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Genital Herpes in Women

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Medical Editor:

Genital Herpes Symptoms

Medical Author: Melissa Conrad Stöppler, MD
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

Genital herpes is a common condition affecting around 45 million people in the U.S. The herpes viruses responsible for genital herpes are transmitted through close personal contact such as sexual contact.

The symptoms of genital herpes vary among people. Most people infected with HSV have no symptoms or have only mild symptoms, but some develop severe symptoms. When symptoms do occur, the infected person usually develops one or more painful blisters in the anal or genital areas that eventually ulcerate and heal over a period of a few weeks.

When a person is first infected with the herpes virus, if symptoms occur, these usually develop within the first two weeks after infection. These symptoms of an initial infection can include:

  • Feverand flu–like symptoms
  • Genital itching, burning, or discomfort
  • Vaginal dischargein women
  • Swollen lymph nodes
  • A feeling of pressure in the abdomen

What are sexually transmitted diseases (STDs)?

Sexually transmitted diseases (STDs) are infections that can be transferred from one person to another through any type of sexual contact. STDs are sometimes referred to as sexually transmitted infections (STIs) since they involve the transmission of a disease-causing microorganism from one person to another during sexual activity. It is important to realize that sexual contact includes more than just sexual intercourse (vaginal and anal). Sexual contact includes kissing, oral-genital contact, and the use of sexual "toys," such as vibrators. STDs probably have been around for thousands of years, but the most dangerous of these conditions, infection with the human immunodeficiency virus (HIV), was only recognized in recent decades.

Many STDs are treatable, but effective cures are lacking for others, such as HIV, HPV, hepatitis B, and hepatitis C. Even gonorrhea, once easily cured, has become resistant to many of the older traditional antibiotics. Many STDs can be present in, and spread by, people who do not have any symptoms of the condition and have not yet been diagnosed with an STD. Therefore, public awareness and education about these infections and the methods of preventing them is important.

There really is no such thing as "safe" sex. The only truly effective way to prevent STDs is abstinence. Sex in the context of a monogamous relationship wherein neither party is infected with a STD also is considered "safe." Most people think that kissing is a safe activity. Unfortunately, syphilis, herpes, and other infections can be contracted through this relatively simple and apparently harmless act. All other forms of sexual contact carry some risk. Condoms are commonly thought to protect against STDs. Condoms are useful in decreasing the spread of certain infections, such as chlamydia and gonorrhea; however, they do not fully protect against other infections such as genital herpes, genital warts, syphilis, and HIV. Prevention of the spread of STDs is dependent upon the counseling of at-risk individuals and the early diagnosis and treatment of infections.

What is genital herpes?

Genital herpes, also commonly called "herpes," is a viral infection by the herpes simplex virus (HSV) that is transmitted through intimate contact with the mucous-covered linings of the mouth or the vagina or the genital skin. The virus of this STD enters the linings or skin through microscopic tears. Once inside, the virus travels to the nerve roots near the spinal cord and settles there permanently.

When an infected person has a herpes outbreak, the virus travels down the nerve fibers to the site of the original infection. When it reaches the skin, the typical redness and blisters occur. After the initial outbreak, subsequent outbreaks tend to be sporadic. They may occur weekly or even years apart.



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