How to cure genital herpes - information for healing. How is genital herpes treated? Helpful Tips

Normally, the herpes virus is present in every organism in an undeveloped form. Due to any changes in the state of the organs, their work and in the whole body suffering from a weakened immune system or stress, herpes can manifest itself in the form of unpleasant rashes, fever and be transmitted to other people.

What is genital herpes?

Inflammation that appears on the lips during the period of illness and weakened immunity is caused by the herpes simplex virus (HSV). In most cases, the causative agent of the genital species is the same virus. Sometimes the disease develops against the background of a type 2 virus entering the body.

Genital herpes is considered a sexually transmitted disease because most of the cases are sexually transmitted.

Partners with obvious manifestations of the disease are most dangerous for infection, but the virus can also be transmitted with an asymptomatic course. Infection is possible even through oral and anal contact.

Shared utensils, public places, contact with personal hygiene items cannot cause infection. That is, there are usually two ways of developing genital herpes: weakening one's own immunity and sexual intercourse with an infected partner.

There is another possibility of infection: the patient transfers a secret with a virus to other tissues of his body, for example, from the face to the genitals, etc.

Symptoms

Most often, the manifestation of herpes occurs in the most common way: rashes and blisters on the tissues, which can subsequently cause discomfort, itching, pain.

Symptoms in men:

• Discomfort and pain in the scrotum;
• Itching of the penis;
• Rashes on the genitals and in the perineum;
• Itching and rashes in the anus;
• Painful urination;
• Burning in the urethra;
• Heaviness and pain in the pelvis;
• Temperature rise.

Symptoms in women:

• Unpleasant sensations in the vagina;
• Eruptions, scabs and vesicles on the labia, in the perineum, in the anus, at the entrance to the vagina.
• Itching and burning of the genitals;
• Increase in body temperature;
• Pain and burning during urination and sexual intercourse;
• Admixture of blood in secretions.

Recognizing the disease is not so difficult: reddish bursting rashes in this area in 95% of cases are guaranteed to be herpes. The treatment of such patients is carried out by a dermatovenerologist.

Important! Do not self-medicate. Only a doctor can competently tell you how and how to quickly cure genital herpes (on the labia, on the penis).

Medical treatment

It is impossible to completely remove the herpes virus from the body, so the treatment consists in therapy aimed at external manifestations and immunostimulation.

Treatment for men and women

The process of drug treatment in men and women is approximately the same. A timely visit to a urologist or gynecologist is important to exclude the possibility of infection through damaged tissues with other viruses.

The main antiviral drugs in the treatment of human genital (genital) herpes are acyclic nucleosides, which are produced in the form of tablets and ointments.

Examples are Famciclovir, Acyclovir. Of course, in the process of constant use of the same drugs, the virus mutates, so more and more new types of drugs have recently appeared. It is recommended to alternate different types of nucleosides for more effective treatment.
There is such a remedy - ointment "Gerpferon", it contains both types of nucleosides.

"Gerpferon" is the only ointment against herpes on the genitals that combines these substances, so it is most effective for treating external manifestations: rashes, scabs, blisters.

The ointment contains an anesthetic component that minimizes discomfort.

Features of therapy in pregnant women

Infection of an infant from a mother with herpes is possible, cases have been reported in practice, but this is more unlikely, especially in the early stages of a baby's development in the womb.

Treatment of genital (genital) herpes during pregnancy must necessarily occur under the strict supervision of a doctor, because the intense effect of drugs on the body is strictly contraindicated.

Usually, a pregnant woman is prescribed various immunomodulators and drugs that increase the level of interferon in the body.

Treatment of the disease with folk remedies

Traditional medicine can often help, especially in cases where the use of strong drugs is undesirable. Lotions from dissolved in water valocordin very effective in the treatment of rashes. The solution can be applied to the affected area, moistening gauze with it, or rinsing the genitals after hygiene procedures.

Aloe juice or Kalanchoe dilute with water in a ratio of 1:10, moisten a cotton swab or gauze and apply to rashes.

Young raspberry leaves chew in the mouth to a liquid slurry and apply to the rashes using a cotton pad or gauze.

Collection to boost immunity: chamomile, calendula, echinacea, oregano, red clover, meadowsweet and veronica officinalis yu mix 1 part and brew with boiling water. Take half a glass a day before meals.

Herpes is an unpleasant, but completely treatable problem. To exclude relapses, complete the treatment and maintain the level of immunity with additional drugs.

Herpes on the genitals is a sexually transmitted disease. Provokes the development of herpes virus of the first or second type. This disease is the second most common among sexual diseases, and it is second only to trichomoniasis. It is not difficult to catch an infection, it is much more difficult to cure the disease, since the virus settles in the human body and goes into a latent phase, aggravating from time to time.

Intimate contact with an infected person is. A healthy sexual partner receives from the carrier the herpes simplex virus of the first or second type - the direct causative agent of herpes on the genitals. The virus of these two types can be obtained not only through sexual contact, but also through kissing, bodily contact, self-infection through the mucous membranes and skin, as well as vertically.

A high degree of contagiousness of the sexual partner is given by relapses of the infection in the carrier. Many patients themselves do not know that they are dangerous sexual partners and their body contains a herpes virus. This is due to the fact that, first of all, the nervous system is damaged, where the virus hides.

If the carrier has strong immunity and the virus of the first or second type does not manifest, then he will not pass it on to his sexual partner. If bubbles appear in the genital area or on the body, then the risk of sexual transmission is high.

There are certain factors that can provoke exacerbations, the infection in this case occurs against the background of prerequisites:

• hypothermia or overheating in the sun;
• non-compliance with sleep and rest, exhaustion;
• diseases of other systems and organs;
• a sharp decrease in immunity, taking drugs that suppress protective forces;
• the use of intrauterine devices as contraception;
• the presence of chronic infectious diseases;
• deficiency of vitamins and minerals;
• stress, emotional stress;
• condition after trauma, surgery;
• promiscuity in sexual intercourse.

Most often, rashes on the genitals are diagnosed in women of childbearing age, and among men, homosexuals are susceptible to it.

Causes of herpes on the genitals

Symptoms

Symptoms of genital herpes may not appear for a long time, since the so-called incubation period is running. Its duration depends on the immunity of the patient, so in people with strong protective forces, herpes on the genitals can become more active after a few weeks.

Typical symptoms are reddening of the skin, soreness when touched. During the first day, you can notice bubbles on the skin filled with transparent contents. All this time, patients experience itching and burning in the vulva. When a rash appears, these symptoms subside a little, and in their place comes pain, which intensifies, especially when the rashes are irritated by underwear, hands during hygiene procedures.

Mild forms of genital herpes are limited to the manifestation of local symptoms, and in a severe form of the disease, swelling, fever, and an increase in inguinal lymph nodes are provoked. In the future, the bubbles increase in size in a couple of days, the contents suppurate and turn from transparent to dirty yellow. Then ulcers appear in the area of ​​​​rashes - these are bursting vesicles.

Localization of genital herpes in women is the area of ​​the labia, cervical canal and vagina. In men, you can find herpes vesicles directly on the penis, in the scrotum and sometimes on the inside of the thigh.

Symptoms of herpes on the genitals

Diagnostics

Genital herpes of the genital organs can be diagnosed using several diagnostic techniques. Modern diagnostics involves the appointment of the patient the following types of tests:

• polymerase chain reaction;
• virological method;
• cytomorphology;
• antibodies to the herpes virus in the patient's blood;
• detection of antigens.

Using these methods, it is possible to establish with a high probability whether there is a herpes infection, the type of pathogen and prescribe an effective treatment for the disease to the patient.

Diagnosis of genital herpes

Treatment

Treatment of the disease depends largely on the stage of the course. Genital herpes can be cured in a complex way by prescribing several types of drugs to combat the disease. Pathology therapy is conservative, and is based on the use of antiviral drugs, immunomodulating agents and symptomatic medications.

Medical

Among medications, antiviral drugs play a key role. They should be used as early as possible, preferably within the first forty-eight hours after the onset of symptoms. This will help to cope with the manifestation of the disease at the stage when the number of viral particles can be suppressed by drugs.

Among the drugs, Acyclovir, Valaciclovir and Famciclovir have the best activity. They are taken in tablet form so that the dose taken per day is 1 g (or 1000 mg). This is very easy to calculate, focusing on the dosage indicated on each drug. Multiplicity of reception - two to three times a day.

An effective treatment for genital herpes is the use of local preparations on the genitals. With rashes, you can fight with antiviral ointments - "Gerpevir", "Acyclovir", "Zovirax". They lubricate the affected surfaces of the genital organs several times a day.

As immunomodulators, you can take "Imunofan", "Panavir", "Galavit", "Tiloron" and other drugs. Symptomatic drugs are used if necessary, if the course of the disease is complicated by fever.

ethnoscience

Among the traditional medicine that can fight the disease, doctors do not recommend using any remedy, since folk methods do not heal from the virus, as such. It makes sense to use general strengthening drugs to increase immunity in order to avoid the development of a relapse. In this regard, patients are recommended cranberry fruit drinks, echinacea tincture. The diet should include citrus fruits, onions and garlic, ginger, mumiyo.

Treatment of herpes on the genitals

Prevention

It is impossible to protect yourself completely from herpes, since even the use of a condom during sexual contact does not give a full guarantee. If there was intimate contact with an unreliable sexual partner, then it is necessary to immediately treat the genitals with Miramistin solution, Betadine preparation (available in various forms), and treat with Panavir spray.

An infection on the genitals can attack even a healthy person. Therefore, to get rid of the disease, you should not delay the visit to the doctor - you must contact at the first manifestations of genital herpes. It is much easier to treat the disease at the initial stage, and there is also a chance to avoid severe complications.

Herpes is widespread in the human population. This viral infection is a significant medical and social problem.

The herpes simplex virus (HSV) is present in 9 out of 10 people on the planet. In every fifth person, it causes any external manifestations. HSV is characterized by neurodermotropism, that is, it prefers to multiply in nerve cells and skin. The favorite sites of the virus are the skin near the lips, on the face, the mucous membranes lining the genitals, the brain, the conjunctiva and the cornea of ​​​​the eye. HSV can lead to abnormal pregnancy and childbirth, causing fetal death, miscarriage, systemic viral disease in newborns. There is evidence that the herpes simplex virus is associated with malignant tumors of the prostate and cervix.

The disease is more common in women, but it also occurs in men. The peak incidence occurs at the age of 40 years. However, often genital herpes first appears in boys and girls during sexual intercourse. In young children, the infection on the genitals most often gets from the skin of the hands, from contaminated towels in children's groups, and so on.

HSV is unstable in the external environment, it dies under the action of sunlight and ultraviolet rays. It keeps for a long time at low temperatures. In dried form, HSV can exist for up to 10 years.

How is genital herpes transmitted?

The cause of the disease is herpes simplex viruses (Herpessimplex) of two types, mainly HSV-2. The virus of the first type was previously associated with a disease of the skin, oral cavity. HSV-2 causes genital herpes and meningoencephalitis. Now there are cases of illness caused by the first type of virus or a combination of them. Often the carrier does not have any symptoms of the disease and does not suspect that he is the source of the infection.

How can you get this disease? The most common ways of transmission of genital herpes are sexual and contact. Most often, infection occurs through sexual contact with a carrier of the virus or with a sick person. You can get infected by kissing, as well as by using common household items (spoons, toys). The virus can also be transmitted by airborne droplets.

From the mother, the pathogen enters the child's body during childbirth. The risk of such transmission depends on the type of lesion in the patient. It is up to 75%. In addition, infection of the fetus is possible through the blood during the period of viremia (the release of viral particles into the blood) in case of an acute illness in the mother.

Children in most cases become infected with HSV-1 in the first years of life. By the age of 5, HSV-2 infection also increases. During the first six months of life, babies do not get sick, this is due to the presence of maternal antibodies in them. If the mother was not previously infected and did not pass on her protective antibodies to the child, then children at such an early age are very ill.

Classification

Medically, this disease is called "Anogenital Herpes Viral Infection Caused by the Herpes Simplex Virus". There are two main forms of the disease:

Urinary tract infection:

• genital herpes in women;
• genital herpes in men;

Infection of the rectum and skin around the anus.

The mechanism of development (pathogenesis) of genital herpes

The virus enters the body through damaged mucous membranes and skin. In the "entrance gate" area, it multiplies, causing typical manifestations. Further, the pathogen usually does not spread, it rarely enters the lymph nodes and even less often enters the bloodstream, causing viremia. The further fate of the virus largely depends on the properties of the human body.

If the body has a good immune defense, a virus carrier is formed, which does not exclude recurrence of the infection under adverse conditions. If the body cannot cope with the infection, the herpes virus enters the internal organs (brain, liver, and others) through the blood, affecting them. In response to infection, antibodies are produced, but they do not prevent the development of exacerbations and relapses.

When immunity is weakened, the virus that has been preserved in nerve cells before is activated and enters the bloodstream, causing an exacerbation of the disease.

Symptoms of the disease

For most people who are carriers, HPV does not cause any symptoms for a long time. The incubation period for genital herpes in previously uninfected people is 7 days. In men, the virus persists in the organs of the genitourinary system, in women - in the cervical canal, vagina, and urethra. After infection, life-long carriage of the genital herpes virus is formed. The disease has a tendency to persistent course with relapses.

Causes contributing to the development of external signs of infection:

• permanent or temporary decrease in immunity, including HIV infection;
• hypothermia or overheating;
• concomitant diseases, for example, diabetes mellitus, acute respiratory infection;
• medical interventions, including abortion and the introduction of an intrauterine contraceptive ().

Under the influence of these factors, a prodromal period occurs - "pre-illness". The initial signs of genital herpes: at the site of the future focus, patients note the appearance of itching, pain or burning. After some time, rashes appear in the focus.

What does genital herpes look like?

The elements of the rash are located separately or grouped, they look like small bubbles with a diameter of up to 4 mm. Such elements are located on a reddened (erythematous), edematous base - the skin of the perineum, perianal zone and the mucous membrane of the genitourinary organs. The appearance of vesicles (vesicles) may be accompanied by moderate fever, headache, malaise, and insomnia. Regional (inguinal) lymph nodes become larger and more painful. The initial episode is particularly pronounced in people previously uninfected with the virus, who lack antibodies to it.

A few days later, the vesicles open on their own, forming erosions (superficial damage to the mucous membrane) with uneven outlines. At this time, patients complain of severe itching and burning sensation in the erosion zone, weeping, severe pain, which is even more aggravated during sexual intercourse. During the first ten days of illness, new rashes appear. Viral particles are actively isolated from them.

Gradually, the erosions become covered with crusts and heal, leaving small foci of weak pigmentation or lighter areas of the skin. The time from the appearance of the rash element to its epithelialization (healing) is two to three weeks. The pathogen enters the cells of the nerve trunks, where it remains latent for a long time.

Symptoms of genital herpes in female patients are expressed in the labia, vulva, perineum, vagina, and cervix. In men, the glans penis, foreskin, and urethra are affected.

The pelvic nerves are often involved in the process. This leads to violations of the sensitivity of the skin of the lower extremities, pain in the lower back and sacrum. Sometimes it becomes frequent and painful urination.

In women, the first episode of herpes is longer and more noticeable than in men. The duration of an exacerbation without treatment is about 3 weeks.

Recurrent genital herpes

Approximately 10-20% of those who have been ill develop recurrent genital herpes. The first manifestation of infection is usually more violent. The recurrence of genital herpes is less intense and passes faster than the primary symptoms. This is due to the antibodies already present in the body at this point, which help fight the virus. Type 1 genital herpes recurs less frequently than type 2.

Exacerbation of the disease can be manifested by minor symptoms - itching, rare rashes. Sometimes the picture of the disease is represented by painful confluent erosions, ulcerations of the mucous membrane. Isolation of the virus lasts from 4 days or longer. There is an increase in the inguinal lymph nodes, lymphostasis and severe swelling of the genital organs due to stagnation of the lymph (elephantiasis) are not excluded.

Relapses occur equally often in men and women. Men have longer episodes, and women have a more vivid clinical picture.

If the frequency of relapses is more than six per year, they speak of a severe form of the disease. The moderate form is accompanied by three to four exacerbations during the year, and the mild form is accompanied by one or two.

In 20% of cases, atypical genital herpes develops. The manifestations of the disease are masked by another infection of the genitourinary system, for example, (thrush). So, thrush is characterized by discharge, which is practically absent in normal genital herpes.

Diagnostics

Diagnosis of genital herpes is carried out using the following laboratory tests:

• virological methods (isolation of the pathogen using a chicken embryo or cell culture, the result can be obtained in two days);
• polymerase chain reaction (PCR), which detects the genetic material of the virus;
• detection of pathogen antigens (its particles) using enzyme immunoassay and immunofluorescent analysis;
• detection in the blood of antibodies produced by the human body in response to the influence of HSV using enzyme immunoassay;
• cytomorphological methods that assess cell damage during HSV infection (formation of giant cells with many nuclei and intranuclear inclusions).

An analysis for genital herpes is recommended to be taken repeatedly with an interval of several days, from 2 to 4 studies from different lesions. In women, sampling is recommended on the 18-20th day of the cycle. This increases the chance of recognizing a viral infection and confirming the diagnosis.

The most informative are tests such as PCR in the study of urine and scrapings from the genitourinary organs (vagina, urethra, cervix).

Treatment

The diet of patients with genital herpes does not have any special features. It should be complete, balanced, rich in proteins and vitamins. Food during an exacerbation is best baked or stewed, steamed. Fermented milk and vegetable products, as well as plentiful drinking, will benefit.

Treatment of genital herpes, its intensity and duration depend on the form of the disease and its severity. How to treat genital herpes in each patient is determined by a venereologist based on a complete examination and examination of the patient. Self-medication in this case is unacceptable. To determine how to cure a patient, the data of his immunogram, that is, an assessment of the state of immunity, are required.

For the treatment of the disease, the following groups of drugs are used:

• antiviral drugs of systemic action;
• antiviral agents for topical use;
• immunostimulating substances, analogues of interferons, which also have an antiviral effect;
• symptomatic drugs (antipyretics, painkillers).

Therapy with Acyclovir

The treatment regimen for acute genital herpes and its relapses primarily includes Acyclovir (Zovirax). With normal immunogram parameters, it is prescribed in a daily dose of 1 gram, divided into five doses, for ten days or until recovery. With significant immunodeficiency or damage to the rectum, the daily dose is increased to 2 grams in 4-5 doses. The earlier treatment is started, the higher its effectiveness. The best option for starting therapy, in which the drug is most effective, is the prodromal period or the first day of the onset of rashes.

How to get rid of relapses of the disease? For this purpose, suppressive (suppressive) therapy with Acyclovir is prescribed at a dose of 0.8 g per day. Tablets are taken for months, and sometimes years. Daily medication helps to avoid relapses in almost all patients, and in a third of them there are no repeated episodes of the disease.

Acyclovir is produced under trade names that include the word itself, as well as Acyclostad, Vivorax, Virolex, Gerperax, Medovir, Provirsan. Of its side effects, digestive disorders (nausea, abdominal pain, diarrhea), headache, itching, fatigue can be noted. Very rare undesirable effects of the drug are hematopoietic disorders, renal failure, damage to the nervous system. It is contraindicated only in case of individual intolerance to the drug, and should also be administered with caution to patients with impaired renal function. Use is possible during pregnancy and breastfeeding, as well as in children, but only after assessing the possible risk.

In the prodromal period and in the early stages of the disease, 5% Acyclovir cream is effective. It helps better if the rashes are located on the skin. Apply it several times a day for a week.

There are second-generation Acyclovir preparations that are more effective. These include valaciclovir (Vairova, Valavir, Valvir, Valtrex, Valzikon, Virdel). It is well absorbed in the digestive organs, its bioavailability is several times higher than that of Acyclovir. Therefore, the effectiveness of treatment is higher by 25%. Exacerbation of the disease develops less frequently by 40%. The drug is contraindicated in manifesting HIV infection, kidney or bone marrow transplantation, as well as in children under 18 years of age. Use during pregnancy and while breastfeeding is possible when assessing the risks and benefits.

Alternative drugs

How to treat genital herpes if it is caused by viruses resistant to Acyclovir? In this case, alternative means are prescribed - Famciclovir or Foscarnet. Famciclovir is available under such names as Minaker, Famacivir, Famvir. The drug is well tolerated, with only occasional headaches or nausea. Contraindication is only individual intolerance. Since this drug is new, its effect on the fetus has been little studied. Therefore, its use during pregnancy and breastfeeding is possible only according to individual indications.

Local preparations

Some antiviral medications for treating rashes are an ointment. Among them are the following:

• Foscarnet, applied to the skin and mucous membranes;
• Alpizarin, the drug is also available in the form of tablets;
• Tromantadin, most effective at the first sign of herpes;
• Khelepin; exists in the form for oral administration;
• Oksolin;
• Tebrofen;
• Riodoxol;
• Bonafton.

The frequency of application, the duration of treatment with local drugs is determined by the doctor. They are usually given several times a day for a week.

Therapy of genital herpes with interferon preparations

In recent years, there has been a growing interest in interferons or interferon inducers, which help the body cope with the infection itself, often with a direct antiviral effect. These include the following tools:

• Allokin-alpha;
• Amiksin;
• Wobe-Mugos E;
• Galavit;
• Giaferon;
• Groprinosin;
• Isoprinosine;
• Imunofan;
• Polyoxidonium;
• Cycloferon and many others.

They can be administered both internally and locally. Some of these drugs are suppositories. So, Viferon rectal suppositories are often prescribed as part of the complex therapy of genital herpes.

Non-steroidal anti-inflammatory drugs, such as paracetamol or ibuprofen, can be taken to relieve symptoms.

Antibiotics for genital herpes are not prescribed, since they only act on bacteria, not viruses. The effectiveness of such areas of therapy as homeopathy, alternative methods, has not been proven.

Prevention

A specific prevention of genital herpes, that is, a vaccine, has been developed. A Russian-made polio vaccine should be administered several times a year in courses of 5 injections. It is an inactivated culture vaccine. The effectiveness of such prevention is being studied.

Nonspecific prevention consists in observing sexual hygiene, refusing casual sexual intercourse.

A person infected with genital herpes should not overcool, avoid emotional stress, intense stress and other causes that cause exacerbation.

infection and pregnancy

It is believed that pregnancy is not a factor causing exacerbation of genital herpes. However, some scholars have a different opinion.

Pregnancy and childbirth with HSV without clinical manifestations are usually normal. Treatment of a pregnant woman is carried out if she develops systemic manifestations, for example, meningitis, hepatitis. This usually happens when a woman first encounters the virus during pregnancy. Acyclovir is prescribed for treatment.

If such treatment is not carried out, then as a result of viral particles entering the baby’s blood through the placenta (damaged or even healthy), an intrauterine infection will develop. In the first trimester of pregnancy, malformations are formed. In the second and third trimesters, the mucous membranes, the child's skin, eyes, liver, and brain are affected. Fetal death may occur. The risk of preterm birth increases. After the birth of such a baby, severe complications are possible: microcephaly (underdevelopment of the brain), microophthalmia and chorioretinitis (eye damage leading to blindness).

Delivery is carried out naturally. Caesarean section is prescribed only in cases where the mother has a rash on the genitals, and also if the first episode of infection she had during pregnancy. In these cases, prenatal prevention of the transmission of the herpes virus to the child is recommended with Acyclovir, prescribed from 36 weeks. An even more convenient and cost-effective drug for prenatal preparation of a sick woman is Valzikon (Valacyclovir). The use of antiviral agents before childbirth helps to reduce the frequency of exacerbations of genital herpes, reduce the likelihood of asymptomatic release of viral particles that infect the child.

During childbirth of a sick woman, premature outflow of water, weakness of labor activity is dangerous. Therefore, she needs special attention of medical personnel.

How dangerous is genital herpes for a newborn?

If a baby comes into contact with HSV while passing through the birth canal, he will develop neonatal herpes 6 days after birth. Its consequences are generalized sepsis, that is, infection of all internal organs of the child. A newborn can even die from infectious-toxic shock.

In connection with the potential threat to the child, each pregnant woman is examined for the carriage of HSV and, if necessary, undergoes treatment as prescribed by a doctor. After the birth of the baby, he is also examined and, if necessary, treated. If the child does not show any signs of infection, he must be observed for 2 months, since the manifestations of the disease are not always visible immediately.

To avoid the unpleasant consequences of the disease during pregnancy, an infected woman must undergo special training before her, the so-called pregravid. In particular, antiviral and immunostimulating agents of plant origin (Alpizarin) are prescribed orally and in the form of an ointment when exacerbations occur in the patient. At the same time, her immunity is corrected using interferon inducers. Within three months before the planned pregnancy, metabolic therapy is also prescribed, which improves the metabolism in cells (riboflavin, lipoic acid, calcium pantothenate, vitamin E, folic acid). At the same time, passive immunization can be used, that is, the introduction of ready-made antiviral antibodies, immunoglobulins, into the woman's body, which reduces the risk of exacerbation.

Pregnancy planning should be carried out only in the absence of relapses within six months. Diagnosis and treatment of genital herpes before pregnancy can reduce the incidence of complications from the mother and child, reduce the likelihood of recurrence during gestation, and minimize the risk of intrauterine infection or neonatal herpes. All this helps to reduce infant morbidity and mortality.

It is a sexually transmitted infection caused by the herpes simplex virus type 1 or 2. The disease affects the genitals: skin and mucous membranes. If the pathological process causes the herpes virus type 1, then there is damage to the mucous membrane of the oral cavity, lips, skin of the face: painful erosions and vesicles form.

The risk group is predominantly female. Treatment of genital herpes is carried out in a complex. It is also important to get acquainted with the information on whether it is possible to cure a disease that occurs on the genitals and on the labia completely.

The manifestation of the disease on the genitals is observed after 48 hours - 14 days from the moment the person was born. Patients complain of a violation of appetite, decreased performance, deterioration in general well-being, a feeling of weakness, muscle pain, lymph nodes in the groin area can significantly increase in size.

To date, it is not possible to completely cure genital herpes. The use of basic means of treatment allows you to:

• Reduce the symptoms of the disease and alleviate the well-being of the victim.
• Reduce the duration of therapy.
• Increase duration.

Without fail, a sexual partner is examined and an appropriate one is selected, if necessary. All patients with suspected sexually transmitted infection should be carefully diagnosed.

Diagnostics

Before choosing a treatment for vaginal herpes, it is recommended to consult a venereologist or dermatologist. For an experienced specialist, a face-to-face examination of the patient is enough to identify the characteristic signs of the pathological process. Gynecological examination of the patient reveals the formation of characteristic manifestations and rashes affecting the external genitalia.

If there is any doubt, additional methods are prescribed to determine the DNA of the infection using the PCR technique, isolate viruses in cell cultures, and also:

• Detection of specific antibodies (immunoglobulins) to the herpes simplex virus in the patient's blood.
• The study of scrapings from the vagina, a smear from the urethra, a thorough examination of histological materials.

In the event that herpetic lesions do not go away, differential diagnosis with syphilis, dermatitis, scabies, and the formation of lichen planus is required.

Medical treatment

Treatment of genital herpes provoked by type 1 and type 2 viruses involves the use of:

• Antiviral drugs for treatment, intended for both systemic and local use.
• Immunomodulators.
• As a supplement, vitamin complexes, painkillers and antipyretic drugs are prescribed.

The decision on how to treat genital herpes can only be made by a doctor: the selection of suitable drugs and rational is carried out taking into account the age, gender of the patient, the presence of concomitant diseases and the individual characteristics of the body. Self-medication is unacceptable, since inadequate drug therapy is fraught with the development of complications.

The treatment regimen for genital herpes should be selected taking into account the phase of the menstrual cycle. Throughout the entire period of therapy, it is recommended to give preference to barrier methods of contraception. In addition, the doctor prescribes antioxidants (drugs that include ascorbic acid and vitamin E), it may also be necessary to use antibacterial drugs (if indicated).

Antiviral therapy

Treatment of herpes in the intimate area with the use of antiviral therapy contributes to the following pharmacological effects:

• Acceleration of the healing process of the formed vesicles.
• Minimize the likelihood of the spread of a viral infection.
• Reducing the severity of the course of the pathological process.
• Reducing the frequency of repeated exacerbations of herpes infection.

Acyclovir - is used both for oral administration and for external application to rashes in intimate places, as well as intravenous infusions.	- To treat the initial episode of herpes: oral administration of 400 mg of the drug three times a day; 200 mg of the drug up to 5 times a day for 1 week-10 days. Quickly cure a recurrence of the disease: 400 mg of the drug three times a day. The use of the drug allows you to reduce the duration of the release of viruses, but does not affect the duration of remission. In severe cases of the disease, an intravenous infusion of medicines based on acyclovir is indicated up to 10 mg per kg of body weight three times a day.
Valaciclovir is an effective agent against HSV types 1 and 2.	- Primary episode: 1000 mg twice a day for 1 week - 10 days. Episodic treatment of recurrent infection: 500 mg twice a day. Patients are interested in how long herpes is treated in the intimate area? The course of admission is up to 5 days.
Famciclovir is also effective in primary episodes of herpes, as are drugs based on acyclovir.	- 250 mg of the drug three times a day, the duration of treatment is up to 10 days. Intermittent treatment: 250 mg twice daily. It is important to know how long to use the medicine: up to 5 days.

In order to avoid the resistance of a viral infection to the drugs used, doctors recommend using them alternately and prescribing in combination with drugs based on interferon.

Treatment with immunostimulants

photo genital herpes in men

It is important to know how to treat herpes on the labia. Along with drugs that contribute to the provision of antiviral action, doctors prescribe the use of medications based on interferon. This substance allows you to get rid of the causative agent of the disease, contributes to the provision of a pronounced antiviral effect, its deficiency leads to frequent relapses of herpesvirus infection. Genital herpes involves the use of:

• Viferon.
• Neovir.
• Lavomax.
• Imunofana.
• Giaferon.
• Cycloferon.
• Isoprinosine.

In order to cure genital herpes, the exact treatment regimen must be selected individually.

Medicines for external application

The use of external antiviral agents is advisable during exacerbations of the infection. Medicines are applied to the rash several times a day. Medicines are recommended in the form of creams, gels based on acyclovir or penciclovir, as well as substances with immunomodulatory and analgesic properties. The doctor may recommend the application of the following medications that help dry herpes sores, eliminate itching and soreness:

• Acigerpin.
• Fenistil Pencivira.
• Vivorax.
• Acyclovir.
• Panavir.
• Acyclostad.
• Lomagerpan.
• Viferon.
• Gervirax.
• Virolex.

In order to eliminate a cold on the labia, drugs should be used often and regularly. The duration of the course of treatment is up to 5-7 days. If after a week the patient does not notice any visible improvement and the cold continues to bother, it is recommended to consult a doctor again. Before you start using the medicine, you should carefully read the instructions for use.

The use of suppositories

Medicines in the form of suppositories are prescribed to combat genital infection that affects the rectal and urogenital area. Such agents can also be used to combat infection in younger patients. The active substances of the suppositories are quickly released and act on the focus of infection. The choice of a suitable medicine is carried out by a doctor.

Kipferon	It contributes to the provision of antiviral, anti-inflammatory, anti-chlamydial, antibacterial effect.	Can be used both intravaginally and rectally. It is recommended to use 1-2 suppositories up to 2 times a day. The duration of therapy is up to 2 weeks.
Genferon suppositories are an effective multicomponent agent based on taurine, interferon, anesthesin	- Influences the general and local immunity. Helps to provide analgesic effect. Activates the cellular links of the immune system, as well as phagocytes. Demonstrates a pronounced anti-inflammatory effect.	- Treatment in women: intravaginal administration of the drug, 1 suppository 2 times a day for 10 days. Men use suppositories for rectal administration: 1 pc. twice a day.
Viferon suppositories - a drug based on interferon, vitamin E, ascorbic acid	A drug with antiviral, immunomodulatory and antiproliferative effects.	Treatment of herpes type 2: 1 suppository twice a day for 5 days. It is possible to conduct repeated courses of treatment to achieve a stable therapeutic result.
Betadine - suppositories based on povidone-iodine	Have antimicrobial and antiseptic effect	1-2 suppositories per day for 1-2 weeks. The course of therapy can be adjusted by the doctor, depending on the complications that arise.
Hexicon	Antiseptic drug	1 suppository up to 2 times a day for 1 week - 20 days
Panavir	Candles with immunostimulating and antiviral action	Candles for rectal use: 2 pcs., Keeping an interval of 1-2 days. The general course of treatment is 2 suppositories. If necessary, it is possible to repeat the course of treatment.

Among the advantages of drugs for rectal administration, it should be noted:

• Possibility of self-use at home.
• Rapid provision of proper therapeutic result.
• Due to rectal administration, the active substances are absorbed faster and penetrate into the systemic circulation.
• The drug does not have a systemic effect, without causing adverse reactions from the liver.
• The use of suppositories does not contribute to irritation of the mucous membrane of the gastrointestinal tract.

Suppositories must be stored in special conditions: a dark, cool place, in compliance with the temperature regime indicated by the manufacturer on the package with the drug.

Treatment with folk remedies

photo of genital herpes

Treatment of genital herpes with folk remedies is used as an addition to the basic scheme of drug therapy, only by prior agreement with the doctor. In order to eliminate a herpetic rash, it is advisable to use tincture of calendula, propolis, aloe juice, decoctions of plants (walnut, sage, lemon balm, oak bark). The most effective recipes for folk treatment are:

• Using viburnum infusion: 30 grams of dried raw materials (fruits) are ground in a mortar and poured with boiling water. Insist for 4-5 hours, then filter and take 1/3 cup up to 3 times a day. The duration of admission is at least 9-12 days.
• Preparation of tincture from arnica flowers, which is used both for internal use and for external application to the affected areas of the skin.
• The use of onions acts as a medicine and is able to fight viral infections. It is necessary to mix the juice of 1-2 onions with a little applesauce, honey and pumpkin juice. Take a tablespoon 5-6 times a day.
• Tincture from birch buds contributes to the provision of a pronounced anti-inflammatory effect. It is necessary to mix 20 grams of vegetable raw materials with 150 ml of milk, boil for 7 minutes, remove the fire, pull out the kidneys, wrap in a piece of sterile gauze or bandage and apply to the lesions three times a day.
• In the fight against infection, soda and essential oils can also be used: tea tree, eucalyptus, geranium, cedar, lavender. In order to strengthen the immune system, oils such as orange, rosemary, eucalyptus, verbena can be used.

Important!

Patients should understand that if only folk remedies are used, then this does not contribute to the expected therapeutic effect.

Preventive treatment

It is important not only to know whether type 2 herpes is being treated on the pubic part and to study reviews of certain medicines, but also to have information about what prevention methods exist.

Preventive treatment at home involves the use of drugs, which include acyclovir, valaciclovir, famciclovir. The tablets are taken continuously for a long time. The dose and duration of the course of application is determined by the doctor on an individual basis.

A similar treatment regimen is indicated for exacerbations of herpes infection more often 5-7 times in 12 months.

With recurrent genital herpes, vaccination is also recommended using a special one. Immunization is indicated for an adult patient who has 3 or more relapses of the disease within 12 months.

Genital herpes occurring in mild to moderate severity requires a two-stage immunization. Patients are given 5 injections, observing an interval of at least 1 week. Further, the course of injections is repeated after six months.

Genital herpes is a recurrent, lifelong infection caused by the herpes simplex virus. Accompanied by she erosive or ulcerative rashes in the genital area sometimes in the perianal region.

A person who has genital herpes feels or even feels pain in the affected areas. In some cases, pain during intercourse (dyspareunia) is observed. Rashes can be localized in the urethra - then the patient will feel.

Clinically, there are several forms of genital herpes:

• Primary;
• recurrent;
• Asymptomatic.

The main types and epidemiology of the disease

There are various types of herpes, among which two types are considered the most studied and widely known:

1. Herpes simplex virus (bubble or "cold" rashes on the lips);
2. The same virus, but already causing diseases of the genitals (genital herpes).

Today, genital herpes is one of the most common diseases of the genitals, which have an ulcerative-erosive character. On average, about half a million new cases are registered every year worldwide.

Experts note that the herpes virus of the second type is most often detected. Given that genital herpes is a sexually transmitted disease, suffer them to a greater extent people leading a promiscuous sexual lifestyle.

However, there are other risk factors:

• Homosexuality;
• Prostitution;
• Negroid race;
• Early onset of sexual activity.

The female sex, in general, has a greater predisposition to the herpes virus.. It has also been found that the incidence of genital herpes increases with age.

Signs and development of genital herpes

The specificity of the course of the disease in men

Genital herpes in men usually appears on the penis (skin of the foreskin). In addition, ulcerative rashes can be localized on the head of the penis, as well as on the urethral mucosa. Grouping vesicles on the penis are first transparent, and then cloudy content. After a certain time, the bubbles shrink or open with the formation of erosion.

Genital herpes in men is most often recorded during the period of maximum sexual activity (20-30 years). specific a complication for the male population is.

figure: typical localization of manifestations of genital herpes

The specificity of the course of the disease in women

Genital herpes in women is often accompanied by profuse herpetic eruptions. Vaginal herpes is characterized by a rash on the skin of the labia, on the mucous membrane of the vagina, sometimes in the perianal region.

Herpes on the labia brings a lot of discomfort and discomfort to a woman, the usual rhythm of life is disturbed, increased irritability occurs. With vaginal herpes and its exacerbations are possible.

Among the specific complications of genital herpes in women more common than others, however, there is a risk of getting sick and cervical cancer.

Herpes on the buttocks

Herpes on the buttocks is most likely the cause of the activation of the second type virus. If the patient has never had genital herpes before, then you should consult a doctor to establish a more accurate diagnosis. Some experts argue that there are poorly understood types of herpes that can provoke sudden rashes on the body or cause chronic fatigue. In any case, it is very important to strengthen the immune system of the whole organism and timely visit a doctor.

How is herpes type 2 transmitted?

Herpes is transmitted in several ways, but the main one is still the sexual route of infection. Infection is carried out through contact with a sick person or with a carrier of the virus through the mucous membranes of the genital organs. Also, the infection can penetrate through the rectum, microscopic cracks in the skin, urethra. Orogenital contacts are also of serious epidemiological significance.

Nonetheless, In addition to the sexual route, herpes is transmitted:

• From mother to fetus and newborn. More often with natural childbirth, less often with caesarean section. You should know that in 5% of cases, infection occurs even before birth, since the herpes virus is able to penetrate the placental barrier, so caesarean section is not a panacea.
• Household method - associated with close contact with the sick person during an exacerbation. Possible infection through the items of his clothing and personal hygiene. Infection in this way is quite rare.
• The virus can also be found in the semen itself - cases of infection during artificial insemination are known.

Methods of treatment of genital herpes

Treatment of genital herpes is considered a rather difficult task due to the fact that most patients experience a lifelong relapsing course of the infectious process. The herpes virus has the ability to survive for a long time in the human body(persistence). In addition, the patient may develop a specific form of immunodeficiency.

1. Disseminated (very common) herpetic infection throughout the body;
2. CNS disorders;
3. Complete or partial intolerance to antiviral drugs.

When choosing a method of treating patients with genital herpes virus, one should focus on the form and severity of the course of the disease, as well as on the state of human immunity. You should also take into account the features of the anamnesis and data obtained in laboratory studies. The greatest effect of the treatment of genital herpes is achieved with the use of complex therapy, which can be divided into several stages.

The main stages of modern complex treatment of genital herpes:

The first stage is associated with drug treatment. genital herpes in the acute period of the disease, or with the manifestation of its recurrence. Lasts about a week.

• Basic therapy is carried out with antiherpetic drugs: acyclovir (zovirax, virolex), vidarabine, cytarabine, ganciclovir, valaciclovir (valtrex) and others. Both ointments (topically) and tablets (orally) are actively used.
• Antiviral drugs are used in combination with immunobiological agents. We are talking about immunomodulators, prebiotics, interferon preparations and its inducers (amiksin).
• It is also recommended to take natural antioxidants - vitamins C and E with a course of treatment of about two weeks.
• In the presence of a pronounced exudative component, prostaglandin synthesis inhibitors, for example, indomethacin, should be taken.

The second stage begins after the main clinical manifestations of genital herpes disappear., that is, with the onset of the remission stage (8-15 days of treatment). Here, the intake of immunomodulators continues, the intestinal microflora is restored (pre- or probiotics are used). The strengthening of the body also occurs with the help of adaptogens of plant origin - these drugs mobilize the reserve forces of the body and have a stimulating effect on the central nervous system.

If the patient suffers from immunosuppression, then thymus hormones (thymus) are also prescribed, which stimulate the maturation and differentiation of the T-lymphocyte population. The main goal of the second stage of treatment of genital herpes is to prepare the patient for vaccine therapy.

The third stage is the use of a special anti-herpetic vaccine. This part of the treatment is carried out a few months after the end of the first stage. Despite numerous disputes about the effectiveness of this vaccine, its effectiveness has been proven, although not in all patients. Medical studies were carried out, as a result of which it was found that more than half of the patients (about 60%) completely disappeared from the recurrence of the disease.

The vaccine activates cellular immunity, there is an immunocorrection of an organism. The most commonly used vaccine is the Moscow Vitagerpavak, which, in combination with cycloferon, allows you to achieve an even more effective result.

The last stage of treatment is dispensary observation. accompanied by clinical and laboratory monitoring. It is necessary to regularly sanitize the foci of infection, continue the course of strengthening immunity. Depending on the patient's condition, immunomodulators and prebiotics may be prescribed. It is not excluded and re-vaccination after a certain period of time to prevent relapse.

Genital herpes during pregnancy - the risk to the fetus and the specifics of therapy

Genital herpes is especially dangerous during pregnancy. Very often, this disease causes miscarriage, as well as secondary infertility.

Infection with genital herpes in the 1st trimester of pregnancy can lead to the formation of the following fetal malformations:

1. Hydro- and microcephaly;
2. Heart disease;
3. Deafness.

Infection in the subsequent trimesters of pregnancy can cause the development of:

• anemia;
• Hypotrophy;
• Meningoencephalitis;
• pneumonia;
• Sepsis, often leading to antenatal (intrauterine) death of the fetus.

Treat herpes during pregnancy should be very careful. For this, a special technique is used, which is based on the treatment with antiherpetic drugs in combination with therapeutic agents aimed at maintaining pregnancy. Standard antiviral drugs are used, mainly in the form of creams, gels and ointments. Acyclovir can be administered in tablets.

The parenteral route of administration is not recommended due to toxicity to the fetus, although the use of intravenous injections of acyclovir is allowed for severe generalized herpes infection. The effect of immunostimulants and vaccines on pregnant women has not yet been fully studied, so sparing anti-epidemic therapy aimed at preserving the fetus comes to the fore.

Treatment at home

Not all patients want to undergo a full complex therapeutic treatment - many prefer to treat genital herpes at home. Most often, the process is limited to a single course of taking antiherpetic drugs.

As a rule, the main remedy for herpes is antiviral drugs, among which acyclovir is considered the most effective. Ointment or tablets with this active substance, like the entire group of abnormal nucleosides, has a high selectivity and is able to suppress the active replication of the herpes virus. In addition, acyclovir has a very low toxicity to human cells. It is these properties that ensure the high efficiency and popularity of this drug. Acyclovir is applied to the affected skin for 5-10 days.

Treatment of herpes at home with acyclovir allows you to eliminate ulcerative erosive rashes and get rid of painful symptoms (burning, itching). However, it should be understood that a one-time or course use of drugs in this group is not only unable to cure herpes forever, but also does not exclude subsequent relapses of the disease.

Folk remedies

You can treat herpes with the help of folk remedies. Use infusions and collections of herbs, decoctions, oils, healing baths. In principle, in the treatment of genital herpes at home, folk remedies can be a good addition to traditional antiherpetic drugs. However Before treating herpes with folk methods, it is advisable to consult a doctor.

There are many other folk remedies, some of which are used to alleviate itching (ice, lavender and chamomile oils, etc.). It is important to realize that it is necessary to be treated with caution and caution, so as not to harm the body.

A large proportion of folk remedies are fortifying measures for the body, which will really benefit by increasing immunity. However, they cannot cope on their own, so they must be used simultaneously with medications that directly affect the virus.

Complications of genital herpes

The main problem with genital herpes is that most people do not consider this disease to be serious and deserving of special attention. Meanwhile, advanced and recurrent genital herpes can lead to a number of complications, quite unpleasant for men, and especially dangerous for women:

• Having moved to the cervix and affecting it, the herpes virus contributes to the development of true erosion, which can subsequently become malignant and turn into an oncological disease;
• During pregnancy, genital herpes poses a threat not only to the female body, but also to the health, and sometimes life, of the fetus;
• Causes damage to the urinary tract (herpetic cystitis and);
• Can reach the nervous system and affect it;
• Aggravates the course of other genital infections;
• Reduces the body's defenses (immunity);
• Promotes the formation of cracks in the rectum.

So can herpes be completely cured?

Unfortunately, existing methods of treatment cannot lead to the final elimination of the herpes virus from the body infected people, although modern drugs can effectively affect the disease, preventing relapses in the body. This is just the case when much depends on the immunity and internal abilities of the person himself.

Despite modern methods and methods of dealing with this disease, at the time of writing the material, an absolute cure for genital herpes, giving a one hundred percent effect of a lifelong cure, was not found. In simple terms, there is no magic pill that can once and for all save a person from this scourge.

Despite the fact that it is not yet possible to cure herpes forever, There are many ways to get rid of the symptoms of this disease.. Comprehensive therapeutic treatment, a healthy lifestyle and strengthening the body's immunity will become the basis for a normal and full life.

Video: genital herpes specialist