6.3.3. Infections of the Genital Tract - Herpes

Question 1

What causes Herpes?

Answer 1

Herpes Simplex Virus Types 1 and 2

Question 2

What are the Symptoms of Herpes?

Answer 2

1. 80% Asymptomatic
2. Recurring Symptoms - Monthly / Annually:
3. a) Burning / Itching - Blistering - Tender Ulceration
4. b) Tender Inguinal Lymphadenopathy (Flu-Like Symptoms)
5. c) Dysuria
6. d) Neuralgic Pain in Back / Pelvis / Legs

Question 3

What are the Complications of Herpes?

Answer 3

1. Autonomic Neuropathy - Urinary Retention
2. Neonatal Infection
3. Secondary Infection

Question 4

What is the Incubation period of Herpes?

Answer 4

About 5 Days to Months

Note - Some People Never Report Symptoms

Question 5

What is the Epidemiology of Herpes?

Answer 5

1. 15-20% of the UK Population have it (Very Common)
2. Both Strains are Equally as Common in Genital Infection
3. Roughly Equal between Sexes
4. HSVt2 is an important Co-Factor in HIV transmission

Question 6

How is Herpes Diagnosed?

Answer 6

1. Clinical Impression

2. Swab from Lesion Tested using PCR

Question 7

What is the Treatment of the Primary Outbreak of Herpes?

Answer 7

1. Aciclovir (400mg) - Three times Daily for 5 days

2. Lidocaine Ointment

Question 8

What is the Treatment of Infrequent Recurrences of Herpes?

Answer 8

1. Lidocaine Ointment

2. Aciclovir 1.2g Once Daily until the Symptoms have gone (1-3 days)

Question 9

What is the Treatment of Frequent Recurrences of Herpes?

Answer 9

Aciclovir (400mg) Bi-Daily for Long-Term Suppression