- Genital herpes is a sexually transmitted infection caused by the herpes simplex virus (HSV), which can cause lesions around the genitals, rectum, buttocks, or thighs.
- Transmission primarily occurs through vaginal, anal, or oral sex with an infected person, and can also be transmitted from mother to newborn during childbirth.
- HSV can remain latent in the nervous system after infection, and subsequent reactivation can cause recurrent lesions or asymptomatic viral shedding.
- A typical presentation involves painful blisters that rupture to appear like ulcers and then gradually heal.
- Symptoms may be absent or very mild, but a more serious course of disease can occur in newborns and immunocompromised individuals.
- The virus remains in the body for life, and recurrences are particularly common in the first year, but the frequency of recurrence and severity of symptoms often decrease over time.
- Diagnosis primarily relies on viral testing or molecular testing using lesion specimens when lesions are present, and blood tests may be considered depending on the situation.
- Since asymptomatic infections are common, it is difficult to rule out all possibilities of infection based solely on negative results when no lesions are present, and interpretation varies depending on the type and timing of the test.
- Management focuses on reducing symptoms and recurrences and lowering the risk of transmission; it also involves reviewing methods for avoiding sexual contact and correctly using barrier contraception when lesions or prodromal symptoms are present.
- Current treatment is based on antiviral therapy aimed at symptom relief, reduction in recurrences, and reduction in transmission risk rather than a cure, and there is no established cure.