Everything you need to know about genital herpes

Written in association with: Dr Nneka Nwokolo
Published: | Updated: 14/12/2023
Edited by: Top Doctors®

Herpes is an incredibly common and irritating infection. Over half the population of the UK is thought to have one of the strains of herpes simplex. Herpes can affect the mouth, anal region and skin on many other parts of the body, but it is most commonly associated with the genitals. In this article, we examine how genital herpes is transmitted and treated, and what symptoms you should look out for.

What is genital herpes?

Genital herpes is a sexually transmitted infection (STI) caused by the type 1 and 2 herpes simplex viruses. The type 1 virus is the same virus that causes oral cold sores.

 

How is genital herpes transmitted?

In people who have genital herpes, the virus is present on the genital skin, and on the lips and mouths of people with oral herpes and is transmitted by sexual contact, including oral sex. 

Most people who have herpes are unaware of their infection because it often causes no, or very minor, symptoms. People who don’t have symptoms are also able to transmit the virus to their sexual partners.

 

What are the symptoms of herpes?

Herpes typically causes blisters or ulcers on the genital skin; other symptoms may include itching, tingling, vaginal or penile discharge or discomfort when passing urine.

When people first catch herpes, the genital blisters may be accompanied by flu-like symptoms including fever and general malaise. These symptoms may last for several days and usually get better on their own.

Symptoms may come back again from time to time but are usually milder than the first episode. When herpes comes back again, these episodes are called recurrences.

 

How is genital herpes treated?

Herpes is treated with a course of an antiviral medicine such as acyclovir. Future episodes or recurrences can also be prevented by taking acyclovir.

 

Is there a cure for genital herpes?

There is no cure for herpes, but many people have no further episodes after the first one, and in those who do, treatment controls or stops symptoms in the majority of people.

For most people, as with oral cold sores, genital herpes is often no more than a nuisance.

 

 

 

If you notice any of the symptoms mentioned above, you should consult your GP or a specialist (dermatologist, sexual health specialist or gynaecologist).

Dr Nneka Nwokolo

By Dr Nneka Nwokolo
Genitourinary Medicine

Dr Nneka Nwokolo is a London based consultant physician in Sexual Health and HIV Medicine who is known for her sensitivity and discretion.

Dr Nwokolo has extensive experience in the management of sexually transmitted infections STIs and HIV in men and women, and a special interest in the management of chronic and recurrent problems such as genital herpes, recurrent thrush and bacterial vaginosis. She has particular expertise in the treatment of syphilis and antibiotic-resistant gonorrhoea.

Other areas of expertise include contraception, management of the menopause, the sexual health of women and adolescents and pre and post-exposure prophylaxis against HIV infection.

She was the lead author of the 2015 UK National Guideline for the Management of Genital Chlamydia Infection. She has many publications in the fields of sexual health and HIV.

Dr Nwokolo provides the full range of contraceptive methods including implants and intrauterine contraception and is an instructing doctor for the Faculty of Sexual and Reproductive Health, providing training in contraception to doctors and nurses. She is the lead for young people in her NHS practice and provides sympathetic sexual health care and contraception to adolescents over the age of 16.

 


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