This drink will defeat genital herpes. Herpes and alcohol: weakened immunity will lead to relapses. Mistakes in the treatment of herpes

The only way to determine if you have genital herpes is to go to the nearest hospital or clinic. You need to tell your doctor that you think you have genital herpes. It can only be diagnosed if symptoms are present, so don't put off seeing a doctor. Do not apply any creams or oils to the affected area, as the doctor will need to take a swab. Even if you get screened regularly, you usually don't get tested for herpes unless your skin shows symptoms of herpes. There are blood tests for herpes that show the presence of antibodies to the herpes virus. However, they are not very reliable, every third analysis is incorrect. Some clinics may offer to take a urine test to determine genital herpes, but you should beware of such offers, they are not correct. Rashes on the genitals do not necessarily mean that you have genital herpes. They can be caused by herpes type 1 (labial herpes) or type 3 (chickenpox).

Do I need a referral from a doctor to get tested for herpes?

This is not necessary, you can pass the tests yourself.

Will details of the diagnosis be sent to my primary care physician?

Visits to clinics and laboratories are confidential. Even if you were tested by a referral from a therapist to whom the results should be sent, you can always ask not to do so.

What is herpes simplex?

Herpes simplex is called 2 types of viruses from the herpetic family: type 1 and type 2. They may be designated as HSV-1 and HSV-2. Once they enter the body, they stay there forever. They may cause symptoms on the face, genitals, arm or fingers, but it is not uncommon for herpes to appear on other parts of the body.

What are the symptoms of genital herpes?

Symptoms begin with the appearance of itching, tingling and soreness of the place that the herpes struck. Common flu-like symptoms may also appear: muscle and headache, fever, pain, and slight swelling of lymph nodes in the groin, neck, and armpits. The skin under the pubic hair may develop blisters, red spots, or bumps that hurt when touched. Later, these ulcers will become covered with a gray or yellow crust, which will gradually heal. Rashes can also appear on the mucous membrane, for example under the foreskin in men or on the inside of the vaginal tubes in women. At the first infection, the rashes and their healing can last up to 2-3 weeks. Most people experience repeated rashes - relapses. Subsequent outbreaks of the virus are much easier, ulcers heal faster, because antibodies have already been developed in the body. If relapses occur frequently, then most likely you have contracted the second type of herpes virus.

How long will the symptoms of genital herpes last?

After infection, symptoms appear from 2 to 14 days, most often it is 4-5 days. Once you become infected, genital herpes may take several years to show up. Therefore, you should not consider the appearance of herpes as proof of a partner's infidelity. About 65% of people do not develop symptoms when first infected.

Can herpes spread throughout the body?

It is extremely unlikely that the herpes virus will spread to other parts of the body, but it is still recommended to use herpes ointments. For some, herpes may appear, for example, on the hands if they were used during sexual contact.

How common is herpes simplex?

Very common. By age 25, approximately 60% of people are carriers of type 1 herpes and another 10% are carriers of type 2 herpes. Most people don't even know they have herpes because they don't have symptoms. In most people, herpes on the lip is caused by herpes type 1, genital herpes is caused by herpes types 1 and 2. Every year, an increase in the number of people infected with the herpes virus is recorded.

What is the difference between herpes virus type 1 and 2?

They cause similar symptoms but are genetically different. Type 1 is more likely to reappear on the face and less likely to appear on the genitals. Type 2 - if an infection has occurred, then it will appear on the genitals. Only laboratory tests can determine which type of herpes virus you have contracted.

What other herpes viruses exist?

The varicella-zoster virus, also called herpes zoster, causes chickenpox and shingles. Shingles is a relapse of chickenpox.

- Epstein-Barr virus, cytomegalovirus - they do not cause spots and ulcers, but they cause flu-like conditions.

- Virus 6, 7 and 8 types.

People often ask how herpes affects my health. The appearance of herpes indicates that your immune system is weakened. Herpes simplex does not adversely affect the body. It can be harmful if you have a severely weakened immune response and the concentration of the virus in your body is high.

How is the genital herpes virus transmitted?

Transmission of the virus is possible through direct contact: when there is contact between the affected area of the skin and the skin with microtrauma. Also, herpes easily penetrates through the mucous membranes with close contact. When the virus is active, it can be transmitted through oral sex. There is a small chance of transmitting the virus when it is active, but there are no symptoms.

Can a partner infected with genital herpes pass the virus to a person to another part of the body?

If you are already infected with genital herpes, then there is an extremely low chance that it will show up elsewhere in your body. Our immune system protects against this. If you have symptoms on both your lips and genitals, this does not mean that the herpes virus can appear all over - it is localized.

How can I protect my partner from infection?

If you have been diagnosed with genital herpes, then this already means that you are a safer partner than others, because you know when you have a relapse and when the wounds will completely heal. An infected person can easily protect a partner if you use a condom. If you take antiviral pills daily, they will significantly reduce the asymptomatic activity of the virus, and the chances of getting infected will be many times less. Herpesvirus type 1 infections are more common, but your new partner may be carriers of both types and not know it.

Can using a condom prevent the transmission of genital herpes?

Yes, it will significantly reduce the risk of transmission of the virus. He is unable to penetrate the condom. However, if there is contact of infected skin with the partner's skin outside the condom, then infection is possible. Using a condom reduces the risk of virus transmission by 50%. Therefore, sexual contact should be avoided until the symptoms have passed.

Can I pass on herpes simplex if I don't have symptoms?

Sometimes it happens, but it's unlikely. When the virus is not active inside the cell, it cannot be infectious. If you feel itching or burning on the skin, then this is already a symptom and transmission of the virus is possible. People who already know they are infected respond more quickly to the first symptoms, while others who have not been tested may ignore them.

What if my partner already has herpes simplex?

- if you and your partner have the genital herpes virus but no symptoms, you cannot infect each other again.

- if you have contracted genital herpes from a partner's labial herpes, then there will be no secondary rash on the genitals.

- if a partner has herpes on the lip, and you become infected with it, then he will not go to the genitals if you do not have oral sex.

- genital herpes cannot be transferred to the lips of a partner, even if there was oral sex.

What if my partner already had herpes on his lip?

If your new partner once had herpes on the lip (that is, the same type of virus), then it is unlikely that either of you has infected the other. If you have different types of viruses, then your partner will have mild symptoms.

If my partner doesn't have genital herpes, how could I get it?

This means that your partner has once been in contact with a person who has herpes, but does not manifest itself in any way. They could have had sexual contact while the virus was active. Another option is that you got infected from a person who also did not show symptoms, but he is still a carrier. The first symptoms of a herpes infection may appear several years after the initial infection.

Is it possible to get genital herpes through objects?

The chances of transmitting the virus are unlikely as the virus dies quickly in the external environment.

Can children get genital herpes from me?

Genital herpes is transmitted through direct contact, not from hands or objects. Even sharing baths with small children is not a problem because the virus is not transmitted in water. The herpes virus cannot be transmitted through bed. Even if you used the toilet, accidentally touched your genitals, and forgot to wash your hands, it is unlikely that the virus will be transmitted. Regular hand washing with soap and water is a sufficient preventive measure.

Can you get genital herpes from labial herpes?

Herpes on the lips can be transmitted to the genitals through oral sex. Moreover, herpes on the lips can appear from the partner's genital herpes if its causative agent is type 1 herpes. People can have sex if they have cold sores, but they should refrain from kissing and oral sex.

Can you get genital herpes from kissing?

Genital herpes is not transmitted by kissing. Herpes simplex virus type 1, i.e. labial herpes, can be transmitted in a similar way. In carriers of herpes type 1, the virus is found in saliva.

What is the risk of infection between relapses?

Studies have shown that a person can be contagious even when there are no symptoms. Enough viral particles may be present on the mucosa for the partner to become infected. The fewer relapses a person has, the less likely the person is contagious to others. Over time, the risk of asymptomatic infection decreases.

Why does genital herpes reappear?

Once in the body, the genital herpes virus moves along the nerve to the nerve ganglia, where it remains for life. Periodically, favorable conditions arise when the immune system weakens, and the virus, moving along the nerves, appears in the same area where it was before. At this time, primary symptoms may appear: pain, itching, burning - preceding the appearance of bubbles. This suggests that the virus is trying to reactivate and will soon appear on the skin.

How often can genital herpes manifest itself?

Some people may not have symptoms, some have frequent relapses. In this case, it is necessary to take antiviral agents. Over time, relapses become less frequent and easier.

Should genital herpes be treated?

Treatment may not be needed at all, as the symptoms of the infection may go away even without treatment. However, if severe symptoms appear, treatment is necessary.

How is genital herpes usually treated?

The doctor will prescribe antiviral agents to ease the course of the primary infection. The most commonly prescribed is acyclovir. If the first episode is mild and heals quickly, then you don't need the pills. If herpes often returns, then it is less treatable. Antiviral drugs should be started within 24 hours of the onset of a relapse. If therapy is started after 24 hours, then the effectiveness will be lower.

How to treat relapses of genital herpes?

Most people do not need antiviral therapy because their body is able to prevent recurring symptoms, or because they lead a truly healthy lifestyle. People who are less fortunate and relapse may need to take antiviral pills.

1 - a short course of therapy, which must be started within 24 hours from the moment the first symptoms appear:

- Acyclovir 800 mg 3 times a day for 2 days, or

- Valaciclovir (Valtrex) 500 mg twice a day for 3 days, or

- Famciclovir (Famvir) 1 gram 2 times a day for one day.

2 - suppressive therapy when tablets are taken daily for 6 months or more. Currently, these drugs are considered extremely safe. Aciclovir is considered so safe that after long-term use, it is no longer necessary to undergo an annual test for its effect on the body.

- Acyclovir 400 mg 2 times a day, or acyclovir 200 mg 4 times a day, or

- Valaciclovir (Valtrex) 250 mg twice a day, or 500 mg once a day, or

- Famciclovir (Famvir) 250 mg 2 times a day.

If relapses occur during such treatment, then the daily dose should be increased by 1.5 times. It should be borne in mind that when you start taking a long course of pills, then after 4-5 days a relapse may occur, but this does not mean that relapses will be frequent, it is necessary to continue treatment and look at the further result.

Are there side effects from taking antiviral medications for genital herpes?

Most antiviral drugs are well tolerated because they target the virus rather than healthy cells. Therefore, such effects are extremely rare. Experts say that regular tests for kidney function for people taking acyclovir for a long time are no longer required. The drug has been successfully used for over thirty years. In addition, it can be used during pregnancy.

How to reduce discomfort and speed up healing? Self help with genital herpes.

If necessary, take a pain reliever such as ibuprofen, paracetamol, or aspirin. Be sure to wash your hands before and after touching the sores, as this can lead to bacteria and prolong the healing time.
Anesthetic ointments may be used, eg Lidocaine ointment/spray/solution 5%.
Keep wounds from drying out by using Vaseline.
The rash area should be clean: treat it once a day with a warm solution of salt water (1 teaspoon per 1 liter of water) using a cotton pad.
Avoid using hygienic detergents, scented soaps and deodorants.
To reduce itching, keep the area cool: apply an ice pack wrapped in a cloth for 60-90 minutes. Do not apply ice directly to the skin.
If urination is too painful, then women can do it in the bathroom, pouring warm water over the area of the rash. This will dilute the urine and reduce discomfort.

Sometimes there is pain around the buttocks or in the leg. What does it mean?

The herpes simplex virus can cause pain, which is also a symptom that the virus is trying to reactivate. If you have a good enough immune response, then it will suppress the virus before visible signs appear on the skin.

How severe can a recurrence of genital herpes be and how likely is it?

Relapse is recurring symptoms at or near the site where they first appeared. The likelihood of a relapse depends on the functioning of your immune system. Quite often, they are minor and may appear as a small spot that heals in a few days. Symptoms may be accompanied by nervous breakdown and severe itching. But relapses are often milder than the initial infection.

Do all those infected have recurrences of herpes?

About 50% of people who are diagnosed with genital herpes infection have symptoms only once during the initial infection, they do not relapse. For the rest, relapses may occur several times a year or less often / more often.

What should be done to reduce the recurrence of genital herpes?

You do not need to do anything until you are sure that relapses do happen. You should not rely on the personal experience of other people, since there is no guarantee that the proposed methods will work for you. However, some general recommendations you need to know:

- avoid stressful situations, as stress negatively affects our immune system and reduces the ability to fight the virus.
- Try to get enough sleep and not overwork.
- Eat a balanced diet, eating as many vegetables and fruits as possible.
- take vitamin E (200 mg per day) - it improves the immune response.
- Minimize your alcohol intake and stop smoking.
- Exercise daily: start with 20 minutes of brisk walking.
- try not to injure the skin of the genitals: waxing, shaving, thongs, cycling or horseback riding, excessive sexual activity.
- do not sunbathe naked / th, that is, avoid direct sunlight on the skin of the genitals. Also, use sunscreen on your body.

Can I pass genital herpes on to a child?

A mother or person caring for a child cannot infect him with genital herpes. However, children may be susceptible to other types of viruses. If someone has herpes on their lips or face, then he/she should not kiss a small child.

Does genital herpes cause cervical cancer?

It used to be thought that the herpes simplex virus could be one of the causes of cervical cancer, but recent studies do not support this fact.

Can I donate blood if I have herpes?

If no virus is found in the blood, then you can be a blood donor.

Herpes infection is a very unpleasant and painful phenomenon. The bubbles that pop up when exposed to the herpes virus are very painful and bring a lot of inconvenience to a person.

At the same time, herpes can manifest itself both in a simple form - on the lips, for example, and in a more complex form - on the internal organs, which carries a rather great danger to the human body.

If partial symptoms of this virus appear, you should immediately resort to its immediate treatment and in no case delay this process.

The most effective drug in the fight against herpes is acyclovir. This drug prevents the appearance and formation of new elements of herpes rash, reduces the relative likelihood of skin dissemination, the manifestation of visceral complications, significantly accelerates the formation of healing crusts, significantly alleviates and relieves pain during the acute phase of infection with herpes zoster.

With regard to the combination of acyclovir with alcoholic beverages, then, as such, the reaction of acyclovir to it is not observed. This is fully true with a simple form of herpes, when the internal organs are not affected and there is no need to use this drug inside. With more complex forms, there are some nuances in the use of this drug.

What is acyclovir

Acyclovir is called such an antiviral drug that fights the manifestations of herpes.

Acyclovir shows its effect against such types of herpes:

This drug is considered to be an almost identical analogue of the purine nucleoside deoxyguanidine, which is an analogue of human DNA.

Aciclovir, when taken orally, has only a partial absorption rate, which is only twenty percent.

Within three hours after taking the drug orally through the introduction into a vein, acyclovir is excreted from the body in the amount of about a third of the initial dose. Wherein. This drug is practically not modified by the kidneys, appearing only partially as a metabolic product - a metabolite. If a person suffers from kidney failure, then this period can increase significantly, by about six times, and will be about nineteen hours.

Acyclovir has a number of positive indications for its use:

acyclovir prevents the appearance and formation of new elements of a herpes rash; the drug reduces the relative likelihood of skin dissemination; manifestation of visceral complications (i.e. complications that affect internal organs); significantly accelerates the formation of healing crusts;

acyclovir significantly alleviates and reduces pain during the acute phase of infection with herpes zoster.

The main ways of using acyclovir are:

As a rule, the duration of treatment with this drug is about five days - a maximum of one week, if herpes zoster appears, then the application procedure is extended for at least another three to four days, until the herpes almost completely disappears.

If the drug is used by intravenous injection, then always do it with a freshly prepared solution.

If persons who will be given treatment with this drug have impaired excretory functions of one or two kidneys, then the dosage of acyclovir is reduced, while taking into account the degree of excretion of creatine, which is a product of nitrogen metabolism.

In prophylaxis or transplantation of human organs or chemotherapy, the duration of use of this antiviral drug is determined by determining the relative length of the risk period, which is usually approximately six or seven weeks.

If a person is diagnosed with herpetic keratitis (i.e., inflammation of the cornea of \u200b\u200bthe eye, which is caused by the herpes virus), then an eye ointment of this drug is used. At the same time, a conjunctival sac is laid, which is located in the cavity between the posterior eyelid and the eyeball. Do this procedure at least five times a day, maintaining an interval of at least four hours from the last application. Duration - one week, and, after healing, acyclovir is still applied for three days.

Acyclovir in the form of a cream is used for skin infections and infections of the mucous membranes that appear with herpes simplex on the lips and genitals. Acyclovir ointment, with such manifestations, is applied to the affected area about five times a day and for a week to ten days.

Acyclovir is characterized by such side effects:

The main contraindications when using acyclovir are:

Symptoms and treatment of herpes

How many times did it happen to you and me to be upset, having felt a familiar burning sensation on the lip - again the herpes “crawled out”. But herpes is not just an annoying sore on the lip, the herpes virus cannot be expelled from the human body. It's easy to get infected, but it's impossible to get rid of it. Herpes can also occur on the genitals - we will also talk about its treatment.

Virus types

There are as many as 8 varieties of the herpes virus that infect humans. 95% of the world's population are carriers of the HSV type 1 virus (herpes simplex virus) - these are well-known manifestations of herpes on the lips, face, and even hands.

HSV type 2 causes genital herpes. HSV type 3 causes chickenpox (“chickenpox”) and shingles. HSV type 4 causes the appearance of infectious mononucleosis (inflammation in the pharynx, fever, enlargement of the liver and spleen), inflammatory plaques on the tongue. HSV type 5 is one of the causes of cytomegalovirus infection. HSV type 6 manifests itself in the fact that an adult constantly feels tired, and a child suffers from short-term rises in temperature and a pink rash that disappears as suddenly as it appears. Herpes viruses 7 and 8 were discovered recently, and doctors are still not sure if they are the cause of some cancers and diseases of the lymph.

Herpes symptoms

It is very difficult to determine the type of virus, since several types of HSV coexist perfectly in the human body at once. But most often we are affected by viruses of types 1 and 2, and we will talk about them. The herpes virus manifests itself at times when a person's immunity is weakened. For example, after hypothermia, excessive alcohol consumption, the body temporarily weakens and the herpes virus manages to manifest itself in the form of a “sore” on the lip. Advice from MirSovetov: as soon as you feel a burning sensation and itching on your lip, take immediate action: the beginning of herpes can be "strangled."

The herpes virus is transmitted by contact with an infected person and by airborne droplets. This is due to the fact that herpes can also affect the eyes. Under the influence of the virus, herpetic dermatitis of the eyelids, conjunctivitis and many other diseases develop. Manifestations of herpetic dermatitis are similar to herpes on the lips: the eyelids are covered with clusters of bubbles.

The herpes virus type 2 is transmitted sexually. Accordingly, it manifests itself - on the genitals. After infection, 3-7 days pass, and groups of vesicles appear on the glans penis on an inflamed red base. Sometimes bubbles appear on the scrotum. Bubbles break through, long-term non-healing foci of erosion remain in their place. Often erosions merge into several large foci. The process can occur not only on the skin, but also in the urethra: a person complains of pain and burning during urination, body temperature rises, inguinal lymph nodes increase. If herpes is not treated, erosion will disappear in 1-2 weeks. However, in most cases, genital herpes will recur (after all, the virus has remained in the body, it is just waiting for the right moment to reappear: weakened immunity, hypothermia, alcohol intoxication - any of these conditions will bring herpes back to life).

In women, herpetic vesicles and erosions form on the labia, clitoris, vagina, and cervix.

Diagnosis of herpes

Most often, the doctor determines herpes visually, its manifestations are too indicative. But in some cases, laboratory procedures are needed to detect the herpes virus. Immunofluorescent and enzyme immunoassays are carried out, cytomorphological methods are used, the level of the patient's immunity is assessed.

The most reliable method in determining the herpes virus is the PCR method (polymerase chain reaction). It is unique in that it allows you to identify even single representatives of the virus. For PCR, a scraping from a herpetic erosion or a microscopically small drop of the contents of a herpetic bladder is needed. The analysis is automated, the result can be obtained in a day.

Herpes treatment

Immediately make a reservation that modern medicine does not have the means to destroy the herpes virus. Treatment only eliminates the manifestations of the virus, but the virus itself remains in the body no matter what.

For the treatment of lip herpes, antiherpetic ointments Gerpferon, Zovirax, Acyclovir, Vamtrex, Famvir are best suited. The more often you lubricate the sore spot, the sooner you will get rid of the manifestations of the disease. If you didn’t have time in time, and herpes still manifested itself, MirSovetov advises you to continue to lubricate it with ointment - this will reduce pain and speed up recovery.

For local treatment of genital herpes, Acyclovir (200 mg 5 times a day for 10 days), Valaciclovir (0.5 mg 2 times a day, 10 days) is used. Foscarnet (aka Foskavir) is applied topically, in the form of applications to the affected areas. Foscarnet is also available as an intravenous medication. These drugs (in the form of tablets and ointments) relieve the manifestations of herpes and improve the patient's condition.

In addition, patients with genital herpes during the period of remission are given a vaccine that contains killed herpes viruses - every 3 days the patient is given 0.2 ml of the vaccine, a total of 5 injections. This procedure must be carried out twice a year, then the number of relapses can be reduced to 1-2 per year and even less often.

The herpes virus causes a decrease in immunity, and, as a result, frequent relapses of the disease. That is, treatment should be reduced not only to the suppression of symptoms, but also to strengthening the immune system, which we will discuss later.

Mistakes in the treatment of herpes

Lip herpes does not require treatment with tablets, all medical procedures are reduced to frequent lubrication with ointments. In no case do not try to squeeze out herpetic vesicles - you risk infecting. It is better to keep using the ointment and wait until the herpes passes under the action of the ointment.

Unfortunately, there is no doctor who would deal only with genital herpes, so patients are treated by urologists, venereologists, gynecologists. Of course, errors in treatment are possible. So, for example, a doctor may recommend that a patient cauterize herpetic erosions with liquid nitrogen. Of course, the herpes virus will die on the spot, but it will still remain in the blood, and relapses will reappear.

Another common mistake is the appointment of immunomodulating agents without a preliminary analysis of immunity. Illiterately prescribed immunomodulators can produce the opposite effect: the number of relapses will not decrease, but increase. MirSovetov recommends: before prescribing immunomodulators to you, require an assessment of your immunity level - immunograms. So you save your health from the intervention of unqualified doctors.

Prevention of herpes

Strong immunity is a guarantee of health, so try to eat right, take vitamins in the cold season. It happens that a person lives his whole life, carrying the herpes virus in the body and never getting sick with it. In order not to get infected with the genital herpes virus, you need to be faithful to your partner, use a condom during casual sex.

So take care of your health, strengthen your immune system with a healthy varied diet, feasible physical activity, and no virus is afraid of you.

Alcoholic pseudo-paralysis - Intoxication psychoses

Page 33 of 45

Chapter VII ALCOHOLIC PSEUDOPARALIC

Alcoholic pseudoparalysis is observed in people who have been abusing alcohol and especially its surrogates for a long time, including polish, denatured alcohol, etc. Some authors, in particular E. Kraepelin, believed that alcoholic pseudoparalysis is a combination of chronic alcoholism with progressive paralysis or with syphilitic or atherosclerotic cerebrovascular disease. This point of view is erroneous, because chronic alcohol intoxication in itself, especially in malnourished patients, can cause structural damage to the nervous system in combination with mental disorders, the clinical picture of which is similar to that of progressive paralysis. In cases where progressive paralysis or atherosclerosis of cerebral vessels occurs in patients with alcoholism, one should simply talk about the combination of these diseases with chronic alcoholism. The main etiopathogenetic factors in alcoholic pseudoparalysis are beriberi, especially the deficiency of B vitamins, vitamin C, nicotinic acid, and other low nutrition. Alcoholic pseudoparalysis occurs in people older than 40 years, more often in men than in women.

Clinical picture. In such patients, lesions of the internal organs characteristic of severe degrees of chronic alcoholism can be observed - hepatitis or cirrhosis of the liver, gastritis, malnutrition, metabolism, etc. The reaction of the pupils to light is usually sluggish. There is staggering in the Romberg position, speech disorder, speech is either very loud, expansive, or quiet, slurred; some patients first correctly answer questions, and then whisper something and eventually fall silent, not responding to the questions of the interlocutor. Pain in the region of the nerve trunks, especially in the lower extremities, polyneuritic phenomena, paresthesias are noted. Tendon reflexes are sometimes increased, sometimes reduced, and sometimes absent, especially patellar and reflexes from the Achilles tendon. In some cases, there are grasping and oral reflexes, muscle hypertension. Paretic phenomena are sometimes noted.

In the blood, a decrease in the level of hemoglobin, a decrease in the number of erythrocytes, leukopenia, a shift of blood to the left, nuclear decay, bilirubinemia, a violation of the antitoxic function of the liver, a decrease in the content of vitamins C, group B, nicotinic acid, a sharp lability of the sugar curve, and often a decrease in sugar level. The lipid function of the liver is disturbed, the amount of cholesterol decreases. The electroencephalogram shows a low amplitude of the alpha rhythm. Pneumoencephalographic revealed in some cases atrophy of the cortex, expansion of the cavity of the ventricles.

Long before the onset of the disease, patients may experience epileptiform seizures, fainting, dizziness, one or more debuts of alcoholic hallucinosis or delirium tremens. Patients do not cope well with work, they amaze with their absent-mindedness, forgetfulness, they cannot do urgent things on time, they need repeated reminders, and they justify their failure with all sorts of excuses. In the end, they lose their ability to work and end up in the hospital. Patients have significantly pronounced exhaustion, asthenia, reaching high limits, often they simply do not respond to questions. In some cases, on the contrary, there is increased excitability, euphoric mood coloring and a sharp decrease in criticism, rudeness, brutality, overestimation of one's personality with a tendency to ideas of greatness. The range of interests is sharply narrowed and limited only to alcoholic beverages. The judgment is superficial. Memory is greatly reduced, and confabulations can sometimes occur. Along with this, there may be a delusional mood and even delusional ideas of jealousy, greatness, attitude or persecution. However, delusional ideas are not stable, not durable. In some cases, the complete absence of criticism, ideas of grandeur, neurological disorders resemble the clinical picture of progressive paralysis.

Let's take an observation as an example.

Patient G., born in 1888, an engineer, has been abusing alcohol for many years, drinking 0.5 liters of vodka a day, drinking systematically. He drinks all his pension and his wife's pension. He does not take into account anything, is rude, brutal, neighbors and relatives consider him a very difficult person. The patient told his daughter, who was ill with pulmonary tuberculosis, that it was time for her to die, since she was completely helpless, while he was healthy and would live a long time. Doesn't follow any rules of conduct. He behaves in the family like a despot and at the same time like a jester. He always speaks in a loud voice in the form of an order. He was repeatedly hospitalized in psychiatric hospitals. Gets angry at the slightest thing. He expressed crazy ideas of greatness, considers himself a very rich man, promises everyone hundreds and thousands of rubles money. Conducted serological studies, the Wassermann reaction and the reaction to a specific disease, gave a negative result.

Physical state. The patient is of the correct physique, the face is puffy, the stomach is flabby. Heart - muffled tones are noted. Blood pressure 140/85, pulse 118 per minute. The lungs are emphysematously dilated. Pupils sluggishly react to light, there is no reaction of pupils to convergence. Acrocyanosis of the upper extremities. Tendon reflexes are sluggish, with teeth bared, the corner of the mouth is lowered to the right. Blood picture: Hb 12.6 g%, l. 5700 e. 6%, p. 4%, n. 54%, lymph. 30%, mon. 6%; ROE 27 mm per hour. The Wasserman reaction in the blood is negative. Urine within the normal range. On the electrocardiogram, the deviation of the axis of the heart to the left, impaired atrial excitability and ventricular extrasystole, left ventricular hypertrophy.

Mental condition. Consciousness is clear. The mood is elevated, he speaks in a loud voice in the tone of an order. There is no criticism of his condition. In everyday life and in the department, he behaves cheekily, incorrectly, demands to give him a drink of vodka or wine, does not obey the regime in the department, smokes in bed, is loose, disinhibited, cynical. Flat, crude humor. Euphoric, silly, verbose. He believes that doctors do not know how to treat him. He advises "to drink only beer, then there will be no alcoholics." He does not consider himself an alcoholic - "too humiliating a name." Conflict with staff. He tries to speak loudly, in an imperative form, flattering. There is an overestimation of himself and his abilities, unstable delusional ideas of greatness, considers himself a very rich person, promises to give out hundreds and thousands of rubles to everyone. Tries to educate everyone. He considers himself a great specialist, a very influential person. Intrusive, intrusive. Shouts at the medical staff, swears cynically. Requires special attention. Tells patients cynical jokes. He considers himself entitled to give instructions to doctors, even the head physician of the hospital, regarding the management and service of patients. Memory is sharply reduced to the present and to a certain extent preserved for simple events.

differential diagnosis.

From progressive paralysis, alcoholic pseudo-paralysis differs both in the features of the clinic and in the course. This disease, having reached the peak of development, does not progress further, but tends to regress, ending in improvement, outcome in alcoholic dementia, and less often - recovery. In malignant cases, the disease can be fatal. The Wasserman reaction, other serological sedimentary reactions in alcoholic pseudo-paralysis, in contrast to progressive paralysis, are negative. The disease differs from Gaye-Wernicke's disease in the absence of deep disturbances of consciousness, as well as ophthalmoplegia. With a stroke, speech disorders occur immediately, along with this, there are hemiparesis, while with alcoholic pseudoparalysis, speech disorders occur gradually, motor disorders can be observed only in very severe cases. Known difficulties arise in distinguishing this disease from diseases caused by atherosclerotic disorders (impaired circulation of the cerebral vessels) in alcoholics, when focal symptoms come to the fore: aphasic, agnostic and apractical phenomena.

Treatment.

Along with symptomatic treatment (detoxification, intravenous administration of magnesium sulphate with glucose, oral administration of phosphrene, glutamic acid, glycerophosphates, etc.), vitamin therapy is given the main place, prescribing therapeutic doses of thiamine (vitamin B1) - 200-500 mg each, pyridoxine (vitamin B6 ), nicotinic acid - 0.05-0.1 g 3 times a day. With psychomotor agitation, tranquilizers can be prescribed: trioxazine, elenium, nosinane, tizercin in small doses. From the appointment of drugs of the phenothiazine series - chlorpromazine, largactyl, etc. - should be refrained from due to liver damage in most of these patients and the possibility of drug jaundice in them. The food of patients should be easily digestible, rich in proteins, vitamins and microelements. Useful fruit and vegetable juices, especially apricot, as well as cabbage juice. In necessary cases, cordiamine, valerian, bromine, hawthorn extract are prescribed. After improvement or recovery, special anti-alcohol treatment is carried out. Complete abstinence from alcohol is recommended.

Treatment of herpes: basic principles and applied means

Questions related to the treatment of various forms of herpes are of concern to a large number of people today, because the infection is one of the most common on the planet: more than 90% of the world's population is infected with the herpes simplex virus alone.

Unfortunately, today medicine does not have the means to completely eliminate the herpes simplex virus from the body, so the main goal of therapeutic measures is to reduce the severity of the manifestations of the disease.

Principles of treatment

Treatment of herpes is carried out taking into account the localization of herpetic eruptions and the characteristics of the course of the infectious process. The goals pursued are:

decrease in the duration of the acute period;
easing the severity of symptoms;
reduction in the number of relapses;
protection of the fetus from infection (during pregnancy);
prevention of the development of postpartum complications (in newborns).

It is worth noting that drugs that are actively used in modern medical practice can be divided into broad-spectrum drugs (allowing you to achieve all of the above tasks) and highly specialized drugs (for the implementation of a single goal).

Brief overview of drugs used in the treatment of herpes

According to the form of release, antiviral drugs are divided into agents for external use (ointments, gels and creams), oral administration (tablets) and intravenous administration (injection solutions).

Medications focused on the provision of "ambulance" can be classified as follows.

Antivirals

In this group, the so-called cyclovirs, which are prescribed for external, oral and parenteral administration, are recognized as the most effective. Acyclovir and its analogues are active against herpes simplex virus types 1 and 2 (i.e., in the treatment of colds on the lips and genital herpes), and are also effective in the treatment of herpes zoster and generalized herpes infection in newborns.

This group, in addition to Acyclovir, also includes:

Valaciclovir (Valtrex);
Penciclovir (Vectavir);
Famciclovir (Famvir);
Foscarnet sodium (Gefin);
Sea buckthorn extract (Hiporamine);
Triiodresorcinol (Riodoxol ointment);
Bromnaphthoquinone (Bonafton);
Kagocel.

Immunostimulants

One of the reasons for the appearance of herpes is a decrease in the body's immune response. Often the disease occurs against the background of suppression of the body's defenses, accompanied by a decrease in the number of B- and T-lymphocytes, a change in their activity. Given these circumstances, the use of immunostimulating drugs becomes mandatory.

In this direction, the following tools have shown themselves well:

Inosine pranobex (Isoprinosine);
Sodium ribonucleate (Ridostin);
Neovir;
Cycloferon;
Interferon (Viferon);
Tiloron (Amiksin, Lavomax);
Arbidol;
Alpizarin;
Tromantadin (Viru-merz);
Rimantadin (Remantadin, Algirem).

Reception should be started from the first days after the onset of symptoms of herpes. These drugs have anti-inflammatory, antitoxic, antiviral and immunostimulating effects.

Folk remedies

"Grandmother's" recipes have existed for decades, and even with modern drugs, they do not lose their relevance:

aloe juice, Kalanchoe;
sea buckthorn and rosehip oil;
Corvalol, Valocordin.

Vegetable oils help to dry out inflammation, eliminate itching and alleviate the general condition of the patient.

Now let's take a closer look at the individual drugs most commonly used to treat herpes.

Herpes treatment with acyclovir

This drug was developed in 1976 by the English pharmacologist Gertrude Elion. Gertrude's works were devoted to pyrimidine and purine nucleotides. The works of this active woman, who devoted her whole life to science, did not go unnoticed - for her outstanding contribution to the development of physiology and medicine in 1988, the researcher was awarded the Nobel Prize.

The mechanism of action of the drug is the incorporation of acyclovir metabolites into the DNA of the herpes virus - this causes the appearance of a "defective" agent that suppresses the replication of new viral particles.

Acyclovir is available as:

tablets (200 and 400 mg);
eye ointment;
ointments for external use;
creams for external use;
lyophilisate for the preparation of infusion solutions.

Aciclovir is metabolized in the liver, is able to form active crystals, so its use in renal failure is not recommended. Otherwise, control of the level of urea and creatinine in the blood is mandatory.

Adults and children over 2 years old are prescribed 200-400 mg 3-5 times a day. In the treatment of children under 2 years of age, the adult dose is divided in half. Course duration - 5-10 days.

Acyclovir in the form of an ointment is applied topically 5 times a day.

In general, the duration of therapy depends on the use of a particular dosage form and the severity of symptoms.

Contraindications to the use of Acyclovir: intolerance to Acyclovir and Valaciclovir.

Side effects:

nausea;
abdominal pain, diarrhea;
headache, dizziness;
skin rash;
weakness, increased fatigue;
hallucinations;
insomnia or, conversely, drowsiness;
fever.

When applied topically, there may be a burning sensation, redness of the skin, peeling, a small rash.

Acyclovir crosses the placental barrier, so the doctor determines the appropriateness of use during pregnancy. During lactation, the use of the drug is contraindicated.

The drug Valaciclovir

This is the drug that replaced Acyclovir. Used to treat colds on the lips, genital herpes, shingles. After absorption into the blood, under the action of the enzyme valacyclovir hydrolase, the active substance is transformed into Acyclovir. More than 80% of the dose in the form of Acyclovir and 9-carboxymethoxymethylguanine is excreted in the urine, about 1% is excreted unchanged.

Release form: tablets of 500 mg.

Dosage: single dose for adults - 0.25-2 gr. The frequency and duration of admission is determined by the doctor. Patients with impaired renal function dosing regimen should be adjusted.

Contraindications: allergic reactions to Acyclovir, Valaciclovir.

nausea, vomiting;
diarrhea;
dizziness, fatigue, confusion;
itching, urticaria;
impaired renal function;
dyspnea;
photosensitivity.

During pregnancy, Valaciclovir is used as prescribed by a doctor. During lactation, the use of the drug must be abandoned.

Famvir drug

Famvir, unlike other antiviral drugs, is able to stay in a harmful cell after a single dose for 12 hours. This ensures continuous suppression of viral DNA replication. The active substance is Famciclovir.

Indications for use:

acute and recurrent infections caused by herpes simplex viruses types 1 and 2;
acute and recurrent infections provoked by the Herpes zoster virus (shingles);
postherpetic neuralgia.

The drug is an oral modification of penciclovir. Absorbed immediately after administration, turning into active Penciclovir.

Release form: tablets 125, 250 and 500 mg.

Dosage: with herpes simplex, Famvir is prescribed 500 mg 3 times a day (7 days). With a primary episode of genital herpes - 250 mg 3 times a day (7 days), with a recurrence of genital herpes - 250 mg 2 times a day (5 days). With postherpetic neuralgia - 500 mg 3 times a day (5 days). For the treatment of herpes zoster, 250 mg is used 3 times a day (7 days). Patients with impaired renal function require dose adjustment.

Contraindications to the use of the drug Famvir: hypersensitivity to the active substance - Famciclovir.

dizziness, headache;
stomach ache;
itching, skin rashes;
granulocytopenia;
thrombocytopenia.

Famvir is not used during lactation, it is necessary to consult a doctor about the possibility of using it during pregnancy.

Panavir

Panavir is a Russian herbal preparation with a wide spectrum of action. It is an extract of shoots of Solanum tuberosum (potato). It has antiviral, immunostimulating, anti-inflammatory, antipyretic, wound healing effects.

herpes of various localization (recurrent genital herpes, ophthalmic herpes, herpes zoster);
secondary immunodeficiency infections;
cytomegalovirus infection;
papillomavirus infection.

As part of complex therapy, it is used for stomach ulcers, tick-borne encephalitis, rheumatoid arthritis, influenza, SARS.

Release form:

solution for intravenous injection in 5.0 ml ampoules;
gel for external use in tubes of 3 and 30 gr.;
rectal and vaginal suppositories, 5 pieces per pack;
spray in a bottle of 40 ml.

The composition of each form includes an active substance - plant polysaccharide "GG17".

Dosage: the solution for injection is administered slowly, in a stream (with an interval of 24 or 48 hours). Therapeutic dose - 200 mcg. Repeat after 1 month. The gel and spray are applied to the skin in a thin layer 5 times a day. The course of treatment is 7-10 days. Rectal and vaginal suppositories are used 1 suppository with an interval of 24 hours for 5 days.

Contraindications for use:

individual intolerance;
allergy to additional components of the drug (glucose, rhamnose, xylose, mannose, arabinose);
breastfeeding period;
age up to 12 years.

Side effects: side effects are associated with hypersensitivity to the constituent components of the drug, which is manifested by reddening of the skin, itching, angioedema of tissues.

Fenistil Pencivir

Fenistil Pencivir is an analogue of Famvir, which, according to advertising, guarantees getting rid of a cold on the lips in 4 days.

Indications for use: similar to the aforementioned drug Famvir.

Release form: ointment in tubes of 2 and 5 grams.

Dosage: Treatment should be started as early as possible. A small amount of cream is applied to the affected areas of the skin every 2 hours. The course of treatment is 4 days.

Contraindications to the use of Fenistil Pencivir:

hypersensitivity to Famciclovir, Penciclovir;
age up to 12 years;
pregnancy;
lactation period.

Use during pregnancy is possible only on prescription.

Side effect: in rare cases, there are local reactions - peeling of the skin, itching, redness, numbness.

Immunoglobulins as important antiviral drugs

Correction of immunity links is an important part of the treatment of herpes simplex. Non-specific immunotherapy involves the use of:

immunoglobulin;
drugs that stimulate phagocytosis and B- and T-links;
interferon and its inducers.

Immunomodulators are divided into exogenous, endogenous and synthetic. The first are of fungal and bacterial origin, the second are obtained from the central organs of the immune system (bone marrow and thymus), and the third are the result of chemical synthesis.

The most popular among immunomodulators received the following drugs:

Taktivin;
Timalin;
Thymogen;
Imunofan;
Myelopid;
Leukinferon;
Lokferon;
Interferon human leukocyte;
Viferon;
Glutoxim;
Likopid;
Tiloron and others.

These drugs normalize the quantitative and qualitative parameters of the immune system, as well as improve other indices of cellular immunity. The therapy is carried out under the control of the immunogram.

Antibacterial ointments and gels

To prevent the spread of infection and accelerate the regeneration processes, antibacterial ointments are used.

Tetracycline ointment: contains tetracycline, a broad-spectrum antibiotic. Available in the form of a 3% (for application to the skin) and 1% (eye) ointment. Helps with the attachment of a purulent infection to the herpes simplex virus - with the development of furunculosis or streptoderma.

Erythromycin ointment: has antimicrobial, wound healing, disinfectant action. The ointment is applied to the affected area of the skin with a thin layer 3 times a day. The course of treatment is long - 1-2 months.

Tembrofen ointment: used as an adjuvant for recurrent herpes simplex, herpes zoster, herpes keratitis and conjunctivitis, lichen planus. For application to the skin, a 2% or 5% ointment is applied (3 times a day for 7 days). In eye practice, 0.5% ointment is used (3 times a day for 2 weeks).

Additional remedies for relief of symptoms of the disease

Treatment of herpes should be complex. Only in this case it is possible to achieve a stable remission of the disease. In addition to antiviral, immunostimulating and antibacterial drugs, analgesics (aspirin, paracetamol, sedalgin, pentalgin, diclofenac, indomethacin, butadion) are used to relieve the symptoms of herpes. With prolonged pain, drugs of gamma-aminobutyric acid (gabalentin), anticonvulsants and sedatives (diazepam, finlepsin, fevarin) are prescribed.

Folk remedies for the treatment of herpes

Traditional medicine has in its arsenal a lot of remedies for the treatment of herpes infection (mainly for colds on the lips). However, they should be used with a certain degree of caution. and with the understanding that some methods are aimed, rather, not at eliminating the symptoms of the disease, but at reducing the contagiousness of the affected surfaces and the patient as a whole.

So, consider the most effective folk remedies for colds on the lips:

fir oil. It is applied to the areas affected by herpes every 2 hours until the symptoms disappear completely;
Kalanchoe juice. It is squeezed out of the plant and smeared on the skin every 3 hours;
Celandine juice. It needs to be prepared in advance. Fresh grass is passed through a meat grinder, the juice is squeezed out and poured into dark glass bottles, tightly corked. Insist for a week, from time to time opening the cork to release the resulting gases. Lubricate the areas damaged by herpes 3 times a day;
Salt. Regular table salt will speed up the healing of wounds. It is only necessary to attach small grains of salt to the inflamed areas. Repeat several times a day;
Valocordin. Soak a cotton ball in the solution and apply to the skin for a few seconds. Repeat every 3 hours;
Ice. Remove a piece of ice from the freezer and apply to the inflamed skin. Keep 5-10 minutes.
Egg film. From a hard-boiled egg, carefully remove the shell and the film adjacent to it. A thin film is an excellent anti-inflammatory agent that will help get rid of the discomfort that accompanies herpes on the lips;
Garlic. Cut a clove of garlic and lubricate the herpes vesicles on the lips several times a day. At night, honey mixed with apple cider vinegar can be applied to the rash.

Lemon juice, oil of Potentilla, sea buckthorn, tea tree, propolis tincture are also quite effective. Apply natural medicines 3-4 times a day and painful symptoms will subside faster than with self-healing.

The listed folk recipes greatly facilitate the general condition, relieve itching, inflammation, pain, dry and disinfect the skin.

Extracts of some plants have a pronounced immunostimulating effect. For example, echinacea, golden root, ginseng accelerate recovery processes, increase the production of white blood cells. These plant substances have been used for many decades and have earned the recognition of doctors and patients. They can be produced not only in the form of extracts, but also in the form of tinctures and tablets.

Medicinal teas are no less popular in stopping the symptoms of herpes. You can add burdock leaves, sassafras, meadow clover to the teapot. The following collection has a beneficial effect:

chamomile flowers;
thyme;
raspberry leaves;
motherwort;
juniper fruits;
Melissa;
Adonis;
sagebrush;
St. John's wort.

Mix the ingredients, taken 1 teaspoon each. Pour a tablespoon of raw materials with a glass of boiling water, insist for an hour, strain. Take half a glass 4 times a day. Course - 1-2 weeks.

Do not forget about the baths. The burning sensation can be softened by a lip bath with the addition of salt or soda. It is useful to add a few drops of essential oils of lemon, eucalyptus, geranium, bergamot, tea tree to the water. Water temperature - no more than 36 degrees. The duration of the procedure is 15 minutes.

Features of nutrition during the course of herpetic infection

Proper nutrition is an important component in the treatment of herpes. It has been proven that there are a number of products that can provoke a relapse of the disease. These are, for example, sugar, alcohol and fatty foods. The list of pests also includes raisins, peanuts, gelatin, sunflower seeds and wheat. This, of course, does not mean that by eating these products, we provide ourselves with a cold on the lips. We are talking only about a certain statistical increase in the likelihood of a recurrence of the disease.

In order to increase the intervals between relapses, people suffering from herpetic manifestations need to include in their diet food rich in lysine, which prevents the activation of the herpes simplex virus. Scientific studies show that a daily intake of lysine in an amount of about 1000 mg reduces the risk of exacerbations by 2.5 times. Natural sources of lysine include:

egg white;
casein;
potato broth;
lentils;
white chicken;
fish;
shrimps;
natural yogurt;
skimmed milk;
fruits and vegetables.

To strengthen the body's defenses, you should eat foods rich in phytoncides - garlic, onions, ginger, lemons.

Of the vitamins, vitamins C and E are considered the most important for those suffering from herpes. Of the trace elements, special attention should be paid to zinc.

Vitamin C. A daily intake of 600 mg of vitamin C in combination with B vitamins leads to the rapid disappearance of the manifestations of herpes on the lips. Vitamins should be taken at the very beginning of the disease, 3 times a day for 3 days;
Vitamin E. Taking vitamin E for herpes simplex reduces pain and speeds up the healing of sores. You can take vitamin E capsules orally, or you can use an oily solution to lubricate the bubbles;
Zinc. In combination with vitamin C, it also reduces the likelihood of recurrence of the disease.

During the period of primary exacerbation of infection or recurrence of herpes, the following dietary rules should be observed:

exclude fatty foods from the diet;
drink at least 1 liter of water per day;
eat more fruits and vegetables;
avoid the use of seeds, peanuts, hazel, alcoholic beverages;
reduce salt intake;
limit the intake of caffeinated and carbonated drinks, chocolate.

In conclusion, it must be emphasized that the peculiarities of the pathogenesis of herpes require the use of drugs with different mechanisms of action in the treatment. In this case, complex therapy should be selected individually, depending on the characteristics and severity of the course of the pathological process.

sexually transmitted infections

Genital herpes

Genital herpes is a sexually transmitted infection. Many people infected with the genital herpes virus do not have symptoms of genital herpes, but they can be infectious to their sexual partners.

The severity of symptoms of genital herpes can range from mild soreness to painful blisters on the genitals and surrounding area. The first manifestation of genital herpes lasts about 2 to 3 weeks. Relapses of genital herpes develop from time to time, but are usually less pronounced compared to the first episode of genital herpes. Antiviral treatment relieves the symptoms of genital herpes. With frequent recurrences of genital herpes, preventive antiviral treatment is carried out.

What is genital herpes?

Genital herpes is a viral infection of the genitals (penis in men, vulva and vagina in women) and surrounding skin. Genital herpes is caused by the herpes simplex virus. Genital herpes can also affect the buttocks and anus.

There are 2 types of herpes simplex virus:

Herpes simplex virus type 1 is a common cause of herpes around the mouth. Herpes simplex virus type 1 is now proven to cause more than half of all genital herpes cases.

Herpes simplex virus type 2 affects only the genitals.

How is genital herpes transmitted?

The herpes virus can be transmitted by contact, sexually and from mother to fetus.

Genital herpes is transmitted by skin-to-skin contact of a person infected with the herpes virus. The most susceptible to damage by the herpes virus is the mucous membrane of the oral cavity, genitals and anal area. This means that infection with genital herpes can occur through vaginal, anal, or oral sex. For example, if you have cold sores around your mouth, you can pass the herpes virus on to your partner through oral sex.

What are the symptoms of genital herpes?

When you first become infected with the herpes virus, it is called a primary infection. The primary infection with the herpes virus may occur with or without symptoms. After the initial lesion, the virus remains in the body in an inactive state in nerve cells. During an exacerbation, the herpes virus leaves the nerve cells and affects the skin and mucous membranes along the nerve endings. This causes a recurrence of genital herpes symptoms if the primary infection was in the genital area, or a recurrence of a cold sore on the lips if the primary infection was around the mouth.

Genital herpes is often asymptomatic

Most people who become infected with the herpes virus show no symptoms or symptoms are minimal and not recognized as genital herpes (eg, slight redness with moderate itching that resolves quickly). At least 8 out of 10 people with herpes simplex type 2 do not know they are infected. In such people, the virus remains in an inactive form in the ganglion that innervates the genitals, but never causes a recurrence of symptoms of genital herpes. However, even people with asymptomatic genital herpes can be contagious to their sexual partners.

First episode of genital herpes symptoms

Exacerbation of genital herpes begins with the appearance of malaise, mild fever, burning and pain in the genital area and / or anus. Then, on the genitals and / or around the anus, groups of painful vesicles filled with transparent contents appear. After a few days, the contents of the blisters become cloudy, the blisters burst, resulting in the formation of ulcers. The sores crust over and then heal. Enlarged lymph nodes in the groin. May be bothered by pain when urinating, especially women.

In some cases, genital herpes is not limited to lesions of the external genitalia. In women, the pathological process involves the vagina, cervix and uterine cavity, ovaries, urethra and bladder. In men, the urethra, bladder, prostate gland, testicles. Ulcers and blisters gradually heal, the process lasts from 10 to 20 days. After healing of sores caused by the herpes virus, scars do not remain.

Sometimes genital herpes occurs with minimal symptoms. For example, single blisters appear for a short time, burning sensation, redness and swelling in the genital area are disturbing.

Note:

Sometimes the first episode of symptoms of genital herpes occurs months or years after infection. This is the reason why the first episode of genital herpes symptoms can occur during sexual relations with a regular partner. You may have been infected months or years ago by a previous sexual partner who didn't know they were infected with the herpes virus.

It is not clear why some people infected with the herpes virus develop symptoms, some do not have symptoms, and some have their first episode of genital herpes months or years after infection. Scientists suggest that this is due to the reaction of the immune system to the herpes virus in different people.

Repeated episodes of genital herpes (relapses)

After an initial episode of genital herpes, 50 to 75% of people relapse. It is not clear why the herpes virus becomes active causing symptoms. Relapses are usually shorter and less severe than the first episode of genital herpes. Symptoms of a recurrence of genital herpes last 7 to 10 days, as opposed to 10 to 20 days in the first episode. Most people have no fever or malaise during a recurrence of genital herpes. Tingling or itching in the genital area for 12 to 24 hours indicates the onset of a recurrence of genital herpes. The time period between relapses is variable.

Some people have genital herpes recurrences six or more times a year. For others, relapses occur less frequently or are absent. On average, the frequency of recurrences of genital herpes is 4 - 5 per year during the first two years after the first onset of symptoms.

Some people know what can trigger a recurrence of genital herpes. These triggers for genital herpes recurrence include sunlight, hypothermia, a cold, alcohol, or stress. If you know what triggers a recurrence of herpes, then it is useful to avoid this in the future as much as possible.

Do I need any research?

Yes. The doctor or nurse takes a smear from the contents of the vials, then sends the smear to the laboratory for analysis. This can confirm that the herpes simplex virus is the cause of the symptoms. However, this method is rarely used.

More accessible is the express diagnostic method for detecting herpes virus antigens in the blood - an immunofluorescence reaction. To detect antibodies to various types of herpes simplex virus, enzyme-linked immunosorbent assay (ELISA) is used.

Treatment of genital herpes

With severe swelling, burning sensation, itching and severe pain, anti-inflammatory drugs (for example, indomethacin, voltaren) are used. Pain-relieving ointments (lidocaine 5%) also reduce itching and pain. Some people use an anesthetic ointment before urinating if it causes pain. Note: if you are allergic to ointment pain relievers, the ointment may make the skin symptoms worse.

Ice wrapped in a towel applied to wounds for 10 minutes can reduce pain. Do not place ice directly on the skin as this may cause "ice burn".

Drink plenty of fluids. This makes urine less concentrated, which reduces pain when urinating without irritating the genital mucosa.

Do not use scented soaps or bubble baths as they can irritate the skin and increase pain. Treat the genitals gently with cotton swabs and clean or salted water. Gently blot the genital area with a towel. Instead of a towel, you can use a hair dryer, setting the lowest temperature so as not to cause a burn.

During an exacerbation, you should use a separate towel, sponges or napkins so as not to infect other people with the herpes virus.

During an exacerbation of genital herpes, you must stop having sex. You will be able to resume sexual activity after the symptoms of genital herpes subside.

Antiviral treatment

Antiviral treatment does not completely remove the herpes virus from the body. Antiviral treatment prevents the virus from multiplying. Antiviral medicines include: acyclovir, famciclovir, valaciclovir.

Antiviral treatment reduces the severity and duration of symptoms if started within five days of symptom onset. The course of treatment is usually 5 days, but it can be extended for several days if vesicle formation is still ongoing.

To reduce the duration and severity of a recurrence of genital herpes, start antiviral treatment as early as possible (preferably before blisters appear). Initial treatment will help reduce the severity of the manifestations of genital herpes.

For frequently recurrent genital herpes, supportive antiviral treatment is recommended.

Sex life and genital herpes:

If you have an exacerbation of genital herpes (initial episode or recurrence)

The herpes simplex virus is very contagious, found in large quantities in the contents of the vesicles. There is a high chance of transmitting the herpes virus to your partner during intercourse. You should avoid sexual activity from the time the symptoms appear until they are completely gone. A condom during an exacerbation of genital herpes does not completely protect the partner from infection.

If genital herpes is in remission (that is, there are no symptoms and manifestations).

You are less likely to infect your partner during sex. However, a small amount of the virus will occasionally be present on the surface of the genital skin. Therefore, there is a small chance that you can transmit the virus to your partner during intercourse even when you are not symptomatic. It is better to discuss everything with your sexual partner. It is believed that the use of a condom each time during sexual intercourse reduces the risk of contracting genital herpes. However, using a condom does not completely eliminate the risk of contracting the herpes virus. In addition, people who take antiviral drugs to prevent the recurrence of genital herpes have a reduced risk of transmitting the virus.

Note: If your sexual partner already has the same virus then you cannot reinfect each other. Your partner may be infected but may not show symptoms. You need to see a doctor.

What are the possible complications of genital herpes?

In a small number of people, the infection can spread to the skin of other areas of the body. When bacteria join, genital herpes can be complicated by purulent inflammation of the skin of the genital organs. Note: Genital herpes does not damage the uterus or cause infertility.

In order to understand how to treat genital herpes, it is necessary first of all to understand the symptoms and eliminate the ways of transmission of the disease, so that the following situation does not happen: you will treat responsibly, and your partner, being a carrier, will remain in the dark or simply simply refuse any use of medications, referring to the fact that there are no external manifestations. Before starting the treatment procedure, cut off all possible ways of transmitting the virus.

Click on the button to go to the treatment instructions!

In a rare case, the disease is transmitted through hygiene products and personal items, most often it is unprotected sex, kissing with a carrier. We have compiled for you detailed instructions on the treatment of the disease, both folk remedies and medication methods, however, before proceeding with the procedure, you should conduct an accurate diagnosis of the disease with a doctor, this will help you clarify the degree and type of the disease, but when you know who to fight , you can use all modern means, since there are a lot of them.

Causes of genital herpes

The disease is more often transmitted through sexual contact, both normal and during anal sex. In rare cases, infection occurs through personal hygiene items.

Genital herpes can be contracted from a partner with herpetic sores in the mouth area, since oral contact with the genitals spreads the infection from the lips to the genitals.

Risk factors that increase the chance of contracting this disease:

Violation of the immune system due to illness, stressful situations or taking medications.
Minor damage to the mucous membranes and skin.
Simultaneous presence of several sexual partners.
Having sex without a condom.

Symptoms of genital herpes

The symptoms of genital herpes are somewhat difficult, since this infectious disease can exist in a latent state and only in exceptional situations make itself felt.

Herpes rash in women is most often formed in the following places:

around the anus;
inside and outside the vagina;
in the region of the cervix;
in the buttocks.

Rashes in men appear:

on the scrotum;
in the anus or thighs;
on the head of the penis.

And yet, there are several symptoms that indicate the presence of an infection in the body:

Noticeable itching and redness, accompanied by severe burning in the groin.
The formation of a small number of bubbles filled with a clear liquid.
A few days later, the bubbles burst, then covered with a kind of crust.
Discomfort during urination.
The presence of purulent discharge in the fair sex.
Noticeable painful enlargement of the lymph nodes in the groin area.
Sometimes there is a weak state, impotence.

With primary infection with herpes, the incubation period is up to 8 days. Then, the following symptoms appear:

itching, redness and burning in the genital area;
small vesicles filled with a cloudy liquid form on the skin or mucous membrane;
bursting bubbles are transformed into small erosions or ulcers covered with a crust;
sensation of itching and tingling during urination;
with damage to the cervix, the mucosa becomes hyperemic, erosive, with purulent discharge;
lymph nodes in the groin are enlarged.

Sometimes there is a general weakness, malaise. It may take up to 30 days for the symptoms of the disease to completely disappear. Effective treatment of genital herpes shortens this period.

With secondary infection, the disease manifests itself with similar symptoms. Once in the human body, the virus turns it into a carrier of the disease. In this case, periods of remission are replaced by exacerbations.

The herpes virus lives in the spinal nerve ganglions, and not on the mucous membranes and skin, therefore, before the appearance of rashes, precursor symptoms occur in the form of pulling pain along the nerve ganglions, itching and burning in the area where the rash appears.

Noticed unpleasant symptoms, but do not know which doctor treats genital herpes? If there are signs of this disease, women should contact a gynecologist, and men - a urologist or andrologist.

The virus received from a partner does not always lead to rashes, the state of the immune system plays a decisive role in this.

Types of herpes virus

1. Simple virus herpes type 1- manifests itself as rashes on the lips, face,
2. Simple virus herpes type 2
herpes type 3 causes chicken pox in childhood and shingles in old age
herpes type 4- causes the disease infectious mononucleosis, hairy leukoplakia of the tongue
herpes 5, 6, 7, 8th types rarer and less well understood

The most common herpes that affects the lips and skin, the second most popular is genital herpes. Herpes can lead to the development of diseases of the nervous system, damage to internal organs, eyes, mucous membranes. Among the infectious causes of death, the herpes virus ranks second (the first place is occupied by the influenza virus).

Herpes simplex virus 1 - 2 types - characteristics

1. Herpes simplex virus type 1- manifests itself as rashes on the lips, face
2. Herpes simplex virus type 2- causes genital herpes, which affects the mucous membranes of the genital organs.

The herpes simplex virus is very resistant to cold, but not to heat. At a temperature of 50 degrees, this one dies within 30 minutes. At a temperature of 37 degrees - dies within 20 hours.

Outside the human body, at normal temperature and humidity, the herpes virus dies within 24 hours. On metal surfaces (door handles, faucets, money) it survives 2 hours, on wet surfaces (towels, linen) - 6-24 hours. Everything you need to know to prevent infection.

This virus loses its activity and ability to reproduce under the influence of X-ray and ultraviolet rays, alcohol, organic solvents, phenol, formalin, bile, disinfectants.

Diagnosis

Genital herpes may be active, or it may not make itself felt at all until a certain point.
As a rule, the herpes virus, which occurs in a latent form, is almost impossible to detect if you do not pass a series of special tests.
It is impossible to cure an infectious disease on your own, therefore, if there is a suspicion of the presence of genital herpes, it is recommended to immediately contact a specialist, otherwise the disease may become chronic.
Only a qualified doctor can determine the type of herpes, and then prescribe an effective treatment.

In men and women

Genital or genital herpes is a disease of the genital organs in men and women caused by herpes simplex type 2 viruses, but 20% of cases this disease is caused by infection with the type 1 virus. For genital herpes characterized by solitary or grouped skin rashes, it usually affects the vulva, perineum and anus, and (less often) the vagina and cervix (vaginal and cervical herpes in women). In severe cases, genital herpes can spread to the body of the uterus and its appendages.

Vesicles filled with serous fluid then turn into sores and erosions. Pain, itching, burning are felt at the sites of the lesion. It is necessary to take measures for the fastest treatment, since the genital herpes virus can even provoke the development of cancer.
If the symptoms disappear, this does not mean that a cure has occurred - the virus remains inside, and after a while the exacerbation may recur. For some, after a few weeks, for others, after a few years.

Provocative factors of exacerbation of genital herpes:

– stress
- colds, flu
- diabetes
- overheating or hypothermia
- consumption of alcohol, caffeine

Treatment of herpes should be complex, aimed at increasing the body's defenses. In addition, it is necessary to take vitamin and mineral complexes. During exacerbations, the dose of vitamins C, A, B should be increased.

Food

Treatment of genital herpes must be combined with a diet: exclude sugar, alcohol, citrus fruits, milk from the diet.

Coffee, nuts, chocolate, beef, tomatoes contain the substance argenin, which promotes the reproduction of the herpes virus, it is also better to refuse these products. You need to include seaweed, apples, dairy products, cheese, yogurt in the menu

Treatment with medications

At the beginning of treatment, you need to use ointments and tablets that help the immune system cope with the virus:

"Acyclovir";
"Lizavir";
"Zovirax";
"Fenistil";
"Penciclovir";
"Amixin";
"Interferon".

These drugs are recommended to be used for at least 10 days and no more than a month. Due to these ointments and tablets, it is possible to prevent the initial manifestation and further Spread infections.

Medical treatment

Therapy is carried out with tableted drugs, as well as ointments for external use.

Effective drugs for the treatment of genital herpes:

Acyclovir (Acivir, Zovirax, Acyclovir-BSM, Virolex, Lizavir, Cyclovax);
"Famciclovir" ("Valtrex");
"Penciclovir".

There are two ways to use antiviral drugs - in the form of an episodic appointment (short course up to 10 days) and preventive (within a month or two).

More often in medical practice they use "Acyclovir" (in tablets or capsules) and its analogues. Adult patients are prescribed a therapeutic dose of the drug, according to the instructions. Taking medication early in the course of the disease helps prevent the rash.

If you start treatment after the appearance of bubbles, then the symptoms will become less pronounced, and healing will occur faster. With frequent relapses of the disease, it is worth taking antiviral drugs for prevention.

How to treat genital herpes with topical products? For this, ointments are used as part of the complex therapy of the disease:

"Acyclovir";
"Zovirax";
Virolex;
"Fukortsin" (if the skin is affected);
Oxolinic ointment.

Together with antiviral agents, immunomodulators are prescribed:

"Amixin";
"Polyoxidonium";
"Likopid";
"Interferon".

These drugs affect the immune system of patients with genital herpes, stimulating its specific and non-specific factors. This allows you to block the further spread of the virus and reduce the frequency of relapses.

The scheme of treatment of the disease

There are certain treatment regimens for genital herpes. The choice of a specific one depends on the type of disease, its duration and the condition of the patient.
Reception of drugs at primary infection

Treatment of recurrent genital herpes

Treatment of genital herpes in women

During pregnancy, antiviral therapy is not recommended. The exception is severe forms of genital herpes, complicated by other diseases that threaten the life of the patient.

For effective treatment in this situation, human immunoglobulin is used. It is administered intravenously in 25 ml 3 times (every other day) in the first, second and third trimester (two weeks before the expected delivery date). In complex therapy, "Viferon" can be prescribed.

Scheme for the use of drugs from a pharmacy

Reception of medicines for infection with genital herpes

Taking medications for progressive genital herpes

It is worth noting that the treatment and prevention of genital herpes is contraindicated for pregnant women. In case of activation of the infection, you should contact your doctor for detailed advice. As a rule, every trimester of pregnancy, a woman is injected intravenously with immunoglobulin, which inhibits the manifestations of genital herpes, and doctors often recommend taking Viferon.

Stage 1 (relapse)

Alpizarin (0.1 g) - up to 5 times during the day, the general course is 5-7 days;
Zovirax (200 mg) - in the first 5 days up to 5 times (daily), then 4 times (daily) for 14-21 days. Instead of Zovirax, you can use Virolex or Acyclovir;
Ascorbic acid (1 gr) - 2 p. during the day, for 2 weeks.

As a specific therapy, it is recommended to administer antiherpetic immunoglobulin (3 ml) 1 r. during the day in / m (course of at least 5 injections). It can be combined with the introduction of 1 ml of Activin (s / c) at least 2 times a week (10 injections in total).

Gossypol;
Megasina;
Bonafton;
Alpizarin (for the treatment of the vagina).

In case of primary infection or exacerbations of the infectious process, external treatment should be performed for at least 5 days.

Before treating herpesvirus, it is necessary to undergo a complete diagnostic examination of the body, because the symptoms of the disease are often similar to other infectious diseases. In addition, there are a number of contraindications for taking certain medications and this must be taken into account.

Stage 2 (reduction of exacerbation)

At this stage, it is recommended to inject - vitamins of group B (B2, B1) - 1 ml with a break of 1 day with a course of 15 injections. In addition, autohemotherapy is recommended, according to the scheme: starting with 2 ml. up to 10 ml. (ascending) and vice versa.

Orally:

Tazepam - 1 tab. 2 p. per day (21 days);
Eleutherococcus (20 caps) in the morning;
Tavegil - 1 tab. 2 p. per day (21 days);
10% calcium chloride solution - 1 tbsp. l. 3 p. per day (20 days) or Calcium gluconate (tab.) - 0.5 g 3 r. per day (2 weeks);
Dibazol - 1⁄2 tab. 2 p. per day (21 days).

Local: Gossypol, Megasyn.

When suppressive (suppressing herpesvirus) treatment is carried out, antiviral drugs are recommended to be taken at a minimum dosage, but with a longer period. Alpizarin is most often used as a prophylactic.

Stage 3 (remission)

Genital herpes in the remission phase involves vaccine therapy (with a duration of relapses of more than 2 months), which is performed after a symptomatic course, as well as restorative measures.

Herpetic vaccine is administered subcutaneously (0.3 ml) 1 r. for 3 days. The general course of vaccination is 5 injections. Next, you need to endure a break (14 days) with the introduction of a similar dosage (5 injection doses), but 1 p. (daily) for 7 more days. If herpetic manifestations occur during this period of time, the gap between the introduction of the vaccine should be increased by at least 2 times. Repetition of vaccination is recommended after six months.

In the stage of remission, herpes on the genitals involves the use of immunomodulators.

Most commonly used:

Imunofan - the drug is administered intramuscularly (0.1 ml each) with a break of 1 day, with a total course of 5 injections;
Meglumine acridonacetate - (0.25 mg) IM 1 injection daily for 10 days;
Panavir - (3 ml) in / in 1 r. in 3 days (5 injections);
Immunomax - (100-200 IU) i / m 1 p. in accordance with the assigned scheme;
Sodium ribonucleate - (2 ml) i / m 1 r. during the day (5 injections);
Galavit - (1 tab.) 2-3 p. per day, in accordance with the scheme;
Ridostin - (8 mg) i / m 1 p. in 3 days (3 injections);
Lavomax (Tiloron) - this drug has a dual effect (antiviral and immunomodulatory). In order to neutralize genital herpes, a special treatment regimen (2.5 mg) of the drug is recommended on the first day, then a break for 2 days, and on the remaining days (0.125 mg).

How to treat herpes most effectively, only a qualified doctor can tell.

Means for prevention

If unprotected sex has occurred, emergency preventive measures should be taken in the form of antiseptics to help localize the possible appearance of herpes sores on the genitals.

The group of such drugs includes the following drugs.

Miramistin

This antiseptic is available as a 0.1% solution packed in a plastic bottle. Before using it, the area on the genitals, and then the groin area, is pre-washed with soap, dried and treated with a cotton swab dipped in Miramistin solution.

Women are advised to inject the solution (using a special sprayer attached to the drug), inject approximately 10 ml of the solution deep into the vagina and 1.5 ml into the urethra, holding the solution for 2-3 minutes.
After the treatment, it is not recommended to urinate for 1 hour.
This treatment is recommended to be performed at least 2 times a day.

Betadine

The medicine is available in the form of an ointment, vaginal suppositories and an antiseptic solution. It is necessary to use Betadine after unprotected sexual contact (within 2 hours). To prevent infection, a woman needs to insert a candle into the vagina with additional treatment of the mucous membrane with an antiseptic solution.

Panavir

This medication is available in the form of a spray and is used in emergency cases. You can apply it on a condom, as well as treat the area of \u200b\u200bthe intimate organs with it.

For effective prevention of herpes, as well as any infectious diseases transmitted through sexual contact, it is very important to avoid unprotected promiscuity.

During the period of exacerbation of the herpes virus, you should stop having sex, because even the most reliable contraceptives are not able to provide protection from the virus entering the body.

We use immunomodulators

It is completely impossible to get rid of the disease. When immunity is weakened after an illness, the virus will make itself felt. The task of physicians is to convert the virus into an inactive form. Thus, the disease will sleep inside the person. In people with weak immunity, relapses can occur every month. In people with good immunity, relapses are rare. Therefore, every carrier of genital herpes should take care of their health.

Immunostimulants are often used in the treatment of viruses, as they destroy the cell membrane. The human body produces an immunomodulator - interferon. Based on it, many drugs are made for the treatment of viral infections.

Interferon-based drugs:

Viferon. For genital herpes, it is used as an ointment. It lubricates the affected areas. The main component of the ointment is human recombinant interferon alpha-2b. In addition, the preparation contains vitamin E, which improves wound healing, petroleum jelly and lanolin.
. This is human fibroblast interferon. It is applied in the form of injections. The drug is expensive, but recovery occurs in 70% of cases. After adequate treatment, relapses are extremely rare. The duration of treatment can be up to 6 months.

Interferon-based drugs should be used with caution. There is an opinion that they introduce additional interferon into the body, thereby reducing the production of this substance by diseased cells. It is necessary not to introduce interferon, but to stimulate its production.

With frequent relapses, it is worth taking vitamin complexes, as well as omega-3 fatty acids. Recommended spa treatment on the sea coast. Sea water does a great job with various rashes.<

We use antiviral drugs

At the acute stage of the disease, the patient should take tablets. Antiviral drugs damage the cells of the virus and block its reproduction, preventing them from growing.

For treatment, the following drugs are used:

Acyclovir. It is used for the prevention and treatment of recurrent and primary herpetic lesions of the skin and mucous membranes, which are caused by Herpes viruses types 1 and 2. Efficiency is due to inhibition of the DNA of the virus cells.
Pharmaciclovir. A drug based on penciclovir. It is used for frequent recurrences of genital herpes. With it, you can get rid of the neuralgia provoked by the virus.
Denavir. Cream based on penciclovir.
Groprinosin. The basis of the drug is inosine pranobex. It destroys the DNA of the virus and improves the body's resistance. Sold in the form of tablets. You need to take the drug for 1-3 months.
. It is an ester of acyclovir. After administration, it breaks down into valine and acyclovir. It is sold in tablets. You need to take it during an exacerbation. Does not improve immunity, but only destroys virus cells.

Most often, Acyclovir and its analogues are used. It is quite effective, as it destroys the membrane of the virus, preventing its reproduction. Treatment should begin even before the appearance of rashes or on the first day of the appearance of bubbles. This will reduce your risk of developing a rash.
Together with antiviral drugs, interferon is prescribed (Viferon, Genferon, Anaferon).

Treatment of the disease in women

Doctors state the fact that the beautiful half of humanity is more likely to experience genital herpes than men. Therapy for men and women is not much different. Antiseptics are used to treat genital herpes with internal rashes. For this purpose, Dekasan is prescribed for douching. This is a solution that has an antiviral effect.

Consequences of infection with genital herpes in women:

cervical cancer, dysplasia. The saddest thing is that the herpes virus can cause cancer. Rashes on the cervix often degenerate into dysplasia. If left untreated, it can lead to cervical cancer.
Dryness of the mucous membranes of the vagina. Often there are cracks. This is due to a change in the hormonal background, as a result of which a negligible amount of lubricant is produced.
Decreased libido. Due to damage to nerve cells, lower back pain and constant aching pain in the lower abdomen are possible. As a result, sex drive decreases.
endometritis, colpitis. These are inflammations of the walls of the uterus and vagina. Can lead to the formation of adhesions inside the uterus. This reduces the likelihood of conception and may adversely affect the bearing of a child.

How to treat in men

In a strong half of humanity, genital herpes is less common. It mainly affects the glans penis, anus. In rare cases, rashes appear in the urethra and rectum. Initially, temperature and swelling appear at the site of future ulcers. 3 days after the appearance of the vesicles burst. At this time, the pain and temperature subside. Treatment is carried out according to the standard scheme: antiviral drugs and strengthening the immune system.

Consequences of genital herpes in men:

Chronic and acute prostatitis. Virus cells infect the prostate gland. Usually, exacerbation of prostatitis is observed simultaneously with rashes and fades with the use of antiviral drugs. But in some cases, antibiotics are required.
Herpetic proctitis. This is a disease of the rectum, characterized by the appearance of ulcers or hemorrhages on the mucous membranes. During the acute phase, bleeding may occur during the act of defecation. The absorption of nutrients in the intestines is reduced.
Urethritis. This is an inflammation of the urethra. It is characterized by painful urination.

Rules for the treatment of genital herpes in pregnant women

During pregnancy, all women are tested for TORCH infections, among which there is herpes. If a high concentration of antibodies to the herpes virus is detected, the pregnant woman is prescribed antiviral drugs and immunomodulators.

The most dangerous is the infection of a child with the herpes virus through the birth canal. In this case, the risk of transition of the disease to the acute phase is high.

If a high concentration of antibodies is detected, a pregnant woman is prescribed the following drugs:

Zovirax. The active substance is acyclovir. It inhibits the DNA of virus cells and prevents their reproduction.
Oxolinic ointment. An antiviral ointment that deactivates the acids that keep the virus alive.
Viferon. A drug based on human interferon. Sold in the form of suppositories, ointments and gels.

The choice of drug depends on the gestational age. The most dangerous is the acute form in the first trimester of pregnancy. In this case, spontaneous abortion is possible. Often, fetal malformations are diagnosed after a mother's illness. In the third trimester, the disease is less dangerous for the child, since almost all organs are formed. In this case, the pregnant woman is treated with local preparations and strengthens the immune system.

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Conditional treatment regimen

Below you can familiarize yourself with the treatment regimen and understand what doctors are guided by when prescribing certain drugs, but this regimen can be adjusted by the doctor during a personal examination of the patient.

Object of treatment	Treatment regimen
Primary infection of genital herpes. Preparations are applied within 5-10 days.	Acyclovir (200 milligrams). Inside, five times a day.
Recurrent form of genital herpes. Medicines are applied for five days.	Acyclovir (200 milligrams). Inside, five times a day Or Acyclovir (400 milligrams). Inside, three times a day. Or Valaciclovir (500 milligrams). Twice a day. Or Famciclovir (250 milligrams). Three times per day.
suppressive therapy. Prophylactic medication for permanent suppression of the virus. The term of admission is assigned individually.	Acyclovir (400 milligrams). Inside, twice a day Or Valaciclovir (500 milligrams). Once a day. Or Famciclovir (250 milligrams). Twice a day.

Indications for treatment in a hospital:

if the body does not tolerate antiviral agents;
complications from the central nervous system;
disseminated herpes infection.

What are the goals of treatment:

reduce the risk of transmission of infection to the fetus;
reduce the possibility of transmitting herpesvirus to a partner;
reduce the number of relapses;
prevent possible complications;
get rid of symptomatic discomfort.

People looking for information on how to cure genital herpes often see large lists of drugs and understand that in any case they will have to go to a specialist to prescribe a course of treatment. And rightly so, the fact is that it is impossible to write how many tablets of Cycloferon or the same Acyclovir should be used without knowing the individual characteristics of the patient. Even reading the instructions for use, you should not just buy pills and drink them without being examined by a specialist. Especially if it concerns children or adults in certain situations, for example, during pregnancy or with immunodeficiency.

herpess.ru

Treatment of genital herpes folk methods

There are several folk ways to deal with genital herpes:

Tea tree oil solution. Dilute 10 drops of oil in 500 ml of warm water. For 10 days, wash the genitals, preferably at night.
Collection of herbs. Mix herbal collection with 400 ml of warm water, put on a small fire for 5-10 minutes. Remove from heat and let the broth cool to room temperature. Perform genital washing once a day for 14 days.
Infusion of a series. This recipe is used in the initial stages of infection to relieve itching and burning. Mix 10 g of string and 200 ml of hot water, let the ingredients stand for an hour. Next, you need to strain the prepared infusion and apply to the affected area of \u200b\u200bthe skin for 15 minutes.
Camomile tea. It will help relieve pain and stop the inflammatory process. Dilute 5-10 g of dry collection in 250 ml of boiled water, mix thoroughly and let it brew for an hour. It is necessary to treat the affected areas of the skin no more than 2 times a day for 2 weeks.
Sea salt. Fill the tub with 10 liters of hot water, add 60 grams of sea salt and mix thoroughly. Wait for the water to cool slightly, then sit in it for about 45 minutes. The procedure should be carried out daily, for about 2 weeks.
Echinacea root tincture. The prepared remedy will help strengthen the immune system. Mix 30 g of crushed root and 120 ml of alcohol, mix the ingredients thoroughly. Leave the product to infuse for about 6-7 days. Then carefully strain the finished infusion and consume 20 drops, 4 times a day. within 2 months.

Funds from the village

In addition to medicinal methods, it is possible to treat genital herpes with folk remedies:

Tea tree oil. To use, add 10 drops of oil to 400 ml of boiling water. Means to use for washing the genitals. The procedure should be performed before going to bed.
Herbal collection. Mix equal amounts of birch leaves, red clover flowers, calendula, dandelion root and motherwort herb. 10 g of the collection pour 350 ml of water. Boil the broth over low heat for 5 minutes. After cooling, it is filtered and used for washing or douching. The procedure is performed once a day before bedtime for two weeks.
Series. To relieve itching at the initial stage of herpes, you need to pour 10 grams of dry grass with 250 ml of boiling water and let stand for an hour. Strain the infusion, soak a piece of gauze in it and apply to the affected area for 10 minutes. Also, the drug can be taken orally (100 ml twice a day).
Chamomile. It has an anti-inflammatory effect, helps relieve pain. 5 grams of dried flowers are poured into 200 ml of boiling water and left for 40 minutes. Strain and use for irrigation of mucous membranes or douching. You can use this infusion 2 times a day.
How is genital herpes treated with sea salt: 50 grams of sea salt are dissolved in 10 liters of boiling water, and after the product has cooled down, it is used for taking sitz baths. The procedure is carried out daily (for a quarter of an hour for 14 days). It is not necessary to wash off the saline solution, it is enough to gently blot the external genitalia.
Echinacea root. Used to strengthen the immune system. To prepare the product, you need to pour 20 grams of crushed raw materials into 100 ml of 70% alcohol. The tincture is kept for a week in a dark, cool place. Then, the agent is filtered and taken 25 drops 3 times a day. The course of treatment is 2 months. If necessary, it can be repeated.

Herbal treatment

Take 4 tbsp. l. herbs of lemon balm, thyme and motherwort, chamomile flowers, raspberry leaves, juniper fruits, 2 tbsp. l. wormwood, adonis and St. John's wort. Pour 2 tbsp. l. mixture with two cups of boiling water. Leave for an hour, take 1/4 cup 4 times a day. Course - 2 weeks.
With this disease, baths with the addition of essential oils of lemon, geranium eucalyptus and tea tree help well. The duration of the bath is 15 minutes.

Arnica in folk treatment

15 g of dried arnica flowers pour 0.5 liters of boiling water, leave for 2 hours, use for compresses on the affected areas

Alternative treatment of genital herpes with birch buds

Pour 15 g of birch buds with 1 glass of milk, boil for 5 minutes, cool, wrap in gauze, use as an external anti-inflammatory agent in the form of compresses.

Kalina in the folk treatment of genital herpes in men and women

Pour 20 g of crushed dry fruits of viburnum with 1 cup of boiling water, leave for 4 hours. Take 1/2 cup 4 times a day. The course of treatment is 10 days.

Alternative treatment of lungwort

1 st. l. lungwort pour 1 cup boiling water, insist in a thermos for 45 minutes. Take 1 glass 2 times a day. The course of treatment of genital herpes - 10-12 days

narrecepti.ru

Ways of transmission of the disease

Genital herpes belongs to the category of sexually transmitted diseases.

Infection occurs not only from a person who suffers from rashes on the genitals (relapse), but also in the absence of characteristic manifestations of the disease, which is observed with asymptomatic virus carriers and atypical forms.

Infection is also possible through oral-genital contact. Domestic transmission of infection is extremely rare. The highest incidence rate is observed in the age group of 20-29 years. The herpes virus can live in the body throughout life. In the interrecurrent period, it is located in the nervous system and does not manifest itself, so patients, often unaware of the presence of the disease, can become a source of infection for sexual partners.

In addition to the sexual method of transmission of genital herpes, infection is possible when a child passes through the birth canal during childbirth or the fetus passes through the placenta of a sick mother.
In some cases, human infection can occur in the absence of sexual contact: infection in this case is the result of non-observance of personal hygiene rules, when a person transfers the herpes simplex virus from his lips to his genitals with dirty hands.
The herpes simplex virus, which once entered the body through microtrauma to the skin and mucous membrane of the genital organs, remains in the body for life.
A person with strong immunity, leading a correct lifestyle, may never know about the presence of a virus in the body and not get acquainted with the clinical signs of the disease.
However, with factors favorable for infection (severe overwork, stress, hypothermia, colds, overheating in the sun, mental and physical trauma, prolonged alcohol intoxication, hormonal changes), the virus is activated and genital herpes is exacerbated.

In newborns

The most severe complication of genital herpes is neonatal herpes, when the infection of the child passes from the mother during childbirth. The chance of transmission of the herpes virus to the newborn increases if the mother becomes infected during the last 3 months of pregnancy. Infection of newborns leads to serious disorders of the child's nervous system, blindness and even death.

If it was found that during pregnancy in the expectant mother, the herpes infection entered the active phase, then delivery by caesarean section is recommended to avoid the passage of the fetus through the birth canal.

In adults, genital herpes does not cause disruption of the internal organs and does not provoke infertility. This disease is the least dangerous among all those that are sexually transmitted. The question of how to treat genital herpes is relevant, because it brings a lot of suffering to the patient during exacerbation, worsens his emotional and psychological state, and reduces a person’s performance. In addition, the infection facilitates the transmission of HIV infection and provokes the transition of HIV into AIDS.
jlady.ru

Infection with pathology

There are several ways to get genital herpes:

sexually. It is worth noting that a condom cannot 100% protect against genital herpes. Virus cells, when the vesicles are damaged, can get on the pubic hair, inner thighs. Therefore, the percentage of protection with a condom is only 50%. Homosexuals are more likely to suffer from genital herpes, usually the disease affects the anus, colon and urethra.
Through the use of the patient's dishes. This method of infection is rare, since rashes on the genitals are provoked in 70% of cases by a type 2 virus.
In public toilets. This method of infection is rare, since the virus does not live on the human body for long.
Transfer of the virus from the lips to the genitals when touching the ulcers. This is the so-called autoinfection, when a patient transfers disease cells from one part of the body to another.
During oral sex with a person who has rashes on his lips. It is possible to infect the genital organs when caressing them with lips affected by herpes. But there are also cases of reverse infection, when the virus from the genitals enters the mucous membrane of the mouth.

Of course, disease cells do not live very long in the air, but this is quite enough to infiltrate the mucous membranes of the nose or mouth. Scientists have found that the herpes simplex virus does not die with repeated freezing and thawing. At a temperature of 36 ° C, he lives 20 hours.

What can not be done when sick?

If symptoms of the disease appear, there is no need to panic, because with proper treatment a long-term remission is possible. It is also worth abstaining from sexual activity until the complete disappearance of the manifestations of herpes.

It is not recommended to drink alcohol, which is a provoking factor for this disease.
Before a visit to the doctor, you can not rub the affected areas and touch them with your hands.
This contributes to the spread of the virus and the appearance of new rashes.
It is strictly forbidden to treat vials with alcohol, as it is not intended to treat such problems and can cause chemical burns to the mucous membranes or skin.

Many patients are interested in the question, is it possible to cure genital herpes without going to the hospital? The answer to it is negative. Self-medication will only aggravate the condition and cause frequent relapses.

Possible Complications

You need to know how to quickly cure genital herpes, because if you do not see a doctor in time, complications may occur.

Without timely therapy, genital herpes causes:

Dysuria or neuropathy causing acute urinary retention.
Massive infection of the internal organs. This occurs in rare cases, mainly with immunodeficiency (the hands, buttocks, mucous membrane of the eyes are affected, and oral sex causes stomatitis, cheilitis or pharyngitis).
In women, having genital herpes increases the chance of cervical cancer.
Psychological problems and tendency to depression.
With primary genital herpes in pregnant women, infection of the fetus occurs in 50% of cases. More often this happens during the passage of a child through the genital tract, affected by herpes, and is excluded during a caesarean section. Infection of the fetus leads to damage to his eyes, skin and nervous system, and sometimes to disability.

Prevention

Specific prevention methods include the use of vaccines. But due to the fact that the virus is arranged in a special way, it is not always possible to obtain a lasting effect.

Nonspecific measures for the prevention of genital herpes are:

moderate exercise and a healthy lifestyle;
avoiding alcohol and smoking;
strengthening the immune system;
the use of barrier contraceptives for any type of sex.
proper personal hygiene (do not use someone else's underwear, towels, etc.).

If you are already infected with the herpes virus, in order to prevent frequent exacerbations, avoid overheating and hypothermia, take vitamin complexes for prevention. Be attentive to your body and always stay healthy!

Useful video: living with the genital herpes virus (doctor's advice)

sovetclub.ru

Methods of transmission of the herpes virus

The viability of the virus in the external environment at room temperature and normal humidity is maintained for a day, at a temperature of 50-52 ° C it is inactivated after 30 minutes, and at low temperatures (−70 ° C) the virus is able to remain viable for 5 days. On metal surfaces (coins, door handles, water taps) the virus survives for 2 hours, on wet sterile medical cotton wool and gauze - during the entire time of their drying (up to 6 hours). The herpes simplex virus is most easily transmitted by direct contact with damaged tissues or body fluids of an infected person. Transmission of the virus is also possible during periods of asymptomatic virus carrying. The herpes virus is not able to penetrate the intact stratum corneum of the skin, due to the lack of specific receptors on it.

Oral herpes is easily diagnosed only in the presence of external manifestations - wounds or ulcers. In this case, it will not be difficult to diagnose the disease on your own by comparing herpes on the lip with a photo on the Internet. However, in the early stages there are no symptoms of the disease, and herpes can only be diagnosed by laboratory methods. Prodromal symptoms, which appear even before the appearance of visible herpetic lesions, will allow differential diagnosis of symptoms of infection with the herpes virus from, for example, allergic stomatitis. If the disease does not manifest inside the mouth, primary orofacial herpes may be mistaken for impetigo or a bacterial infection. In addition, mouth ulcers (aphthae) can also look like oral herpes, but no blisters appear. After contact with the source of infection, viral particles enter the cells of the skin epithelium, then the virus migrates to nerve cells by fusing the outer shell of the virus with the cell membrane, and the viral DNA is released inside the cell. Then it is transported along the dendrites of nerve endings to the body of a sensitive neuron, located in the sensory ganglion, where they are permanently integrated into its genetic apparatus. After the penetration of the virus, the process of its active reproduction in the cell begins - persistence. With viral lesions of the lips, the persistence of the virus in the neurocytes of the sensitive ganglia of the trigeminal nerve is characteristic. In most people, the reproduction and shedding of the virus immediately after infection is asymptomatic. This can happen more than a week before or after the first symptoms appear in 50% of cases. The causative agent multiplies intensively in it. Focal death of the epithelium occurs: cells increase in size, then die, forming foci of dead cells. The duration of the period of virus excretion during the localization of the virus on the lips in herpes simplex type 1 is 6-33 days, and in herpes simplex type 2 - 1 day. After infection, the body begins to synthesize antibodies against a specific type of herpes virus, preventing the infection from spreading. In the case of infection with the herpes virus type 1, this production of antibodies will protect the body from other infectious processes caused by this virus, such as genital herpes, herpetic keratitis and panaritium.

Antibodies that are produced after an initial herpes infection prevent infection with the same type of virus: people who have had type 1 orofacial herpes do not get panaritium or genital herpes caused by type 1 herpes.

Herpes on the lips: the course of the disease

Herpes on the lips appears within a short time. It is localized mainly on the upper lip or in the corners of the mouth. Bubbles with liquid burst and form painful wounds, which dry out and become covered with a crust in 3-4 days. The healing of these wounds is complicated by the fact that when talking or eating, the crust can burst and the wound begins to bleed.

Treatment of herpes on the lips

There is currently no cure for herpes. Available drugs only suppress the reproduction of the virus, but do not remove fragments of viral DNA from neurocytes. Therefore, there is always the possibility of repeated rashes, especially with immunodeficiencies (for example, with HIV infection or tumors). The use of antiviral agents can suppress the activity of the virus and relieve symptoms. Treatment of herpes on the lips can take a long time - the wound can heal much faster if left untouched, but in the case of the lips this is almost impossible. Antiviral ointments such as acyclovir will help speed up the healing process. It has been proven that acyclovir and valaciclovir are effective in the treatment of facial herpes (on the lips), including in cancer patients. When applied topically for the treatment of facial herpes, acyclovir, penciclovir, docosanol (docosanol) are effective. These drugs are allowed for sale without a doctor's prescription. They must be used regularly, while observing the rules of hygiene: using only personal utensils, towels, and so on. Alternative methods act indirectly, having only a tonic, anti-inflammatory effect. Echinacea preparations stimulate the immune system. Lysine, being an essential amino acid, is a plastic material for tissue regeneration. Zinc ointments, when applied to the skin, have anti-inflammatory, antiseptic and drying effects, preventing the penetration of the virus and accelerating the healing of ulcers. This also includes aloe vera extract and propolis, as natural anti-inflammatory agents. If the symptoms of the disease do not go away for a long time, you should consult a doctor who will recommend how to treat herpes on the lips more effectively and avoid complications.

Herpes and weakened immune system

During primary infection, IgM antibodies are formed, with relapses - IgG and IgA. Due to the persistence of the virus in infected individuals, immunity is non-sterile. In some periods, under the influence of various factors, the disease can worsen and manifest itself in the form of well-known symptoms. In addition, the herpes virus itself is capable of inducing immunodeficiency. The level of immunity significantly affects the number and severity of relapses. After the stage of active infection, the virus remains in an inactive state to live in the sensory ganglia and ganglia of the autonomic nervous system. No virus particles are produced in this phase. The frequency and severity of outbreaks varies widely from person to person. Some develop ulcers that do not heal for weeks, while others appear only as a slight itching and burning sensation for a few days. There is some evidence that heredity affects relapse rates. In the region of chromosome 21, there is a zone that includes 6 genes, which is associated with the frequency of outbreaks. The severity of outbreaks and their frequency decreases over time. After a few years, some people will not have any symptoms at all, although the virus will be shed and able to be transmitted to others. In immunocompromised individuals, outbreaks will be more severe, longer, and more frequent. Outbreaks can occur in the same places or in close proximity to the nerve endings of the infected ganglia.

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Symptoms

Allocate primary and recurrent herpes. Symptoms of primary herpes appear on average 2 to 14 days after infection. With recurrent herpes, the disease worsens periodically. The number of relapses determines the severity of the course of the disease, while there are three degrees:

Mild, when exacerbations occur up to 3-4 times a year.
Moderately severe, when exacerbations occur from 4 to 6 times a year.
Severe, in which exacerbations occur monthly.

Before the onset of rashes in the genital area, harbingers of relapse are noted: burning, itching, pain and swelling. There may be periodic numbness, heaviness and aches in the upper thigh, sometimes extending to the lower back or buttocks; drawing pains in the perineum. These symptoms may be accompanied by fever and general malaise. Then bubbles filled with a clear liquid form on the skin and mucous membranes of the genitals, which soon burst. In their place, small painful sores form.

Very often, genital herpes is asymptomatic. In this case, infection of sexual partners is possible even in the absence of symptoms.

Due to the variety of clinical manifestations of genital herpes and its frequent combination with other urogenital infections that have similar symptoms, identification of the causative agent of the disease is of great importance.

Diagnostics

With typical symptoms, the diagnosis is based on the clinical picture. Careful examination of the patient allows you to make a diagnosis.

In non-obvious cases resort to laboratory research. For laboratory tests, swabs and blood tests are taken. Studies for the diagnosis of the disease are divided into two groups - the detection of HSV, the detection of antibodies to HSV.

Treatment

Treatment of genital herpes is carried out comprehensively and for a long time. Even after therapy, HSV remains in the body, but as a result of antiviral treatment, the activity of the virus decreases, the duration and number of exacerbations are reduced, and the periods of remission are lengthened.

Prevention

A long-term relationship with one regular partner who has been tested for genital herpes can reduce the risk of infection.

The use of condoms during sex with a new partner helps to prevent infection with herpes. After accidental unprotected sexual contact, preventive measures should be taken.

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Symptoms of genital herpes

Genital herpes is a viral infection that is usually transmitted sexually. The causative agent of genital herpes is the herpes simplex virus (Herpes simplex). The incubation period can be up to a week after sexual contact with a virus carrier. A characteristic feature is the appearance of herpetic vesicles in the place where there was contact with the sexual partner - in the area of the external and internal genital organs, labia. Bubbles open and in their place painful sores are formed, which are covered with crusts. Then the crusts come off. Within ten days, a new rash may appear. More than half of the cases of herpes occur without clinical symptoms, but virus carriers can also infect their sexual partners. Asymptomatic virus carriers pose the greatest danger to newborns, since herpes can cause severe neurological changes and blindness in them.

Diagnosis of genital herpes

To confirm the diagnosis of genital herpes, immunofluorescence assay (ELISA) reactions and diagnostics by polymerase chain reaction (PCR) are used. But even in the presence of a characteristic clinical picture of the disease, laboratory methods can give negative results.

Treatment of genital herpes

The main factor in the treatment is stimulation of the body's own immune system and the appointment of antiviral drugs. In severe exacerbations, acyclovir is prescribed, cycloferon is locally prescribed. However, it should be borne in mind that even modern antiherpetic drugs only reduce the severity and frequency of exacerbations of the disease, but do not destroy the virus in the body.

Prevention of genital herpes

The main method of prevention is the observance of hygiene and the orderliness of sexual contacts, the exclusion of oral-genital contacts unprotected by contact contraceptives.

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Genital herpes in our time is a common viral disease that. Statistics say that 90% of the world's population are carriers of HSV, and 20% of them have clinical symptoms.

A condom can't protect you from genital herpes

The cause of this common ailment is infection with the herpes virus, which occurs sexually. It is caused by two types of herpes simplex viruses: HSV type 1 and HSV type 2. In 80% of cases, the causative agent of the disease is the herpes simplex virus of the second type. The remaining 20% of the incidence is associated with HSV type 1, which most often causes rashes on the lips.

When it enters the body of a healthy person, the virus invades nerve cells and integrates into their genetic apparatus, remaining in the body for life. According to statistics, the level of herpes infection of all people living on the planet is 90%.

Healthy immunity produces special antibodies and suppresses the clinical manifestations of the disease. Most people who are infected can go their entire lives without symptoms, being carriers and infecting others.

Activation of the virus occurs when the following risk factors occur:

vitamin deficiency;
decreased immunity;
stress on the nervous system;
violation of the regime of work and rest;
the presence of sexually transmitted diseases;
pregnancy.

The presence of the above factors can cause an active phase, which will manifest itself with its symptoms.

Transmission routes

transmission path

Treatment is based on The main task is to reduce the unpleasant manifestations of the disease. You can treat genital herpes at home only under the supervision of a doctor.

The success of therapy is manifested depending on the phase of the disease. When talking about how to quickly cure genital herpes and get rid of the accompanying symptoms, you need to understand that earlier treatment will lead to a speedy recovery.

If relapses occur more than 5 times a year, special preventive therapy is necessary. This is a long-term event that will significantly support immunity and reduce the frequency of relapses.

It is carried out very carefully to avoid harm to the fetus. A more gentle therapy is used, which is strictly controlled by the attending physician.

Medications

The main drugs used in traditional medicine in the treatment of genital herpes:

Acyclovir;
Famciclovir;
Penciclovir;
Valaciclovir.

They are produced in various forms of release, such as ointments, injections, creams. taken orally up to 5 times a day for 7 to 10 days. When using the drug Famciclovir, side effects such as headaches and allergic reactions are less common.

Interferon preparations, which include Arbidol and Amiksin, accelerate recovery and lengthen the period between relapses. Equally important in stimulating the work of immunity is the observance of a healthy lifestyle and a positive psychological background of the patient.

To get rid of skin rashes, ointments are used that are applied to the affected areas 5-6 times a day. For example, a well-established remedy is Poludon ointment.

As a rule, the doctor prescribes a complex of therapeutic measures, consisting of tablets and ointments.

An important addition is the intake of vitamin complexes, such as Vitrum, Complivit and others.

Of course, in the treatment of such an insidious disease, a pharmacological approach with the use of specifically targeted drugs is needed. However, the use of baths with essential oils of lemon or tea tree is not only not forbidden by medicine, but is even considered useful in relieving the symptoms of the disease.

With all the variety of effective means, an infected person should remember that only a doctor can prescribe treatment.

When should I seek treatment and which doctor should I contact?

The diagnosis of "genital herpes" is made by a doctor on the basis of an examination, as it is obvious. If you have associated symptoms, you should immediately consult a doctor. Diagnosis and treatment of this disease are carried out by doctors of narrow specialization:

dermatovenereologist;
gynecologist;
urologist.

With erased symptoms and infectious processes, the doctor prescribes laboratory tests. But such a diagnosis rarely reveals the activity of the disease and the duration of infection due to the high prevalence among the population. Therefore, for accurate diagnosis, a number of measures are taken:

1. Reveal the nature of the rashes on the mucous membranes of the genital organs;
2. The presence of a history of herpetic rash;
3. The state of the immune system;
4. Test results - PCR, antibodies to the herpes virus of the first and second types.

Only a specialist will be able to identify the disease and prescribe the appropriate treatment.

With the timely detection of genital herpes at the initial stage, there is a possibility of curing it with the help of modern effective pharmaceuticals. Advanced forms require immune support and drug therapy to alleviate symptoms. To prevent infection, it is necessary to use personal protective equipment and carefully observe hygiene.

Who said that curing herpes is difficult?

Do you suffer from itching and burning in the places of rashes?
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In addition, constant relapses have already firmly entered your life ...
And now you are ready to take advantage of any opportunity that will help you get rid of herpes!

There is an effective remedy for herpes. and find out how Elena Makarenko cured herself of genital herpes in 3 days!

This drink will defeat genital herpes. Herpes and alcohol: weakened immunity will lead to relapses. Mistakes in the treatment of herpes

Do I need a referral from a doctor to get tested for herpes?

Will details of the diagnosis be sent to my primary care physician?

What is herpes simplex?

What are the symptoms of genital herpes?

How long will the symptoms of genital herpes last?

Can herpes spread throughout the body?

How common is herpes simplex?

What is the difference between herpes virus type 1 and 2?

What other herpes viruses exist?

How is the genital herpes virus transmitted?

Can a partner infected with genital herpes pass the virus to a person to another part of the body?

How can I protect my partner from infection?

Can using a condom prevent the transmission of genital herpes?

Can I pass on herpes simplex if I don't have symptoms?

What if my partner already has herpes simplex?

What if my partner already had herpes on his lip?

If my partner doesn't have genital herpes, how could I get it?

Is it possible to get genital herpes through objects?

Can children get genital herpes from me?

Can you get genital herpes from labial herpes?

Can you get genital herpes from kissing?

What is the risk of infection between relapses?

Why does genital herpes reappear?

How often can genital herpes manifest itself?

Should genital herpes be treated?

How is genital herpes usually treated?

How to treat relapses of genital herpes?

Are there side effects from taking antiviral medications for genital herpes?

How to reduce discomfort and speed up healing? Self help with genital herpes.

Sometimes there is pain around the buttocks or in the leg. What does it mean?

How severe can a recurrence of genital herpes be and how likely is it?

Do all those infected have recurrences of herpes?

What should be done to reduce the recurrence of genital herpes?

Can I pass genital herpes on to a child?

Does genital herpes cause cervical cancer?

Can I donate blood if I have herpes?

What is acyclovir

Symptoms and treatment of herpes

Virus types

Herpes symptoms

Diagnosis of herpes

Herpes treatment

Mistakes in the treatment of herpes

Prevention of herpes

Alcoholic pseudo-paralysis - Intoxication psychoses

differential diagnosis.

Treatment.

Treatment of herpes: basic principles and applied means

Principles of treatment

Brief overview of drugs used in the treatment of herpes

Antivirals

Immunostimulants

Folk remedies

Herpes treatment with acyclovir

The drug Valaciclovir

Famvir drug

Panavir

Fenistil Pencivir

Immunoglobulins as important antiviral drugs

Antibacterial ointments and gels

Additional remedies for relief of symptoms of the disease

Folk remedies for the treatment of herpes

Features of nutrition during the course of herpetic infection

Causes of genital herpes

Symptoms of genital herpes

With primary infection with herpes, the incubation period is up to 8 days. Then, the following symptoms appear:

Types of herpes virus

Herpes simplex virus 1 - 2 types - characteristics

Diagnosis

In men and women

Treatment with medications

Medical treatment

Together with antiviral agents, immunomodulators are prescribed:

The scheme of treatment of the disease

Scheme for the use of drugs from a pharmacy

Taking medications for progressive genital herpes

Stage 1 (relapse)

Stage 2 (reduction of exacerbation)

Stage 3 (remission)