Most people who are infected with herpes have no or barely noticeable symptoms. Only 20% get typical herpes outbreaks with small blisters (vesicles) that quickly burst and leave superficial sores. Some patients also get enlarged, slightly tender lymph nodes in the groin. Less common are reduced general condition and fever.
The diagnosis of herpes genitalis is often made based on the appearance numbers. You can, however, take a brush sample from the wound surface and send it in for PCR.
Initial outbreaks normally last two to three weeks. Later outbreaks are shorter (about a week) and milder.
Herpes genitalis is not a dangerous disease, but can cause significant discomfort (frequent outbreaks, wound pain, complications) and cause psychological stress. Sexual life can also be negatively affected due to the outbreaks themselves, as well as persistent fear of infecting the partner.
Herpes genitalis is caused by herpes simplex type 1 or 2. Anyone who is sexually active can get genital herpes, and close to 30% of the adult population is infected.
The herpes virus enters the body through skin and/or mucous membrane contact. Normally, it takes just under a week from being infected to the onset of symptoms, but for some it can take up to three weeks.
The herpes virus remains in the body for the rest of one's life after being infected, and the virus can later be activated and cause new outbreaks.
Treatment should start within 72 hours to achieve a good effect. First outbreaks are treated with antiviral tablets for 5-10 days. Recurrent outbreaks are treated with corresponding tablets in shorter courses. Wound pain can be treated with painkillers (for example paracetamol and/or ibuprofen), as well as with local anesthetic gel/ointment.
Among patients with frequent outbreaks, daily preventive treatment (suppression treatment) may be appropriate.