HSV is transmitted by direct contact with lesions.
The lesions may appear anywhere on the skin or mucosa but are most frequent around the mouth, on the lips, and genitalia.
Type 1 HSV- Mainly affects around lips (Can cause genital herpes too- Mainly there is a history of oral sex)
Type 2 HSV – Mainly causes genital herpes
May be asymptomatic.
Multiple painful genital ulcers on a red background ± inguinal lymph nodes
Diagnosis is clinical
Viral swab PCR
urinary retention, aseptic meningitis.
Anti- Viral – (Valaciclovir, Aciclovir, etc)
Analgesia, ice packs, and salt baths may help. 5% lidocaine ointment
Advice—barrier methods of contraception
If pregnant obtain specialist advice (May require antiviral treatment before vaginal birth. If active genital herpes near delivery then a cesarean section may be indicated