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Genital Herpes: A Guide to Symptoms and Treatments

Find out how to identify and manage your genital herpes

Dr. Hannah Kopelman

November 7, 2023  ⁃  4 Min read

Genital Herpes Treatment

When considering the question, “genital herpes what does it look like,” it is crucial to understand that genital herpes manifests as blisters or sores on the genitals, buttocks, or anal area. Genital herpes on females can appear on the external genitalia, vagina, anus, or cervix. These lesions typically develop into painful blisters that burst and become sores before healing. It is important to know that the sores can vary in size and severity, and in some cases, may be mistaken for other skin conditions.

In addition to the physical manifestations, individuals with genital herpes may also experience itching or tingling sensations in the affected areas before the sores appear. This prodromal phase can serve as an early warning system that an outbreak is imminent. Over time, the frequency of outbreaks may decrease, and some individuals may experience a significant reduction in symptom severity. Nevertheless, the psychological impact is substantial, and those affected may struggle with feelings of shame or isolation due to the stigma associated with the condition. It is also important to recognize the symptoms in their varying stages. After the initial outbreak, the virus goes into a dormant phase, residing in the nerve cells. However, certain triggers such as stress, illness, or surgery can reactivate the virus, leading to recurrent episodes. These recurrent outbreaks are typically less severe than the first episode and often shorten in duration. Monitoring these symptoms and understanding their progression is a vital part of managing the condition effectively.

Transmission Risks and Precautions

Understanding the risks of transmission is a key aspect of preventing the spread of genital herpes. It’s important to note that the virus can be transmitted even when sores are not present, through a process known as asymptomatic shedding. Therefore, individuals who are sexually active should be vigilant and undergo regular screenings, especially if they or their partners have multiple sexual partners.

To further mitigate the risk of transmission, individuals should engage in open and honest communication with their sexual partners regarding their sexual health status. This dialogue should include discussions about any history of genital herpes or other STIs, and both parties should consider undergoing testing. Mutual respect and care in a relationship also mean taking steps to protect one another, such as avoiding sexual contact during outbreaks and potentially using suppressive antiviral therapy. Despite the possibility of transmission, people living with genital herpes can still maintain intimate relationships. It’s essential to educate oneself and one’s partners about the condition, to use protection consistently, and to maintain a regimen of any prescribed treatments. By taking these precautions, the risk of spreading virus can be significantly reduced, allowing for healthy and fulfilling sexual relationships.

Considerations for Pregnant Women with Genital Herpes

For pregnant women with genital herpes, proactive management is critical. Regular prenatal care appointments should include discussions about the risks of genital herpes transmission to the baby. These conversations should cover the importance of avoiding exposure to the virus, especially during the third trimester, and the potential need for a cesarean delivery if there are active genital lesions at the time of labor. Moreover, it is possible for women with genital herpes to deliver healthy babies. Antiviral therapy during the final weeks of pregnancy can reduce the likelihood of an outbreak at the time of delivery. In addition, healthcare providers may recommend a thorough examination at the onset of labor to check for any signs of active genital herpes. This evaluation helps in making informed decisions about the safest delivery method.

Pregnant women with genital herpes should also be aware of the signs of an impending outbreak. Recognizing these signs and seeking immediate medical attention can allow for timely interventions that protect both the mother and the child. With diligent care and monitoring, many women with genital herpes have successful pregnancies and deliveries.

Immediate and Ongoing Treatment

The cornerstone of managing genital herpes involves immediate treatment upon diagnosis. Antiviral medications are effective at reducing the severity and duration of symptoms. Patients may be advised to start treatment as soon as they recognize the early signs of an outbreak, which can include pain, itching, or tingling in the area where sores typically appear. Access to care is simplified with our service through DermOnDemand,  where you can consult with dermatologists online from home for prompt treatment, removing the need for in-person appointment.

Long-term management includes education about the condition. Support groups and counseling can be beneficial for individuals seeking to navigate the emotional challenges associated with genital herpes. It’s also critical for individuals with genital herpes to maintain regular consultations with their dermatologist. These check-ups online or in-person can help monitor the condition’s progression, adjust treatments as necessary, and provide the latest information on managing symptoms and preventing transmission.

References

Gabrielson, Andrew T., et al. Male Genital Dermatology: A Primer for the Sexual Medicine Physician. Sexual Medicine Reviews, vol. 7, no. 1, Jan. 2019, pp. 71–83.

Plagens-Rotman, Katarzyna, et al. Genital Herpes as Still Significant Dermatological, Gynaecological and Venereological Problem. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, vol. 38, no. 2, 2021,