Genital herpes

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.

Types

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

Clinical features

May be asymptomatic.

Multiple painful genital ulcers on a red background ± inguinal lymph nodes

Diagnosis

Diagnosis is clinical

Viral swab PCR

Complications

urinary retention, aseptic meningitis.

Management

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