symptoms are not much different from those described. The only caveat is the signs of intoxication that are mild or not expressed at all, a moderate amount of bubbles.

Atypical forms

The defeat of the genitals is not the only manifestation of herpes in women. The disease can occur in a variety of forms.

Urethral herpes in women is characterized by an inflammatory lesion of the urethra.

In addition to inflammation and swelling of the external genitalia, the patient may complain of:

• itching, discomfort, sharp pain during urination;
• bubble rashes in the area of ​​the external opening of the urethra;
• general manifestations of intoxication.

Herpes of the bladder in women is manifested by dysuria and the release of blood in the urine. Pain in the lower abdomen is possible, urine acquires a sharp and unpleasant odor.

When the virus enters the vagina, colpitis develops. The spread of the infection further through the organs of the reproductive system leads to damage to the uterus with appendages and can cause infertility.

Important! Scientists have proven the relationship of chronic herpes infection with the development of cervical cancer.

Herpes in the anus in a woman can occur in two forms:

• perianal lesion - the appearance of characteristic itchy and painful vesicles in the fold of skin near the anus;
• herpetic proctitis is characterized by painful bowel movements, burning in the rectal area, and the release of scarlet blood with feces.

Note! Usually, the pathology is beyond doubt: herpes in the groin in women is difficult to confuse with anything. Another thing is damage to internal organs. Sometimes it is very difficult to find out the cause of the patient's complaints.

Herpes during pregnancy

If under normal conditions herpes is considered as an unpleasant, but rather harmless sore, then during pregnancy this pathology can cause many problems. What a mother-to-be should know to protect her own health and the health of her baby.

It is known that herpes in newborns occurs as a result of intrauterine infection. In fact, even if a woman has had herpes for a long time, the risk of embryo damage remains low. It increases to 50-60% during primary infection during pregnancy, provoking the development of miscarriage, congenital deformities, damage to internal organs. Relapses are less dangerous.

Important! If an exacerbation of herpes occurred after 32 weeks of gestation, then the patient is usually recommended for delivery by caesarean section. This will prevent infection of the baby when it passes through the birth canal.

Diagnostics

Even if the clinical picture of the disease is quite typical, it is wrong to make a clinical diagnosis based on the collection of complaints, anamnesis and examination.

The standard medical instruction provides for:

• Isolation of HSV-2 and its typing on nutrient media;
• ELISA, RIF and other tests aimed at detecting antigens to the virus;
• PCR based on the detection of DNA fragments of the pathogen in the biomaterial.

Treatment Methods

Despite the fact that it is not possible to completely remove the virus from the body, modern medications can significantly alleviate the course of the disease and reduce the likelihood of complications.

Treatment for herpes in women includes:

• taking antiviral drugs based on acyclovir(Acyclovir, Virolex,);
• symptomatic use of analgesics and antihistamines to relieve discomfort (pain, burning, itching);
• according to indications - immunomodulatory therapy with interferon preparations(Genferon, Viferon) or interferon inducers (Amiksin).

It is also important to adhere to the principles of a healthy lifestyle and use non-drug methods to strengthen immunity. Compliance with these simple rules will defeat herpes on the genitals: treatment in women usually allows you to achieve a significant reduction in the number of exacerbations.

Questions to the doctor

How to reduce the chance of infection

I have been living with my husband for two years now, I recently found out that he suffers from genital herpes. I don't have any symptoms yet. How can you reduce the chance of infection?

Hello! Do not have sex during exacerbations with your spouse, or at least use condoms.

Treatment effectiveness

Hello! I've had herpes for three years now. Exacerbations are very common, almost every month. Now, as prescribed by the doctor, I take Acyclovir and Panavir once a year. Recently I was advised Amiksin. What can you say about this medicine? Or maybe you recommend something else? Thank you.

Good day! Amiksin is a good medicine, but it is not antiviral. Its mechanism of action is based on enhancing the production of its own interferon, which means strengthening immunity, which is very good in your case.

When genital herpes is diagnosed in women, treatment is selected carefully enough. This is necessary because the symptoms of the disease cause severe discomfort, and in addition, they can cause certain complications. Also, an individual selection of treatment tactics is necessary due to the fact that the immune system of different people also functions differently, and if one drug helped your neighbor, it is not a fact that it will work for you.

In this article, we will talk about what symptoms this disease has, why it occurs and what is the treatment of genital herpes in women.

The appearance of genital herpes is characterized by rashes on the skin and mucous membranes of the genitals, buttocks and thighs. The disease is caused by the herpes simplex virus of the second type, sometimes - the first type.

These are herpes simplex, widespread among people. At the moment, HSV is one of the most common diseases, having “lost ground” to trichomoniasis.

A large percentage of the population with herpes is caused by such reasons:

1. The firm opinion that herpes simplex is not dangerous and is not the causative agent of serious diseases.
2. Long stay of the disease in the latent stage.
3. Lifelong carriage - at the moment there are no methods that allow you to completely remove the virus from the body.
4. A wide range of transmission routes.

Most often, contact with a herpes infection occurs in childhood (according to statistics, 50% of children 5-8 years old are already infected). This is due to high population density, poor personal hygiene and low socio-economic living standards.

Secondary infection occurs due to the following reasons:

• early onset of sexual activity;
• promiscuity;
• lack of barrier contraception during intercourse;
• the presence of STDs;
• decrease in the immune forces of the body;
• use of intrauterine devices;
• surgical termination of pregnancy.

When the virus enters the body, the immune system produces specific antibodies, as a result of which, with normal indicators of immune reactions, the clinical picture of the disease is not observed. In the case of exposure to some adverse factors that reduce immune reactivity, the virus comes into action, and as a result, rashes and neuralgic pains appear.

Relapses of the disease can occur against the background of stress, climate change, overheating or hypothermia, colds and lack of vitamins.

The ways of infection with genital herpes are quite diverse. Infection occurs through contact of the pathogen with mucous membranes or when the skin is damaged.

Thus, the transmission of the virus is possible:

1. sexually- the main route of transmission of the disease, the largest number of patients is observed in the age range of 20-30 years. Infection with herpes during sexual intercourse occurs both with the traditional form of intercourse, and with oral-genital and anal-genital contacts.
2. With self-infection- in this case, herpes is transferred from infected parts of the body to healthy ones.
3. In close skin-to-skin contact. This method of infection is quite rare, since it is necessary to be in close bodily contact with a person in the presence of damage to the skin.
4. airborne way, as well as the household way of infection with genital herpes is practically not found. However, the virus can survive at room temperature and normal humidity for up to 1 day, and when heated to 50Co and above, it dies within half an hour. Thus, infection through bed linen, towels, dishes or handkerchiefs of a patient with herpes is still possible.
5. vertical path- herpes is transmitted from a sick mother to a child during pregnancy or childbirth.

Many believe that the herpes virus of the first type occurs only on the skin and mucous membranes of the face, and HSV of the second type - on the skin and mucous membranes of the genital organs. However, up to 70-80% of genital herpes is caused by type 2 virus, and the remaining 20-30% is associated with HSV type 1 infection. Once in the human body, herpes remains there forever.

What are the signs of genital herpes in women

Genital herpes in a woman has a very diverse symptoms.

There are different clinical types of the disease:

• primary infection;
• secondary infection;
• recurrent herpes;
• atypical course;
• asymptomatic course.

Depending on the clinical type of herpes, the symptoms change, and in some cases it is completely absent.

You can consider in more detail the possible variants of the disease:

Symptoms characteristic of herpes affect the following body parts and organs in women:

• vestibule of the vagina;
• external opening of the urethra;
• small and large labia;
• crotch;
• perianal area;
• thighs and buttocks;
• vagina;
• cervix.

If the cervix is ​​affected, the inflammation may be similar to cervicitis. At the same time, erosions with purulent discharge and hyperemia are noted on the mucous membrane of the cervix. In addition, the inguinal lymph nodes become inflamed, urination is difficult.

Treatment of genital herpes

In order to learn how to treat genital herpes in women, the patient needs to seek the advice of a doctor. After collecting an anamnesis, examining and conducting the necessary tests, the specialist will select how to treat a herpes infection.

Features of therapy in this case are:

1. The total destruction of the pathogen is impossible.
2. It is advisable to prescribe etiotropic therapy only in the active phase of the disease.
3. The appointment of antibacterial drugs for viral diseases is impractical.
4. The vaccine against the virus is used only in the latent period, in addition, it does not have absolute protective properties.

Important! A herpetic infection is characterized by symptoms that can negatively affect the psycho-emotional state of the patient: a person is afraid of the appearance of new rashes, is nervous, this can lead to attempts to alleviate the symptoms with their own hands. This is strictly prohibited, as it can worsen the patient's condition.

Treatment instructions are aimed at reducing itching, rash, local and total pain, and fever. In addition, the main therapeutic principles include the reduction of periods of exacerbations and an increase in the latent period.

Key treatments include:

1. Etiotropic therapy: antiviral agents that inhibit viral replication.
2. Treatment of genital herpes in women is carried out with the help of immunomodulators and symptomatic therapy (means to eliminate itching and pain).
3. Physiotherapy and vaccination.

In case of primary infection, an antiviral is used for therapy to choose from: acyclovir, farmciclovir or valaciclovir. The dosage is selected individually, based on the sensitivity to the drug, the weight of the patient and medical recommendations.

In the remission stage and if an imminent exacerbation is suspected, agents are prescribed to stimulate the general immune status: cycloferon, vegetan, ribotan and others, as well as B vitamins. The use of antiviral agents in this period is meaningless, since the virus is in an inactive phase.

For the treatment of recurrent infections, drugs are selected depending on how often relapses occur and according to the recommendations of a specialist. The universal scheme includes the use of acyclovir, immunostimulants, other general strengthening agents and vitamins. During the precursors of the disease, the use of interferon preparations is indicated, since they are most effective only in the early stages of the disease.

The price of medicines is quite diverse, so if necessary, you can choose analogues in accordance with your financial capabilities. For example, the cost of antiviral drugs starts from 30 rubles, which is a rather insignificant amount.

From the photos and videos in this article, we got acquainted with the clinical picture of genital herpes in women, and also got an idea about the treatment regimens for the disease in different periods.

Frequently asked questions to the doctor

You may not get sick

Good day. I am pregnant, I recently took tests and I have not found herpes. I would like it to continue like this. Can I somehow protect myself and the child from infection?

Hello. Of course, there are a lot of options on how to protect yourself from infection. It is necessary to use condoms during sexual intercourse, if necessary, treat with antiseptic agents the places where the virus could supposedly get.

Also, do not forget about washing your hands after visiting public places, transport, toilet, contact with money. It is important to use only your personal hygiene items and store them separately from others. Nevertheless, it is almost impossible to protect yourself from infection with the herpes simplex virus type 1, since it can be transmitted even with short contact with the skin of a healthy person.