Genital Herpes
Genital herpes is a common and chronic sexually transmitted infection (STI) caused by the herpes simplex virus (HSV). It is primarily caused by HSV-2, though HSV-1 (which typically causes oral cold sores) can also cause genital herpes through oral-genital contact. Once infected, the virus stays in your body for life, residing in nerve cells and periodically reactivating, leading to outbreaks of painful sores or blisters. While there is no cure for genital herpes, its symptoms can be managed effectively with antiviral medications, and steps can be taken to reduce the frequency of outbreaks and the risk of transmission. The virus is spread through direct skin-to-skin contact, most often during sexual activity (vaginal, anal, or oral sex) with someone who has the infection. Transmission can occur even when the infected person has no visible sores or symptoms, a phenomenon known as asymptomatic shedding. However, the risk of transmission is highest when sores are present. Understanding how the virus spreads is crucial for prevention and for managing your sexual health responsibly. Lab tests, such as a swab of a sore or a blood test, are essential for an accurate diagnosis of genital herpes. This is because symptoms can sometimes be mild, atypical, or mistaken for other conditions like ingrown hairs, yeast infections, or other STIs. Confirming the diagnosis through lab results allows your healthcare provider to discuss appropriate treatment options with you, help manage your symptoms, reduce the frequency and severity of future outbreaks, and provide guidance on how to prevent transmitting the virus to others. Knowing your status empowers you to make informed decisions about your health and relationships.
Common Symptoms
- Painful blisters or sores on the genitals, rectum, buttocks, or inner thighs.
- Itching, tingling, or burning sensation in the affected area before sores appear.
- Pain or discomfort during urination (dysuria).
- Flu-like symptoms during the first outbreak (e.g., fever, body aches, swollen lymph nodes).
- Vaginal discharge in women, or rectal pain/discharge if the infection involves the rectum.
Clinical Sources
- Genital Herpes: Causes, Symptoms, Treatment & PreventionCleveland Clinic
- Herpes Simplex Virus (HSV): Types Symptoms, & TreatmentCleveland Clinic
Diagnostic Lab Tests
Tests commonly used to diagnose or monitor Genital Herpes:
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