How to treat genital herpes, medication and folk methods. Treatment of genital herpes and the right approach to the choice of funds

Along with such sexually transmitted diseases as AIDS, syphilis and gonorrhea, there is another, no less dangerous - genital herpes. It is not cured to the end, and, having picked it up once, the sick person will remain with him for life. The causative agent of genital herpes is one of the herpes viruses of the same group that causes fever of the lips. The disease itself does not lead to death, but it significantly weakens the immune system and can lead to cancer of the genital organs.

Infection occurs through sexual contact. The disease does not always manifest itself and often people do not get sick themselves, but become carriers of the virus. Symptoms appear as sores on the genitals. In women, it often affects the inside, less often the outer region, buttocks and thighs. The wounds are very painful and give the patient a lot of trouble. It is problematic for him to sit, go to the toilet and just walk.

• Disease prevention
• Folk remedies
• Diagnosis of the disease
• Symptoms of pathology in men
• The scheme of treatment of the disease
• Immunomodulatory drugs
• Primary genital herpes

What causes genital herpes?

Herpes refers to viral diseases, a type of herpes simplex. Herpes simplex type 1 causes herpes labialis, type 2 virus affects the genitals.

What is the prevalence of genital herpes?

Almost 90% of the world's population is affected by the first type of virus. About 20% of the population is infected with genital herpes.

You can become infected with herpes after the first unprotected intercourse. The virus enters the nerve nodes near the spinal cord and lives there throughout life.

Causes of genital herpes

The most common mode of transmission is through unprotected sexual contact.

Genital herpes can be contracted in a number of ways:

A woman can pass genital herpes on to her baby in utero.

Disease prevention

Treatment of genital herpes should be carried out in the early stages, then there is hope that it will be effective. Modern medicine cannot completely cure herpes, very often a relapse of the disease occurs. Medicines in the form of tablets for genital herpes help to weaken the pathogen that affects the genital organs, but they do not completely destroy it in view of the fact that the infectious genital herpes virus is able to adapt.

Therefore, in the course of treatment, it is necessary to use several drugs, alternating them. For example, Acyclovir with Gerpferon. Such treatment can remove the symptoms of genital herpes, but there is no guarantee that over time there will not be a recurrent course of genital herpes.

The causative agent of the disease is a relative of herpes simplex HSV, and it is transmitted sexually. It often happens that the partner has no signs of genital herpes, he is just a carrier of the virus, but he does not get sick. He may also be infected with herpesvirus, but he has an initial stage, and she still does not manifest herself. Therefore, to prevent this disease, promiscuity should be avoided and one permanent partner should be avoided.

During genital herpes, there are various stages of the disease.

• The initial stage does not particularly manifest itself, discomfort after intimacy is possible.
• At the next stage, rashes in the form of bubbles begin.
• Further, the bubbles burst and ulcers form.

Forms of genital herpes are divided into acute and relapses. Acute are hard and long, often with fever, headache and general malaise. Relapses are easier and faster, certain factors contribute to their occurrence: hypothermia, stress, infections, alcohol. Infection most often occurs during exacerbations of genital herpes.

With an atypical form of the disease, the symptoms may be erased, so you should always use preventive means of protecting sexual intercourse.

Most importantly, avoid casual unprotected sexual intercourse so that infection does not occur.

Often the infection is asymptomatic.

The disease is activated, as a rule, in stressful situations, immune failure.

General preventive measures:

• strengthening immunity;
• complete nutrition;
• physical activity;
• timely treatment of emerging diseases.

Subject to these rules, even if the infection is in the body, the likelihood that it will manifest itself is minimal.

Folk remedies

Traditional medicine offers many remedies for the treatment of the disease. But none of them is able to completely destroy the virus. You can only smooth out the symptoms and bring relief to the patient, providing the opportunity to live a normal life. Basically, it is recommended to lubricate the sores that have arisen with various means, for example: valocordin, earwax, Kalanchoe juice, garlic and other antiviral agents.

Such treatment can be long-term, but the effect can be temporary and a relapse will occur very soon. Therefore, it is recommended not to self-medicate, but to consult a doctor in time.

Diagnosis of the disease

In order for the doctor to understand how to successfully treat herpes on the patient's genitals, he needs to make the correct diagnosis and prescribe the treatment of the disease.

First of all, it is necessary to study the clinical picture of the disease. Based on how herpes looks on a man's penis or a woman's genitals, the doctor will determine the degree and stage of the disease:

• If the symptoms are visible on the surface of the membranes of the genital organs, then this is only the initial stage, and it is easier to treat.
• If ulcers affect internal organs - the urethra, vagina, cervix, then longer treatment is required.
• If the clinical picture is blurred, and the symptoms on the genitals are doubtful, then before starting the treatment of herpes, an analysis is made for the virus.

A poorly cured disease is largely the result of a misdiagnosis. You can count on frequent relapses of the disease. And if the causes of herpes disease lie in the sexual transmission of the disease, then hypothermia is enough for a relapse.

As soon as a person has symptoms similar to herpes, you should immediately visit a specialist.

The doctor can prescribe a full range of examinations, and then conduct a comprehensive treatment.

When to perform laboratory tests for genital herpes?

Analyzes should be carried out not only when the disease manifested itself. They need to be taken periodically, as well as visiting a doctor.

The infection may be asymptomatic or atypical with few symptoms.

There are several situations in which it is necessary to conduct laboratory tests for genital herpes:

• when planning conception;
• during pregnancy;
• before organ transplant;
• with various skin changes, the cause of which is unknown.

If a virus is detected in the tests, treatment should be started immediately.

What tests to take to detect infection with genital herpes?

There are two types of laboratory tests for genital herpes. The first is the study of the contents of the vials for the presence of the virus. It is possible to conduct an analysis in the active form of the disease.

The second type includes a blood test for the presence of antibodies to herpes. This analysis can be carried out even if there are no signs of the disease.

Methods to identify the pathogen:

A laboratory study of a blood test is called ELISA. This test detects antibodies immunoglobulins G and M to the genital herpes virus.

Symptoms of pathology in men

The disease in men can be acute or latent. The latent form has no visible symptoms and is determined by the laboratory. The acute form has a number of distinctive features. They begin to appear 1-10 days after sexual contact. The virus usually infects the mucous membranes and skin of the male genital organs. At first, a man has discomfort in the genital area. There is pain and swelling of the glans penis, urination is complicated. The lymph nodes in the groin are enlarged.

The next step is the appearance of small watery bubbles. Bubbles are located on the mucous membranes of the genitourinary organs or on the skin in the groin and buttocks. After a few days, painful purulent ulcers form at the site of the vesicles. Over time, they dry out, but if left untreated, they reappear.

What are the symptoms of genital herpes in women?

If the disease is activated, then it is accompanied by vivid symptoms.

First, the skin in the affected area turns red, and itching appears. Then, bubbles appear on them, which contain liquid.

A week later, they break through, instead of them there are erosions and sores. Everything heals completely in one to two weeks.

Herpes can affect the following organs:

• labia;
• vagina;
• skin around the anus.

A woman, in addition to local manifestations of the disease, experiences general symptoms. Increased fatigue, pain in the head, temperature changes.

Herpes on the labia majora: what it looks like

Genital herpes causes disease of the skin and mucous membranes. In women, it can affect the skin and mucous membranes of the external genital organs.

A group of vesicles with liquid inside appears on the labia majora, which then turn into erosions with ulcers. The woman has a vivid symptomatology:

• pain;
• burning sensation;
• difficulty trying to urinate;
• the temperature rises.

As soon as the above symptoms appear, a woman is advised to immediately consult a doctor.

How to recognize herpes on the penis?

This disease can be not only in women, but equally in men.

In males, herpes can affect the foreskin, the glans penis. In these places, groups of small bubbles with liquid contents appear.

In men, the most common site of infection is the penis. The virus infects the head and foreskin.

With a long course of the disease, prostatitis and urethritis may occur.

At the site of the lesion, the man experiences pain, discomfort, redness. When such symptoms appear, you must definitely visit a doctor and get competent treatment.

Should genital herpes be treated?

It is imperative to consult a doctor so that he prescribes proper treatment.

If left untreated, herpes can cause serious complications such as:

• severe symptoms for several months;
• urination disorders;
• with severe immunodeficiency, infection can be generalized throughout the body with damage to many organs.

Herpes is a delicate intimate problem.

Many may be afraid to consult a doctor, but this must be done

The scheme of treatment of the disease

The treatment of herpes includes a number of activities. They consist of:

• Application of ointments and creams to heal ulcers and vesicles.
• Prescribing antiviral drugs designed to remove the virus from the body.
• Strengthening the immune system through the use of special drugs and physical procedures.

With herpes, damage to internal organs, in particular the uterus and prostate, is especially dangerous. In men, this causes prostatitis, and in women, infertility, erosion, and cervical cancer can develop.

At the moment, the most common and effective antiviral drug for herpes are Acyclovir preparations. With advanced and complicated forms, when long-term treatment is required, it is recommended to alternate Acyclovir with other similar drugs, for example, Valocyclovir.

Immunomodulatory drugs

How to treat genital herpes? During pregnancy, a woman's body is weakened and especially prone to disease. At this time, she can very easily catch an infection. This is dangerous for both her and the unborn child, as it can lead to infection of the newborn. To protect her from this, drugs are prescribed that strengthen the immune system.

They are also one of the remedies that treat the genitals in genital herpes. In combination with antiviral drugs, they help the body fight the disease. These drugs include Imunofan and Imupret.

Primary genital herpes

What is genital herpes? Herpes on the genitals of a man or woman appears as a result of infection with the herpes virus. This is a sexually transmitted disease (STD). You can get infected both from a sick partner and from a carrier.

You can see in the photo how genital herpes, sexually transmitted, looks like. How and how to treat genital herpes should be prescribed by a doctor, in no case should you self-medicate. Treatment of genital herpes can take a long time, but it is impossible to achieve a complete recovery, the virus is not curable. But you can get rid of the primary herpetic symptoms if you seek help in the first days of the disease. Only a specialist knows how to cure genital herpes and its manifestations.

The first stage of the acute stage of genital herpes may be accompanied by a high temperature. Symptoms such as burning and swelling of the genitals are manifested. Lymph nodes increase in the groin area, pain in the genitals appears, which is well manifested during intercourse.

The disease is most often transmitted during an exacerbation. Neglect of protection, frequent partner changes and promiscuity increase the risk of contracting genital herpes. The virus is not curable, getting into the human body, it remains in it until the end of life. Only the symptoms can be cured, but after that, a wrong lifestyle leads to a relapse of the disease.

What other types of herpes of intimate organs are there?

The first episode of genital herpes occurs when the virus is activated.

Until that time, the virus can remain in the body asymptomatically indefinitely.

Just in this time period, suitable conditions were created for the development of the disease.

Subsequent activation of the virus and the onset of symptoms are referred to as recurrent herpes. Every second person who has had primary herpes develops a relapse. To prevent this from happening, you need to visit a doctor periodically.

The severity of the recurrent form can be:

• mild - up to 3 times a year;
• medium - up to 6 times a year;
• severe - every month of exacerbation.

The occurrence of a repetition of the disease is accompanied by a decrease in immunity.

Manifestations of the disease occur due to various stressful situations, concomitant diseases.

There is an atypical form of genital herpes. With this disease, the symptoms are mild. It's hard to tell if it's herpes. With this atypical form, the clinic can only be represented by itching, sometimes redness on the genitals.

The atypical form occurs more often in women. If you experience mild symptoms, you should immediately visit a doctor, undergo examinations and receive comprehensive treatment.

What organs are most often affected by genital herpes?

In women, viral lesions are often localized to the labia majora.

With the progression of the disease, the virus affects the inner thighs, perineum, anus.

In severe situations, damage to the uterus, fallopian tubes, ovaries, and cervix is ​​possible. This often leads to infertility.

To avoid problems, with manifestations of infection, you should immediately contact a specialist. Self-medication is not necessary.

Important! If you take drugs without a prescription, a complicated course is guaranteed.

What are the emergency prevention measures for genital herpes?

If unprotected sex has occurred with a carrier or patient with genital herpes, the following prevention method can be used.

It is possible to use drugs - acyclovir, valciclovir. But you need to do this under the supervision of a doctor.

Remember! The effectiveness of the use of these funds, as a preventive measure, will be within 1-2 hours from the moment of intimacy.

And this method does not give a 100% guarantee that you will not get infected.

Is it possible to permanently get rid of genital herpes?

When infection has occurred, it is impossible to permanently remove the virus from the body. But you can get rid of the manifestations of the disease.

At the first occurrence of the disease, you should immediately consult a doctor. He will conduct all the necessary research, find out the factors due to which the disease arose. Prescribe the right full treatment.

Important! A full life without manifestations of genital herpes is possible.

The main thing is to contact a specialist in time and not to neglect preventive visits to the doctor.

Genital herpes(genital herpes) is a sexually transmitted infection. Many people infected with the genital herpes virus do not have symptoms of genital herpes, but they can be infectious to their sexual partners.

The severity of symptoms of genital herpes can range from mild soreness to painful blisters on the genitals and surrounding area. The first manifestation of genital herpes lasts about 2-3 weeks.

Relapses of genital herpes develop from time to time, but are usually less pronounced compared to the first episode of genital herpes. Antiviral treatment relieves the symptoms of genital herpes. With frequent recurrences of genital herpes, preventive antiviral treatment is carried out.

There are 2 types of herpes simplex virus: Herpes simplex virus type 1 is a common cause of herpes around the mouth. It has now been proven that herpes simplex virus type 1 causes more than half of the cases of genital herpes; herpes simplex virus type 2 affects only the genitals.

Causes of genital herpes

The herpes virus can be transmitted by contact, sexually and from mother to fetus. Genital herpes is transmitted by skin-to-skin contact of a person infected with the herpes virus.

The most susceptible to damage by the herpes virus is the mucous membrane of the oral cavity, genitals and anal area. This means that infection with genital herpes can occur through vaginal, anal, or oral sex. For example, if you have cold sores around your mouth, you can pass the herpes virus on to your partner through oral sex.

When you first become infected with the herpes virus, it is called a primary infection. The primary infection with the herpes virus may occur with or without symptoms. After the initial lesion, the virus remains in the body in an inactive state in nerve cells. During an exacerbation, the herpes virus leaves the nerve cells and affects the skin and mucous membranes along the nerve endings.

This causes a recurrence of genital herpes symptoms if the primary infection was in the genital area, or a recurrence of a cold sore on the lips if the primary infection was around the mouth. Most people who become infected with the herpes virus show no symptoms or symptoms are minimal and not recognized as genital herpes (eg, slight redness with moderate itching that resolves quickly).

At least 8 out of 10 people with herpes simplex type 2 do not know they are infected. In such people, the virus remains in an inactive form in the ganglion that innervates the genitals, but never causes a recurrence of symptoms of genital herpes. However, even people with asymptomatic genital herpes can be contagious to their sexual partners.

Symptoms of genital herpes

The incubation period of the disease is 1-10 days. Herpes manifests itself in the form of vesicles near the mouth, on the cheeks, lips, wings of the nose, the membrane of the eye, the mucous membrane of the genital organs. Often in the area of ​​​​rashes there is a feeling of itching, burning, pain. The contents of the vesicles are usually clear, but may be bloody. The disease may be accompanied by poor health, decreased appetite, "weakness", fever.

After 2-4 days, the vesicles open, forming weeping wounds, less often - sores that heal under the crust or without its formation. Patients are concerned about itching, burning, soreness in the area of ​​the lesion.

In some patients, there is an increase in body temperature up to 38 ° C, a painful increase in inguinal lymph nodes. The duration of the acute period of genital herpes can reach 3-5 weeks. Atypical forms of herpes of the external genitalia in women are more common than in men. With the edematous form of genital herpes, the lesion on the mucous membrane of the genital organs is represented by redness and swelling.

The "itchy" form of genital herpes is characterized by periodic local appearance of severe itching and (or) burning in the vulva with a slight reddening of the mucous membrane of the genital organs in the focus. Atypical forms of genital herpes also include HSV infection, which is manifested by single deep recurrent cracks in the mucous membrane and underlying tissues of the labia minora and labia majora, accompanied by severe pain.

The oligosymptomatic form of genital herpes is manifested by a short-term (less than a day) appearance of one or more microcracks, accompanied by slight itching. Sometimes there are no subjective sensations. A feature of genital herpes of the female genital organs is multifoci. The lower part of the urethra, the mucous membrane of the rectum are often involved in the painful process.

The defeat of the urethra is manifested by pain and pain at the beginning of urination. When the mucous membrane of the rectum is affected, patients are concerned about itching, burning sensation and soreness in the lesion, there are small superficial cracks that bleed when emptying the intestines.

If you find some of these symptoms, you should contact or go to a specialized clinic -.

Descriptions of the symptoms of genital herpes

Diagnosis of genital herpes

Methods for laboratory diagnosis of genital herpes are fundamentally divided into two groups: isolation and identification of the herpes virus (in cell culture) or detection of the herpes simplex virus antigen from infected material (in the immunofluorescence reaction, polymerase chain reaction "PCR", etc.); detection of herpes specific antibodies (IgM, IgG) in blood serum.

When diagnosing herpes, it must be remembered that: to reduce the likelihood of a false-negative diagnosis, especially with genital herpes and asymptomatic forms of herpes, it is necessary to examine the maximum number of samples from one patient (vaginal discharge, cervical canal, urethra, prostate juice, semen, urine) , because the herpes virus is rarely detected simultaneously in all environments.

If a herpes infection is suspected, it is necessary to conduct a multiple virological examination of the discharge of the genitourinary system in patients, because a negative result of a single virological test cannot completely exclude the diagnosis of genital herpes.

The frequency of isolation of the herpes virus in women largely depends on the phase of the menstrual cycle. More than 70% of patients with herpes, the virus is shed at the beginning of the menstrual cycle. The detection of specific IgM immunoglobulins in the absence of IgG or with a 4-fold increase in specific IgG titers in paired blood sera obtained from a patient with an interval of 10-12 days indicates a primary infection with herpes.

The detection of specific IgM immunoglobulins against the background of IgG in the absence of a significant increase in IgG titers in paired sera indicates an exacerbation of chronic herpes infection. The detection of IgG titers above the average is an indication for an additional examination of the patient and the detection of the isolation of the herpes virus in the media.

Treatment of genital herpes

While there is no cure for herpes, treatment can relieve symptoms. Medicines can reduce pain and may shorten the time it takes for a wound to heal. They may also reduce the overall number of herpes outbreaks. Warm baths can relieve the pain associated with genital ulcers. Treatment of genital herpes is a difficult task due to the lack of funds that have a direct, specific effect on the virus.

Treatment is also difficult due to the possibility of reinfection. The course of genital herpes is usually characterized by frequent relapses and constant persistence of the virus in the body. It should be emphasized that none of the known antiviral drugs is able to eliminate the virus from the body and, thus, significantly affect the latent course of the disease.

Therefore, the treatment of genital herpes is carried out in a complex and is aimed at blocking the reproduction of the virus while simultaneously stimulating the factors of specific and nonspecific resistance of the body. In the treatment of genital herpes, five goals should be distinguished:

The latter goal can only be achieved if chemotherapy treatment is started within 24 hours of the initial infection, which would prevent the virus from going into a latent state.

All currently known drugs with high antiherpetic activity can be divided into three main groups: inhibitors of viral nucleic acid replication:

Of the nucleoside analogues, the most important for clinical practice is Zovirax (acyclovir, virolex), a drug with a complex mechanism of action based on differences in the metabolism of infected and uninfected cells. Its mechanism of action is to inhibit viral DNA polymerase.

During an exacerbation of herpes, zovirax is used 200 mg 5 times a day for 5 days, which helps to reduce the period of rashes and accelerate the healing period of erosions. Continuous use of the drug at 200 mg 4 times a day for 1-3 years allows you to achieve a stable remission of the disease for the period of taking the drug. Analogues of pyrophosphate - foscarnet and its derivatives ("Triapten" ointment 3%).

Foscarnet inhibits the activity of viral DNA polymerase at concentrations that do not interfere with the functioning of cellular DNA polymerase. Treatment with foscarnet should be started when the first symptoms of a herpes infection (burning, pain, paresthesia) appear. With timely use, foscarnet completely suppresses the reproduction of the virus and prevents the formation of herpetic vesicles.

Treatment results are improved when antiviral therapy is combined with interferon, especially highly active (1 ml once every 3 days, for a course of 5-8 injections), leukinferon. Leukinferon is a preparation of human interferon and other cytokines. The dry preparation is an amorphous white powder. Easily soluble in water. The ampoule contains 10,000 IU of the antiviral activity of human interferon-alpha.

Leukinferon has antiviral and immunomodulating activity, and also causes activation of cellular reactions of anti-infective and antitumor immunity. The drug accelerates the processes of proliferation and differentiation of immunoregular subpopulations of lymphocytes, activates cytolytic and phagocytic reactions in the body, and prevents the development of immunosuppression phenomena.

When administered intramuscularly, the immunobiological effects persist for several days. Treatment is carried out in the form of intramuscular injections of 10,000 IU, the first 5 injections every other day and 3-5 more injections with an interval of 3-4 days; per course up to 10 ampoules. With a long-term inflammatory process, the appointment of a human immunoglobulin with antiherpesvirus activity is indicated. Perhaps the use of the drug "Viferon". Treatment consists of rectal administration of suppositories containing 500 IU of interferon.

The use during pregnancy allows you to achieve not only an increase in interferon status, but also the elimination of the pathogen. To prevent infection of the fetus during childbirth, pregnant women with acute herpetic lesions of the genital organs are given a caesarean section. An active primary urogenital infection that occurs during pregnancy is not an indication for its termination, since infection through the placenta is rare.

Instructions for use of drugs for genital herpes

Questions and answers on the topic "Genital herpes"

Question:Can a person infected with genital herpes infect a child and what are the precautions?

Answer: The herpes virus can be transmitted through skin-to-skin contact of an infected person. Based on the fact that herpes is transmitted by contact, the rules of personal hygiene should be carefully observed during the course of the disease. It is strictly forbidden to use household items that a sick person has touched. All healthy people living in the same household as an infected person should constantly disinfect their hands using antibacterial soap.

Question:Red spots on the head can be genital herpes? How does it manifest itself?

Question:Hello! I have been treated for herpes (genital, as well as rashes on the buttocks) for six months now. Saw amixin, acyclovir, pricked cycloferon. Donated blood for immunity, tests are good. Nothing helps, every month again rashes. The last time the husband was also treated (cycloferon and acyclovir). What to do? Please advise.

Answer: Hello. The treatment of genital herpes sometimes requires a huge amount of effort, time and money. This problem also exists in countries with very developed medicine - it is difficult to treat herpes. It is necessary to repeat courses or start a long course of antiviral drugs - only under the supervision of a doctor.

Question:How can it be that one of the spouses often suffers from genital herpes, while the other does not have manifestations of the infection?

Answer: The reason for this is that in most cases a herpes infection is asymptomatic - the pathogen seems to be dormant in the body. Therefore, the virus received from the husband (wife) does not necessarily lead to the appearance of rashes. The decisive role in their appearance is played by the state of the immune system, which normally suppresses the activity of HSV and prevents the development of exacerbations.

Question:Can you get genital herpes from a partner with cold sores on the lips? And vice versa?

Answer: Yes, you can. These diseases are caused by two types of herpes simplex virus (HSV) - HSV-1 and HSV-2. Previously, it was believed that the first type of virus causes rashes on the lips (labial herpes), and the second - on the genitals (genital herpes). However, it turned out that both types of the virus can affect both the lips and genitals. So during oral sexual contact, the infection can be transmitted from the lips of one partner to the genitals of another and vice versa.

Question:Is "Gaviran" effective in the treatment of genital herpes and how long does it take from rash to complete healing? Can you tell me please that laundry after washing can be contagious?

Answer: Tableted Geviran (Acyclovir) is effective in the treatment of genital herpes. From the beginning of a relapse to complete healing, as a rule, it takes 3-7 days. If antiviral drugs are started early, the duration of relapse is shortened, in some cases, when taking tablet preparations (acyclovir, valaciclovir, famciclovir), it is possible to avoid the development of relapse. No, after washing with synthetic detergents (washing powder, soaps), the linen is disinfected.

Question:I had signs of genital herpes before I started having sex. Is it possible?

Answer: Yes, such cases are described in the literature and are extremely rare. One of the proposed mechanisms for the onset of the disease is self-infection, when a child transfers herpes from the lips to the genitals with the help of the hands, or it is infected by an adult who has herpetic eruptions on the hands.

Question:What is the best ointment for treating genital herpes rashes that can extinguish the outbreak in the shortest possible time?

Answer: Ointments will not be used to treat foci of genital herpes. It is believed that the most effective therapy based on taking acyclovir or valaciclovir.

Question:Please answer the question: can genital herpes transform into eye herpes? Or is it possible only with mechanical transmission of the virus?

Answer: Indeed, if you first touch the herpetic lesions on the genitals, and then rub your eyes, then the risk of eye herpes is high. Therefore, during an outbreak of genital herpes, it is necessary to carefully observe personal hygiene measures and wash your hands after each contact with the genitals.

Question:Is there any effect from using acyclovir tablets for 9-12 months daily and is this not a hi to more frequent relapses after the end of the course of treatment?

Answer: A long course of treatment with acyclovir is possible only under medical supervision. Scientific evidence suggests that long-term continuous use of acyclovir increases relapse intervals. But after acyclovir is canceled once, there may be a more pronounced relapse of the disease, this is associated with a decrease in the titer of antibodies that block the herpes virus during treatment with the drug.

Question:Is it possible to get genital herpes through water (bathroom, pool) or when washing underwear?

Answer: This way of infection is very practically impossible. Genital herpes in 99.5% is transmitted sexually.

Question:I have genital herpes, recurrences every month. I bought some homeopathic pills "Bioline Herpes", but so far they do not help.

Answer: Throughout the world, homeopathic medicines are classified as food supplements. There is no scientific evidence for the effectiveness of homeopathy. In my opinion, if you believe in homeopathy, then thanks to the power of self-hypnosis, it works. In the treatment of a frequently relapsing form of genital herpes, it is necessary to focus on modern antiviral drugs: zovirax, valaciclovir, famvir.

Question:Tell me, please, is there any chance to recover from genital herpes? And can I infect a loved one if I have sex without a condom? The fact is that I once felt discomfort near the vagina, they had sex that day without a condom, and the next day 2 bubbles were poured out. And another question: do bubbles necessarily cause anxiety (itching, etc.)?

Answer: To date, it is impossible to completely recover from genital herpes, but existing methods of treatment can significantly increase the interrecurrent intervals. For treatment, you must consult a qualified doctor. Genital herpes can be transmitted to a partner both in a relapse-free period and during the first precursors of diseases (itching, tingling, pain at the site of future rashes), and directly during the actual relapse. To reduce the risk of transmitting genital herpes to a partner, you must use a condom. In addition, it is your duty to inform your partner about your illness. A healthy person should have a choice: to get sick or not. With herpes, blisters and itchy rashes. If there is no itching, then you need to differentiate herpes with other skin and sexually transmitted diseases.

Question:When contacting a doctor at our place (Kostanay, Kazakhstan), the doctor explained to us that with the external manifestation of genital herpes in the first months of pregnancy, this threatens to further deformity of the child and other similar problems, for this reason she was forced to have an abortion. Herpes manifested itself monthly before pregnancy, a little 1-2 "bubbles" and after 2-5 days it disappears. They took Acyclovir tablets, but there was no effect. What to do?

Answer: Recurrent genital herpes does not affect the course of a normal pregnancy, so you had an abortion without proper reason. The development of congenital malformations in genital herpes is possible if an outbreak of genital herpes occurs for the first time in a woman's life for up to 12 weeks of pregnancy. With recurrent genital herpes, you can safely become pregnant and give birth.

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.

Click on the button to go to the treatment instructions!

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 compiled for you detailed instructions on the treatment of the disease, both folk remedies and medication 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 all modern means, since 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 medications.
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 a partner does not always lead to rashes, the state of the immune system plays a decisive role in this.

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 of the 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, at normal temperature and humidity, the herpes virus dies within 24 hours. On metal surfaces (door handles, faucets, money) it survives 2 hours, on wet surfaces (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. It is necessary to take measures for 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.

Food

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 Spread 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 they 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 the further spread of the 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 of 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 of medicines for infection 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 treatment should be performed 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 sprayer attached to the drug), 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 is available in the form of an ointment, vaginal suppositories and an 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 of herpes, as well as 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 occur 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.

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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.

Object of treatment	Treatment regimen
Primary infection of genital herpes. Preparations are applied within 5-10 days.	Acyclovir (200 milligrams). Inside, five times a day.
Recurrent form of genital herpes. Medicines are applied for five days.	Acyclovir (200 milligrams). Inside, five times a day Or Acyclovir (400 milligrams). Inside, three times a day. Or Valaciclovir (500 milligrams). Twice a day. Or Famciclovir (250 milligrams). Three times per day.
suppressive therapy. Prophylactic medication for permanent suppression of the virus. The term of admission is assigned individually.	Acyclovir (400 milligrams). Inside, twice a day Or Valaciclovir (500 milligrams). Once a day. Or Famciclovir (250 milligrams). Twice a day.

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)

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Genital herpes is a disease caused by herpes simplex viruses types 1 and 2. Sexually transmitted through any type of contact. The first type virus is the cause of the initial manifestation of genital herpes, repeated cases are almost always caused by the second type virus. Treatment of genital herpes is aimed at eliminating the symptoms of the disease, because it is almost impossible to completely get rid of the virus.

The virus penetrates the cells of the mucous membranes of the genital organs, introduces its genetic information inside. The body ceases to perceive new cells as foreign, so they multiply and spread throughout the body.

But even in the presence of a virus, you can lead a full life if the disease does not manifest itself clinically. 90% of the world's population is infected with herpesvirus, but no more than 15-17% of them fall ill.

In the diagnosis and treatment of herpes in intimate places, it is not the presence of the virus that matters, but how the body reacts to it. The stronger the health, the lower the risk of disease.

Suppressing the immune system, reducing the body's defenses contribute to:

1. Unhealthy lifestyle: smoking, unhealthy diet, overwork.
2. Various kinds of negative emotions: depression, tension, anger, hostility.

The decrease in protective forces leads to the fact that the virus dormant in the body is activated, exacerbation of genital herpes is one of the manifestations of this process. Therefore, it is required to strengthen the immune system, avoid stress, establish a sleep and rest regimen, follow a nutritious diet, and exercise regularly.

Treatment of genital herpes

Which doctor treats

Choosing a specialist is often difficult for a person with herpes, as this disease has various manifestations. It can be cured by therapists, dermatologists, infectious disease specialists or immunologists.

In addition, it is believed that herpes is not particularly dangerous for the sick. This is true if a person has no chronic diseases, and the immune system is strong. In such cases, the disease can pass a few weeks after the course of symptomatic treatment without complications and consequences.

But in the presence of chronic and infectious diseases, weak immunity, herpes is extremely dangerous and even sometimes fatal. In addition, patients after injuries, operations and the elderly should take care of timely treatment.

If you have symptoms of a herpes infection in the genital area, you can contact one of the following specialists:

• gynecologist;
• urologist
• dermatovenereologist;
• immunologist.

For effective treatment of genital herpes, you must first consult with a therapist, as the virus can spread to the internal organs. Often a comprehensive examination is required.

General treatment regimen

The selection of treatment regimens for genital herpes depends on the characteristics of the manifestation of the disease. With the primary manifestation of genital herpes, when the skin around the genitals becomes covered with sores and vesicles, a short-term course of local antiviral drugs is prescribed. In parallel, immunostimulants are prescribed to strengthen the immune system.

If, as a result of such therapy, skin manifestations disappear, then we can assume that the genital virus is suppressed, further treatment is not necessary.

If a herpes infection tends to appear more than 5-6 times a year, then a constant intake of antiviral drugs is required. This leads to:

• frequent exacerbations of the disease disappear (80% of cases);
• the number of exacerbations is halved (20%).

When genital herpes appears from time to time, a change in treatment methods is required: antiviral agents are prescribed only at the time of exacerbation. This helps to reduce the number of exacerbations and the duration of the acute course of the disease. This is episodic therapy.

In addition, in the treatment of genital herpes, therapy is used to block the possible activation of the virus. In this case, the dosage of drugs is lower, but the course is longer.

Treatment of herpes on the genitals

How to treat herpes in the intimate area with medication

An exacerbation requires a comprehensive treatment of genital herpes, which consists in the use of drugs that suppress the virus, eliminate skin manifestations and strengthen the body's defenses.

At the time of the rash, it is required to carry out situational antiviral therapy using specific antiviral drugs based on Acyclovir and its analogues, which have a local or systemic effect on the body.

In most patients with manifestations of herpes in an intimate place, the immune system is in a normal or even activated state, so the use of immunomodulators is ineffective and impractical.

Attention should be directed to strengthening the specific immune response against herpes simplex virus. For this, passive immunization is carried out with immunoglobulins (for example, "Herpebin") and active - by introducing a herpes vaccine.

Medicines for genital herpes

Topical preparations

For local treatment of genital herpes, special ointments and creams are used. They dry up sores and blisters, prevent the appearance of new blisters, eliminate itching and pain. They should be applied directly to the affected areas of the skin.

According to the effect on the affected areas of the body, local preparations can be divided into:

• antiherpetic;
• anti-inflammatory and antiseptic;
• increasing local immunity of the intimate zone;
• blocking re-infection: bacterial or fungal skin lesions.

The most popular antiherpetic with proven effectiveness is Acyclovir ointment, as well as its analogues. The course of treatment with these drugs is 7-10 days. They are prescribed for the initial appearance of genital herpes, when the skin is covered with bubbles, swells, the patient feels severe itching. During treatment, you need to make sure that there is no burning and irritation on the skin.

Analogues of "Acyclovir" are widely used:

1. Vivorax. Apply 5 times a day for 10 days.
2. Panavir. Apply 5 times a day for a course of 10 days.

Local immunity can be increased with the help of "Viferon" (does not have a blocking effect on the virus).

In addition, antiviral drugs are prescribed for local treatment:

1. Oxolinic ointment 1-2%. Lubricate the skin 2-3 times a day for 3-5 days.
2. Khelepin 5%. Apply 2-6 times a day for up to 4 weeks.
3. Hyporamine ointment based on sea buckthorn extract. It has a pronounced antiviral effect.
4. Gel "Viru-Merz-serol". Assign a course of 3 days. If there is no improvement, it must be cancelled.

To accelerate the healing of damaged tissues and the regeneration of the skin on the genitals, auxiliary agents are used, for example, Panthenol, rosehip oil or sea buckthorn.

Preparations for internal use

All tablet preparations can be divided into several groups: antiherpetics, immunomodulators and agents for suppressing the activity of the virus. At the same time, antiherpetic agents have the most effective properties, the rest are used as auxiliary ways to get rid of herpes in intimate places.

Antiherpetics prevent the spread of virions, virus particles, therefore, further development of the disease is blocked. The course and dosage are selected based on the severity of the disease and the characteristics of the body:

1. Treatment with Acyclovir and its analogues: Zovirax, Virolex. Taken according to the scheme: 200 mg per dose, 5 times a day.
2. Therapy with "Valacyclovir" and its analogues: "Valtrex", "Virdel". 500 mg morning and evening.
3. Appointment of "Famciclovir" and its derivatives: "Famvir", "Famacivir" 250 mg 3 times a day.

To suppress the activity of the virus with a simultaneous increase in the body's defenses, therapy with interferon preparations is used. These funds include:

1. "Amixin".
2. "Arbidol".
3. "Cycloferon".
4. Lavomax.
5. "Thylaxin".

Immunomodulators are used to stimulate the immune system by accelerating the maturation of blood leukocytes:

1. "Galavit".
2. "Isoprinosine".
3. Groprinosin.
4. "Levamisole".

Panavir is considered a broad-spectrum drug; this remedy is used for various types of herpetic infection. Increases resistance to infections, protects against viruses. It is administered intravenously. Made from potato shoots.

To prevent the recurrence of herpes in the genital area, it is recommended to take Alpizarin.

Alternative drugs and treatments

To speed up the cure of herpes in intimate places, physiotherapeutic procedures are used, for example, darsonval. This is a method of exposing the skin to high frequency currents, but of low strength, with impulses of 50 / sec.

This device has a drying, anti-inflammatory, analgesic effect, reduces swelling, enhances blood microcirculation. For effective treatment of herpetic eruptions in the genital area, a contact method of electric shock is used.

Ozone therapy successfully copes with the genital virus. This method allows you to saturate the blood with oxygen, after which the body is able to cope with infections on its own, ozone begins to destroy the virus or blocks its activity. In addition, it helps in better absorption of medicines. For the greatest effect, you need to go through 8-10 sessions.

Genital herpes and a strategy for its successful treatment

How is genital herpes treated with folk medicine

Treatment of herpes in the intimate area with folk remedies is auxiliary to the main medication. With their help, it is possible to eliminate unpleasant symptoms and strengthen the body's defenses. Before using traditional medicine, be sure to consult a doctor.

Products for external use

External treatment of herpes in intimate places is carried out using the following means:

1. Celandine. Pass fresh celandine with flowers (50 g) through a meat grinder, add 50 mg of honey, leave for a day. Make lotions.
2. Birch buds. Boil 20 g of kidneys and a glass of milk for 5 minutes, then grind in a blender. Make lotions several times a day. Keep no more than a week.
3. Aloe. Lubricate the area of ​​​​rashes on the genitals with aloe juice. Juice keeps for about a week. You can add alcohol for longer storage.
4. Horseradish. 2 tbsp. l crushed root, 100 ml of alcohol insist 2 weeks. Strain, moisten the skin 3 times a day. Shelf life 2 years.
5. Garlic. Clean the head, grind, insist in alcohol for 3 days. Shelf life 1 year. Apply 3 times a day.
6. Chaga oil. Melt 50 g of rustic butter, add chopped mushroom, simmer for 20 minutes, strain. Lubricate three times a day. 1-2 weeks.
7. Tea tree oil. 10 drops per half liter of hot water. Use as a wash before bed to prevent further spread of genital infection.

1. Sea salt. 1 st. l for 6 liters of water. 1 per day.
2. A mixture of succession, chamomile, calendula. For 10 g of the mixture 6 liters of boiling water. After half an hour, you can start the procedure. Held in the morning and evening.
3. Eucalyptus. 10 g leaves per 6 liters of water.

Means for internal use

For internal use in genital herpes, the following agents are used:

1. Juice from 4 large onions, gruel from 2 large apples, mix 30 g of natural honey. Take 1 tbsp. l before meals. Keeps no more than three days in the refrigerator. Course 3 weeks.
2. Kalina. Grind 20 g of berries, pour a glass of boiling water, leave for 15 minutes. Drink in the morning and evening with the addition of honey. 1 to 3 weeks.
3. Kalina with honey and alcohol. Mix gruel from 1 kg of berries with 1 kg of honey. Leave for 1 week. Add half a glass of alcohol. Store in a dark cool place. Drink 2 times a day for 1 tbsp. l course up to 2 months.
4. Echinacea. 50 g of roots and 100 ml of alcohol (70%) insist 10 days (shake from time to time), strain. Drink 15 drops before each meal, 1 month.
5. Chaga. Soak 50 g of mushroom for a day in boiled cool water. Grate, pour back into the same water. Bring to a boil in a water bath. Drink 50 ml in the morning and evening (1 month).
6. Mumiyo. Take 0.6 mg every day.

Hydrogen peroxide is used to wash the area affected by genital herpes, this should be done several times a day. In addition, you can make compresses: mix 2 tsp of pharmacy peroxide (3%) with 50 ml of water.

Treatment of genital herpes does not lead to complete elimination of the virus. But you can suppress his activity so much that he will not manifest himself in any way. After treatment, it is advisable to take tests regularly, even if there are no manifestations of genital herpes.

It is imperative to take tests during planning and carrying a pregnancy, in preparation for organ transplantation, as well as when any rashes appear in the form of bubbles.

Particular attention should be paid to disease prevention. Genital herpes is most often transmitted sexually, so it is necessary to refrain from casual relationships, use protective equipment. During the period of exacerbation of the disease, you need to be especially careful not to infect your partners.

This is especially important for young people who are planning to have a baby. Therefore, they will need to undergo additional examinations for the presence of genital infections and the herpes virus.

Genital herpes cannot be attributed to diseases that pose a significant threat to life. There are many diseases that are much worse. Therefore, the danger of herpes infection is often underestimated by patients. But such a frivolous attitude towards this disease can have disastrous results, including, for example, infection of one's sexual partners. And frequent relapses of the disease should be a signal to consult a doctor and start measures to strengthen the body's defenses.

(GH) is included in an extensive group of diseases of various etiopathogenesis, the pathogens of which are sexually transmitted - STDs. HH disease is caused by the herpes simplex virus type 2 (HSV-II), less often the herpes simplex virus type 1 (HSV-I). The disease is characterized by vesicular rashes on the skin and mucous membranes in the genital area, lower back, thighs and buttocks. Perhaps asymptomatic and atypical course of the disease, as well as systemic organ damage.

HSV-II and HSV-I are herpes simplex. They are called simple for a characteristic feature - a vesicular rash on the mucous membranes and skin. For a long time, this symptom was considered the only manifestation of herpes, and the disease was recognized as ordinary and harmless. Clinical observations of recent years have largely changed the attitude of doctors to this disease.

Genital herpes is a widespread infection. In the statistics of confirmed STDs, the diagnosis of HSV-II occupies a leading position, second only to trichomoniasis. The genital form of herpes is also caused by HSV-I. The results of 20% of the tests carried out using the polymerase chain reaction (PCR) confirm the involvement of HSV-I in the formation of rashes in the anogenital zone. The influence of HSV-I on the formation of genital pathogenesis has been steadily growing in recent years.

The prevalence of the disease caused by herpes simplex viruses is due to the following factors:

Persistence of opinion about the safety of herpes simplex among the townsfolk;

A long latent stage of the disease in the nodes (ganglia) of the nerve trunks - a person is infected, but does not suspect it;

Almost lifelong carriage - it is impossible to remove herpes from the body with vaccines, serums or chemicals;

The possibility of infection through household contact - unfortunately, this factor significantly reduces the age of the first encounter with herpes in children.

Since 1993, herpes has been included in the list of diseases subject to mandatory medical statistics in the Russian Federation. Since the beginning of regular observations, a steady increase in the number of cases of herpes has been recorded. To date, the clinical form of genital herpes is diagnosed in about 80 cases per 100 thousand of the population. This figure corresponds to the global statistics of detection of herpes, sexually transmitted. With the help of statistical observations, some epidemic patterns of HH have been established.

The incidence of genital herpes is correlated with:

Socio-economic status of patients - the maximum number of cases of illness is recorded in near-marginal circles, the minimum - in a group with a high social status;

Gender (men are more resistant to HH infection). The increased sensitivity of women to sexual forms of herpes is probably due to the extensive mucous membranes of the external genital organs, and not to the special structure of the immune system;

Age (there is a sharp increase in cases of HH infection, coinciding with the age of sexual activity). The detection rate reaches a maximum by the age of 30-40, then there is a gradual decrease in the number of diseases to a minimum by the age of 60-70 (exceptions not related to human sexual activity are possible).

HSV and another representative of herpes, cytomegalovirus (both STDs), are significant factors in the etiopathogenesis of gynecological inflammatory diseases of the cervix and appendages. The participation of HSV in the development and inflammation of the membranes of the brain has been proven.

The connection of these diseases with the herpes virus was established only after widespread introduction into diagnostics:

The PCR method used to detect the virus and its fragments in body tissues;

enzyme immunoassay diagnostic method ELISA or ELISA when typing the antigenic structure of viruses using monoclonal antibodies;

The emergence of commercial kits for the determination of HSV-II antigens (antigens to HSV-II) and AT-HSV-II (antibody titers to HSV-II).

The sensitivity and specificity of these methods reaches 95-100%. The turnaround time for results is one to two days. Despite the convenience of laboratory methods, their high sensitivity and specificity, they do not always give adequate results suitable for making a final diagnosis.

Modern laboratory and immunological methods have limitations due to:

Cross-reactions in the differentiation of specific antibodies of HSV-I and HSV-II;

Low availability of equipment and shortage of specialists who know PCR and ELISA techniques in small clinics;

The high cost of high-quality commercial diagnostic kits.

Meanwhile, the absolute value of the PCR and ELISA method is shown in neonatal herpes HSV-II or HSV-I, when specific antibodies are represented by almost homogeneous IgM and IgG, and the patterns of serological reactions fit into the standard algorithms of the immune response.

The value of laboratory methods increases with studies conducted in dynamics with an interval of five to seven days. Some features of the organism should be taken into account, for example, the timing of the monthly cycles in women, the medical background of the previous treatment and concomitant diseases.

The opinion about the unconditional and exhaustive value of the results of laboratory tests in making a diagnosis is a common myth. The diagnosis is made not by a laboratory assistant, but by a doctor based on the symptoms of the disease, patterns and epidemiology of pathogenesis, identified after a complex of physical, instrumental and laboratory studies.

In relation to HSV, non-sterile immunity is formed. Immunoconversion of the body develops within 14-28 days with a latent and clinical course of infection.

The immune response of the body to the primary penetration of the genital herpes virus includes three main links of protective reactions:

The primary contact of antigens (AG)-HSV-II with the cells of the immune system is accompanied by the activation of phagocytosis and stimulation of the production of interferon against the background of the body's natural resistance;

The inclusion of the cellular link of immunity is accompanied by an increase in the level of T-killers and T-helpers. An increase in the level of B-lymphocytes activates the complement system;

The inclusion of the complement system activates the production of specific antibodies (AT) to HSV-II.

Reducing the period of exacerbation of the disease to the minimum possible (7-14 days).

An increase in the period of latent course of the disease (the ideal result is lifelong latency).

Since the elimination of the herpes virus is impossible, the goal of therapy is not a complete recovery, but the establishment of a state of relative health based on the principles of prevention:

Recurrence of HH disease by normalizing the immune status of the human body;

Infection of sexual partners and further spread of infection;

Intrauterine infection of the fetus and newborn during its passage during childbirth through the genital tract, natal and postnatal complications.

Treatment Methods

Five therapeutic methods are used to treat genital herpes:

Etiotropic therapy. Antiviral drugs that inhibit the replication of the herpes virus.

pathogenic therapy. Immunomodulators, including agents that increase and decrease the immune status and its individual links in the form of native substances (natural, crude biological products), individual fractions and synthetic immunogenesis stimulants.

Symptomatic therapy. Drugs that relieve pain, itching and fever.

Specific prevention is vaccination.

Physiotherapy (sometimes).

In the medical arsenal of drugs that can directly affect the virus, there is a limited set of drugs. Direct-acting antiviral therapy is based on drugs from the group of synthetic analogues of acyclic purine nucleosides. The basic drug of this group of drugs is acyclovir.

The pharmacological action of acyclovir on viruses is:

The similarity of the chemical structure of acyclovir (purine nucleoside) with deoxyguanosine, a key agent in the synthesis of the genetic material of the DNA of the herpes simplex virus and some other viruses of this family;

Competition of chemical components. The confrontation "acyclovir vs deoxyguanosine" inhibits and suppresses the replication (division and increase in the number of virions) of HSV in the body;

Inhibition of the growth and division of viruses is the main pharmacological action of acyclovir.

The high selectivity of acyclovir to the only key molecule in the DNA of the herpes virus made this drug of low toxicity in general in relation to the human body. Since the seventies of the last century, strains of viruses resistant to acyclovir began to appear. This prompted pharmacological science and industry to develop and put into practice new drugs - modified analogues of acyclovir.

The first analogue is valaciclovir. It is the metabolic precursor of the acyclic purine nucleoside (acyclovir). When introduced into the body, valacyclovir is metabolized to acyclovir, which, unchanged at a therapeutic dose, acts on the DNA of the herpes simplex virus when moving through the gastrointestinal tract. Slightly different mechanisms for enhancing the activity of the active substance are used in the drug farmciclovir and in other similar herpes medicines in order to enhance their bioavailability.

Several treatment regimens for patients with typical genital herpes:

The scheme of treatment of genital herpes at primary contact. Optional: Acyclovir, Valaciclovir, Farmciclovir and other medicines in clinical dosage, which is determined based on individual sensitivity (drug tolerance, patient weight, doctor's recommendations) orally up to five times a day for ten days or until symptoms disappear. The effect is increased if treatment is started in the early stages of the disease;

Preventive regimen for the treatment of genital herpes. Treatment is prescribed in the remission stage with suspicion of an early activation of the virus. This therapy option is used for frequent (more than 6 times a year) relapses in order to prevent their development. Showing drugs that stimulate the overall immune status of the body. Optional: Cycloferon, Ribotan, Gradex, Vegetan, Immunofan and other drugs, the dosage and frequency of use is determined by the doctor. Also shown are B vitamins (B 1 , B 6), which improve the overall resistance of the body. Limited use of interferon stimulants during this period due to their almost complete uselessness at this stage. It makes no sense to use antiviral drugs (acyclovir and others) - the virus is in an inactive, inaccessible phase for drugs. It is advisable to start treatment with acyclovir, zovirax and other drugs of this group only after detecting an active herpes virus in the blood;

The scheme of treatment of recurrent genital herpes. It is used during the period of the appearance of precursors of a recurrent disease. The choice of therapies, their combination and preparative forms (ointments, solutions, tablets) depend on how often herpes relapses occur, as well as on the recommendations of the attending physician. The universal scheme includes a combination of herpes treatment with acyclovir (and analogues) with the use of immunostimulants, vitamins and other general strengthening agents. At the very beginning of the appearance of precursors of the disease (itching in the area of ​​​​the future lesion), interferon preparations are indicated. They are most effective in the early stages of pathogenesis. At the height of the disease, the use of interferon or its stimulants does not make sense.

The above schemes include means of etiotropic, pathogenetic and symptomatic therapy (to eliminate the symptoms of herpes - pain, fever). The herpes vaccine is prescribed by the attending physician, based on therapeutic expediency. Treatment of atypical forms of genital herpes is carried out taking into account the symptoms of pathogenesis and the results of laboratory tests.

The therapy is carried out according to traditional schemes. The indication for the start of treatment of genital herpes in men is the laboratory-confirmed presence of herpes virus DNA in the blood and antibodies to HSV-II in the form of immunoglobulin M (at the onset of the disease) and immunoglobulin G (at the height of the disease) against the background of signs of genital herpes (itching, pain , burning and rashes on the external genitalia). The prognosis of recurrence of the disease depends on the state of the immune system of a man, his age, the presence of bad habits, the well-being of the socio-economic living conditions.

The absence or ineffectiveness of the treatment of genital herpes in men increases the risk of complications in the form of concomitant diseases:

The genital area, in particular the prostate;

nervous system;

In addition, genital herpes is a proven provocateur of the development of malignant neoplasms, and not only in the genital area.

Treatment of genital herpes in women

Women are more likely than men to become infected with genital herpes HSV-II. This means that the contact of a man or woman with a carrier of herpes is not fatal for any of them in 100% of cases, but women are more at risk. Meanwhile, a frivolous attitude to herpes can cost a woman dearly during gestation. Therapy of female herpetic infection is carried out according to the same schemes as in men.

Genital herpes during pregnancy

The consequences of genital herpes during pregnancy look dramatic. The primary infection of the expectant mother with the HSV-II virus, depending on the gestational age, results in the following complications:

First-second trimester - delay and malformations of the fetus, fading of pregnancy;

The second or third trimester - oligohydramnios and polyhydramnios, hydrocephalus and other defects in the fetal nervous system.

Treatment of a pregnant woman for herpes is carried out taking into account:

Detection of immunoglobulins M or G in the blood and the presence of virions in the cells of the body;

The health status of the pregnant woman and the stage of fetal development;

The presence / absence of a threat of miscarriage;

Limited range of drugs allowed for use during pregnancy.

For the treatment of women during pregnancy, it is possible to use etiotropic antiviral therapy. The dosage is selected individually, taking into account the characteristics of the body of a particular woman. Below is a list of drugs most commonly used to treat genital herpes in expectant mothers. Conditions for use during pregnancy are taken from the instructions for the drugs.

So, the list of acceptable medicines for herpes for pregnant women:

Panavir, taking into account individual tolerance externally without restrictions. Attention! The solution for intravenous administration and rectal suppositories during pregnancy should be used with caution and only in cases where the expected benefit outweighs the possible risk of side effects (determined in consultation with the doctor). During the period of use of the drug, breastfeeding must be suspended;

Acyclovir (any route of administration) only in exceptional cases, in addition, the drug should also not be taken during lactation;

Acigerpine (analogous to acyclovir) in the form of a cream or ointment. The effect of the drug on the gestation process has not been fully studied. Pregnant women can use it with caution, and only when the expected benefit outweighs the possible risk to the fetus;

Zovirax (analogous to acyclovir) in the form of tablets, powder for the preparation of solutions and eye ointment. In pregnancy, use with caution and always evaluate the risk-benefit ratio. During the forced treatment of pregnant women for herpes with Zovirax in a therapeutic dose, this drug is detected in breast milk in a residual amount. It should be borne in mind that a baby can receive it in an amount of up to 0.3 mg / kg per day;

Vivorax (analogous to acyclovir) is used for topical and systemic use. During pregnancy, the treatment of herpes with this drug is allowed with great care.

Taking into account individual tolerance, general tonic agents are carefully used:

Consult your doctor before using ginseng-based products during pregnancy and lactation.

Without limitation, oil, solutions and can be used externally.

The absence or ineffective therapy of HH in pregnant women causes complications and provokes diseases of the genitourinary and nervous systems, as well as organs of vision. Herpes is a possible provocateur of gynecological dysplasia and oncology in women.

Prevention - the basis of maintaining health - consists of two main links

Specific prevention of herpes

Specific prevention is the use of vaccinations. However, with herpes vaccines fail to obtain a lasting protective effect. This is due to the special device of the virus, which counteracts the influence of the immunogenic properties of the vaccine antigen and adjuvant (enhancer of the protective properties of the vaccine).

Nonspecific prevention of herpes

Non-specific prophylaxis includes:

Healthy lifestyle, monogamous intimate relationships;

Use of barrier contraceptive methods for all types of sex;

Preventive therapy to increase immunity after casual relationships, even if a condom was used.

Education: Diploma of the Russian State Medical University N. I. Pirogov, specialty "Medicine" (2004). Residency at the Moscow State University of Medicine and Dentistry, diploma in Endocrinology (2006).