Treatments Genital Herpes?Before choosing a treatment for the genital herpes, a provider of medical attention has several problems that consider. More about the considerations on the treatment of the genital herpes.
Genital medicines against the herpes Three medicines antivirales that have showed in studies to provide a clinical profit for the genital herpes.
These farmacos are aciclovir, valaciclovir and famciclovir.
Medicine herpes aciclovir was one of the first medicines that used for the infections virales, included the herpes. It works when limiting the replication and the back propagation of the virus to other cells. It can not warn the destruction of the cells that already are infected with the virus.
Medicamiento Herpes valaciclovir metaboliza in the liver and the intestines to aciclovir and can use in dose lower that the aciclovir.
Medicine herpes Famciclovir also works when limiting the replication of the virus of the herpes.
To the first shoot of genital herpes The majority of the people with an initial shoot of genital herpes and a normal immune system have to receive treatment, since the symptoms can be grave and prolonged.
Medicines that can use and all take oralmente
- Farmaco Aciclovir 400 mg thrice to the day during 7 to 10 days
- Farmaco Acyclovir 200 mg five times to the day during 7 to 10 days
- Farmaco Famciclovir 250 mg thrice to the day during 7 to 10 days
- Farmaco Valaciclovir 1 g twice a day during 7 to 10 days
Recurrent shoots Genital Herpes?The treatment with medicines antivirales can help to the people affected by the shoots of genital herpes to remain without symptoms during more time. These medicines also can reduce the gravity and the length of the symptoms when they worsen .
The therapy with medicines is not a cure, but can facilitate the life with the condition.
Treatment episódico A person that has less than 6 shoots of genital herpes to the year and a normal immune system can consider take alone medicines when it occurs a shoot. If it chooses this option of treatment, the medication has to begin inside 1 day of the symptoms.
A person that choose this option already would have to have the medicine to the hand.
Options of treatment episodico, oral taking:
- Farmaco Acyclovir 400 mg thrice to the day during 5 days
- Farmaco Acyclovir 800 mg thrice to the day during 2 days
- Farmaco Acyclovir 800 mg twice a day during 5 days
- Farmaco Famciclovir 125 mg twice a day during 5 days
- Farmaco Famciclovir 1000 mg twice a day during 1 day Valacyclovir 500 mg twice a day during 3 days
- Farmaco Valaciclovir 1000 mg once a day during 5 days
The therapy supresora reduces, but does not delete, the dissemination vírica.
Options of treatment supresivo, oral taking:
- Farmaco Acyclovir 400 mg twice a day
- Farmaco Famciclovir 250 mg twice a day
- Farmaco Valacyclovir 500 mg once a day
- Farmaco Valaciclovir 1000 mg once a day
The therapy supresiva has to consider with firmness in addition to the use regulate of the condom and the avoidance of the sexual activity during the recurrencias.
Genital herpes and alternative medicine have investigated several alternative medicines like options for the treatment or the supresión of the genital herpes, included the lisina, the zinc, the equinácea, the eleutero and the products of the bees.
Unfortunately, they are missing rigorous clinical proofs for these options. However, a study yes showed that the propóleos, a sticky substance that the bees produce from some seeds of trees, improves the time of healing in comparison with the aciclovir.
Since these preliminary findings seemed promising, is possible that find in the horizon more studies on the products of the bees.
Infections caused by VHS-1 and VHS-2?The oral infection by HSV-1 purchases typically in the infancy; due to the fact that the prevalencia of the oral infection by VHS-1 has diminished in the last decades, the people can have gone back more susceptible to contract an infection of genital herpes by VHS-1.
The infection HSV-2 is more common between the women that between the men (20.3% versus 10.6% in 14 to 49 years),possibly because the genital infection transmits more easily of men to women that of women to men during the sex penis-vaginal
The infection by HSV-2 is more common between the no Hispanic blacks (39.2%) that between the no Hispanic whites (12.3%).This disparity keeps , even between people with a similar number of sexual couples for life.
For example, between the people with 2-4 sexual couples for life, the VHS-2 still is more prevalente between the no Hispanic blacks (34.3%) that between the no Hispanic whites (9.1%) or the mexicoamericanos (13.0%).
The majority of the people infected can desconocer his infection; it estimates that 87.4% of the people of 14-49 years infected with HSV-2 never have received a clinical diagnostic.
The illness ulcerativa genital caused by the herpes does that it was easier to transmit and purchase the infection of HIV sexually.
It estimates that it exists a risk of 2 to 4 greater times to contract the HIV if the people with infection by genital herpes are genitalmente exposed to the HIV.
The ulcers or splits in the skin or the membranes mucosas (revestimiento of the mouth, the vagina and the rectum) of an infection by herpes can engage the protection that usually provide the skin and the membranes mucosas against the infections, included the HIV.
Have genital herpes increases the number of cells CD4 (the cell target for the entrance of the HIV) in the genital mucosa. In people with HIV and genital herpes, the local activation of the replication of the HIV in the place of the infection by genital herpes can increase the risk of transmission of the HIV during the contact with the mouth, the vagina or the rectum of a sexual couple no infected with the HIV.
How it infects Genital Herpes?The infections transmit through the contact with the VHS in injuries herpéticas, surfaces of the mucosa, genital secretions or oral secretions.
The VHS-1 and the VHS-2 can delete of the oral or genital mucosa of normal appearance or of the skin. 7,8 Generally, a person only can contract the infection by HSV-2 during the genital contact with somebody that has a genital infection by HSV-2.
However, receive oral sex of a person with an oral infection by VHS-1 can cause a genital infection by VHS-1.
The transmission occurs commonly by contact with a couple infected that it does not have visible injuries and that it can not knowing that it is infected, In people with infections asintomáticas by HSV-2, the desprendimiento genital of HSV occurs in 10.2% of the days, in comparison with 20.1% of the days between those with infections sintomáticas.
Complications of the Genital Herpes?The genital herpes can cause painful genital ulcers that they can be severe and persistent in people with immune systems repressed, like the people infected by the HIV. 5 So much HSV-1 like HSV-2 also can cause complications little common but bass, like aseptic meningitis (inflammation of the revestimientos of the brain). The development of injuries extragenitales (for example, glúteos, groin, muslo, finger or eye) can occur during the course of the infection.
Laspersonas That contract genital herpes have interests on how will affect his general health, his sexual life and his relations. It can have a big shame, shame and stigma associated with a diagnostic of herpes that can interfere substantially with the relations of the patient.
The doctors can tackle these interests encouraging to the patients to recognise that, although the herpes is not curable, is a handy condition.The profits that the specialists advise to his recently diagnosed patients are: give information, provide resources of support and help to define the options of treatment and prevention.
Can advise to the patients that the risk of transmission of the genital herpes can reduce, but not to delete, when revealing the infection to the sexual couples, vitar the sex during a recurrent shoot, use the treatment antirretroviral supresor and the constant use of the condom.
Since the diagnostic of genital herpes can affect the perceptions on the existent sexual relations or future, is important that the patients understand how speak with his sexual couples on the illnesses of transmision sexual. Can find a resource here: www.gytnow.org/talking-to-your-partnertambién there are potential complications for a pregnant woman and his recently born son.
Herpes and a pregnant woman and to his baby?The neonatal herpes is one of the gravest complications of the genital herpes.The professionals of the health have to ask him to all the pregnant women if have antecedents of genital herpes.
The infection by herpes can transmit of mother to son during the pregnancy or the childbirth, or the babies can infect shortly after the birth, what can ocasionar an infection by neonatal herpes potentially mortal.
The born babies of women that purchase the genital herpes near of the moment of the childbirth and are deleting the virus in the moment of the childbirth have an a lot greater risk to develop neonatal herpes, in comparison with the women that have recurrent genital herpes.
Therefore, it is important that the women avoid to contract herpes during the pregnancy. Has to advise to the women that abstain to have sexual relations during the third quarter with couples that knows have or suspects that have genital herpes.
Although to the women with genital herpes can them offer medicines antivirales during the pregnancy until the childbirth to reduce the risk of a recurrent shoot of herpes, has not showed that the prophylaxis antiviral of the third quarter diminish the risk of transmission of the herpes to the recently born.
Neither it recommends the sifted serológico of HSV of routine of pregnant women. 11 However, to the start of the work of childbirth, all the women have to subject to an examination and an accurate interrogation to evaluate the presence of symptoms prodrómicos or injuries herpéticas.
If there are symptoms of herpes, recommends a childbirth by cesárea to warn the transmission of the VHS to the baby.
There are guidelines detailed on how treat to the babies asintomáticos been born of women with injuries of active genital herpes.
The women with genital herpes examine carefully to detect any symptom before giving to light. If they appear ulcers or signals that a shoot appears in the moment of the childbirth, the baby can be born by cesárea (also called cesárea).
Also it is possible that begin to take medicines against the herpes roughly a month before his date of vencimiento, in an attempt to warn any shoot of herpes around the moment of the childbirth.
The women that take medicines antivirales for the herpes, already was therapy supresiva daily or occasional therapy for shoots, have to consult to his doctor on if take the medicines during the pregnancy. The answer is not immovable: you and his doctor have to analyse the risks and the profits to decide what is the best for you.
Proofs of VHS, Genital Herpes?
The proofs of VHS preferred for patients with active genital ulcers are the detection of DNA of VHS by means of proofs of amplification of nucleic acids such as the reaction in chain of the polymerase (PCR) or the isolation by crop viral.
The crop of HSV requires the recolección of a sample of the injury and, once that it observes the growth viral, specific cellular tinction to differentiate between HSV-1 and HSV-2. However, the sensitivity of the crop is drop, especially for the recurrent injuries, and diminishes to measure that the injuries sanan.
The PCR is more sensitive, allows results faster and precise, and uses increasingly. Due to the fact that the desprendimiento of virus is intermittent, the fact of not detecting the VHS by crop or PCR does not indicate an absence of infection by VHS.
The proofs serológicas of herpes are analysis of blood that detect antibodies against the virus of the herpes. 11,26 The providers only have to request analysis serológicos based in glucoproteína G (gG) specific of the type when it realises the serology for his patients.
Several proofs serológicas based in ELISA are approved by the FDA and are available commercially. Although it can suppose that the presence of the antibody HSV-2 reflects the genital infection, has to advise to the patients that the presence of the antibody HSV-1 can represent an oral or genital infection.
The sensitivities of the proofs serológicas specific of the type of glycoprotein G for HSV-2 vary of 80-98%; negative false results can be more frequent in the first stages of the infection.
The negative results of HSV-1 have to interpret with caution because some proofs serológicas based in ELISA are insensitive for the detection of the antibody HSV-1.
The proofs of IgM for HSV-1 or HSV-2 are not useful, because the proofs of IgM are not specific of type and can be positive during genital or oral episodes recurrent of herpes.
A primary infection would be backed by a proof virológica positive and a proof serológica negative, whereas the diagnostic of recurrent illness would be backed by results virológicos and serológicos positive.
Patients that inform to have a couple with genital herpes; Patients that present for an evaluation of illnesses of transmision sexual (especially those with multiple sexual couples); People with infection by HIV; and HSH with greater risk to purchase HIV. It take into account that although the proofs of specific herpes can determine if a person is infected with HSV-1 or HSV-2 (or both), does not exist a commercially available proof to determine if an infection of herpes in an individual was purchased of another specific person.
There is cure or treatment for the herpes?
There is not cure for the herpes. However, the medicines antivirales can warn or shorten the shoots during the period of time that the person takes the medicine. Besides, the therapy supresiva daily (that is to say, the daily use of medicines antivirales) for the herpes can reduce the probability of transmission to the couples.
At present it does not exist a commercially available vaccine that protect against the infection by genital herpes. The vaccines candidates are in clinical essays.
The treatment with medicines antivirales can help to the people affected by the shoots of genital herpes to remain without symptoms during more time. These medicines also can reduce the gravity and the length of the symptoms when they worsen .
The therapy with medicines is not a cure, but can facilitate the life with the condition.
All these are taken in shape of pill. The grave cases can treat with the intravenous medicine aciclovir.
When they give treatments for the genital herpes initial Treatment. If has symptoms like sores when it diagnoses him for the first time the genital herpes, his doctor generally will give him a brief course (of seven to 10 days) of therapy antiviral to relieve them or avoid that they worsen.
His doctor can keep it in the drugs by more time if the sores no sanan in this moment. After the first treatment, work with his doctor to contrive the best form to take therapies antivirales.
Recipes medicas for Genital Herpes?Intermittent treatment
His doctor can recetarle a medicine antiviral so that have manually in case that have another attack; this calls intermittent therapy. It can take the pills of two to five so prompt days as it notice sores or when it seats that it is producing a shoot.
The sores sanarán and will disappear by himself alone, but take the drugs can do that the symptoms are less severe and do them disappear faster. Treatment supresivo If has shoots often, is possible that wish to consider take a medicine antiviral every day.
The doctors call to this therapy supresiva. For somebody that has more than six shoots to the year, the therapy supresiva can reduce the number of shoots in 70% to 80%. A lot of people that take the medicines antivirales daily do not have any shoot. There is not a number established of shoots by year that the doctors use to decide when somebody has to begin the therapy supresiva. By the contrary, the most important factors are the frequency with that occur the shoots and if they are the sufficiently grave as to interfere with his life.
For somebody that has more than six shoots to the year, the therapy supresiva can reduce the number of shoots in 70% to 80%. A lot of people that take the medicines antivirales daily do not have any shoot.
There is not a number established of shoots by year that the doctors use to decide when somebody has to begin the therapy supresiva. By the contrary, the most important factors are the frequency with that occur the shoots and if they are the sufficiently grave as to interfere with his life.
Take a therapy supresiva daily also can reduce the risk to transmit the virus to a sexual couple. The medicines antivirales reduce the dissemination viral, when the virus does new copies of himself same in the surface of the skin.
A recent study of people that take daily doses of valaciclovir shows that the medicine can help to protect to the sexual couples of the infection, although it still has to use a condom of látex.
The half of the couples of people that took daily valaciclovir infected with the virus and the another half no. On the other hand, 75% of the partners did not show any symptom of genital herpes, even if they had purchased the virus.
Secondary effects medicacion
The secondary effects and care of follow-up for the genital herpes The secondary effects with these medicines against the herpes consider slight, and the experts in health think that these medicines are insurances on a long-term basis. The aciclovir is the most ancient of the three and his security has documented in people that take therapy supresiva during several years.
The people that take therapy supresiva have to consult to his doctor at least once a year to decide if they have to continue. It is possible that take tablets every day was a problem, that the medicines do not work for you or that, of course, have fewer shoots to measure that happen the time. His doctor can help it to take decisions of treatment that adapt to his needs.
Table of medicines of the Genital Herpes?There is not cure for the genital herpes. However, some medicines have been effective to reduce the length and the frequency of the shoots of herpes. The decision to use a treatment on another for the genital herpes depends on a lot of factors that have to argue with his provider of medical attention:
The first episode of genital herpes is used to to be the worst and often has other symptoms, like fever and fatigue. The recurrent shoots generally are not so painful and do not last so much.
The people that have frequent shoots have to consider the therapy supresiva (daily medication) to reduce the number of shoots of the illness.
Been of your immune system?The people with genital herpes that have HIV / SIDA, a transplantation of organ, leukaemia or that are taking medicines inmunosupresores on a long-term basis run the risk to contract infections by herpes more severe.
The greater people often also have an immune system weakened and have to analyse the options of treatment with his provider of medical attention.
Alternative treatments Genital Herpes?Several alternative therapies (also complementary calls) can help it to confront the shoots of genital herpes. Measures of domiciliary attention for the First genital herpes, the autocuidado simple can be sufficient to relieve the majority of the annoyances caused by the genital herpes. Take a free available analgesic, like aspirin, acetaminofeno or ibuprofen, can help to relieve the pain of the symptoms of the herpes.
The doctors sometimes recommend to submerge the area affected in warm water. But the area has to keep dry the greater part of the time. If it feels comfortable with the towel after the bathroom, try to use a dryer of peel. Afterwards put you underwear of cotton. The cotton absorbs the better humidity that the synthetic cloth. Grasses, supplements and more for the genital herpes
The scientists have studied extracts of grasses and nutritional supplements based in the affirmations of some patients with herpes that they help to relieve the symptoms. Some results of the study have been promising, other desalentadores.
A lot of people says that an extract of the plant of equinácea helps to increase the capacity of the immune system to combat the infections. Some say that it diminishes the frequency and the gravity of the shoots of genital herpes.
A pomada that contains propóleos, a substance cerosa that the bees produce, can help to sanar the sores of the herpes. The sores cured faster for the people that use the ointment of propóleo that for those that use ointments that contain the medicine antiviral aciclovir or a placebo.
The pomada applied to the sores of herpes four times to the day. After 10 days, 24 of the 30 people that used ointment of propóleo said that his sores cured , in comparison with 14 of the 30 people that used ointment of aciclovir and 12 of the 30 that used a placebo. The researchers also have discovered that the grass Prunella vulgaris and an edible mushroom, Rozites caperata (the "gipsy mushroom"), contain chemicals that combat so much the HSV-1 like the HSV-2.
These treatments have not been approved to treat the genital herpes by the FDA. It can buy them in shops, but considers them to him nutritional supplements, no medicines, by what are not subject to the same standards of quality that the medicines approved by the FDA.
Control the stress with Genital Herpes?Control the stress of healthy way can help to reduce the frequency with which has a shoot of genital herpes. The continuous stress, that hard more than a week, seems to unchain shoots more than any another factor of lifestyle.
Steps to be followed to control better the stress
- Sleep the sufficient. What more rested was, better will be able to handle the stress. The majority of the people needs roughly eight hours of dream every night to work usually. Some need less than this, others need more. It take into account how long it sleeps when it does not establish a clock of alarm.
- Have a diet balanced. Ensure that his diet include all the nutrients that the body needs to keep strong. Comma a lot of fruits and vegetables, and limit the quantity of foods azucarados and grasos and sodas that consumes. Also it reduce the caffeine and the alcohol if it tends to abuse of them.
- Exercise fisico. The physical activity is a big relief of the stress. It do something that enjoy so that it do not seem an arduous task. By motivation, includes a fellow. This could mean play a sport like the tennis, or have a couple to do exercise in the gymnasium or walk or run.
- Socializarse When you are estresado, sometimes the last that you want to do is socializar. But be with the people and amuse can help you to forget your problems by a time. It is not healthy to think thoroughly in them each minute. Also it is well speak on problems with somebody that concerns by you and in the one who can trust: a fellow, a member of the family, a spouse or even a therapist
- Relax. Some minutes of inactividad do a lot well. Probably you have listened about the technicians of relaxation, like the yoga or the biological feedback, but do not have to do these things if listen music, knit or simply look by the window is your idea of a rest relajante
Triggers of shoots Genital Herpes?Other factors triggers of the genital herpes
Sexual relations. Some people find that the friction of the sexual relations irritates the skin and causes symptoms. Use a lubricante to base of water can help to reduce the irritation. It do not use one that contain the espermicida nonoxynol-9, however. Nonoxynol-9 can irritate the membranes mucosas, like the revestimiento of the vagina.
The lubricantes sexualThe lubricantes to base of oil are a no-no, also. They weaken the látex, doing that the condoms are more liable to break . Even if the friction of the sexual relations seem to be a trigger of the symptoms, probably will not cause an attack every time that have sexual relations.
Resfríos And sunlight The common cold and the solar light seem to unchain shoots of oral herpes (labial herpes), but do not exist proofs that they cause shoots of genital herpes.
Hormones The changes hormonales, as those that occur in the cycle menstrual, can affect the shoots of genital herpes. Anybody knows why.
Surgery, feeble immune system. The traumatisms in the body, like the surgery, can cause the apparition of symptoms of herpes. It is possible that have an immune system weakened also do it.
The people whose immune system is weakened by the HIV, for example, tend to have shoots with more frequency that the people with a normal immune operation. It remember that the triggers can not being the same for all, and the doctors are not safe of how much affects the lifestyle to the shoots of symptoms of herpes. If it thinks that something in particular unchains symptoms, ask him to his doctor what has to do in this regard.
Genital herpes and his sexual life?It can have a satisfactory sexual life if has genital herpes, although it can be more complicated of what was before his diagnostic. Now, you have to have care with what do and when do it. It avoid these sexual activities when have sores in the genital or when it seats that it is producing an attack of herpes: vaginal Sex annual Sex Receive oral sex (felación, cunnilingus and analingus)
Between the shoots, is well have sexual relations, as long as his couple understand and accept the risk. For example, whenever it do not have herpes in the mouth, can practise oral sex with his couple, even when have a shoot of genital symptoms.
But his couple can be infected with herpes even when it do not have symptoms or sores. To help to warn this, always use a condom of látex for vaginal sex, annual sex and to receive felación. It does not guarantee that the condoms warn the infection, but the investigation has showed that offer some protection. It use a dental dam for cunnilingus and analingus.
Of the contrary, uses your imagination. There are a lot of ways in that the people can express sexually without having genital contact with genital or of mouth to genital. Explore them can enrich his sexual life and compensate the have to avoid other activities because of the genital herpes. It consult to a professional of the health if has doubts on what is safe and what no.
For example, you can test the mutual masturbation, that almost does not suppose any risk: you can masturbarte together, one at the side of the another, one in front of the another or of backs, or masturbarte ones to others manually. Only ensure you of not having any skin broken in your hands, and wash you the hands with warm water and soap afterwards. Besides, never it touch a sore of herpes and afterwards touch to his couple, and ensure that they can not exchange corporal fluids by accident. If to you and to your mate like them the vibrators or consoladores, could try use them the one with the another. Ensure you to wash the toy before and afterwards, and do not share it.
A medicine for the genital herpes can be adapted for you Also could consider take medicines antivirales against the genital herpes to reduce the quantity of virus that spills. A recent study shows that the therapy supresiva daily (take a medicine daily to reduce drastically the frequency of the shoots) can help to avoid that his couple infect . (However, it has to follow using a condom, since the therapy supresiva is only 50% effective to warn the transmission).
The daily therapy is not the only option, or necessarily the best for you. If his shoots are few and distant between yes, can reassure them when keeping a supply of pills antivirales that it could take in case of a shoot. Ask him to his doctor if it could benefit to take medicines for the genital herpes. Another consideration can be that the friction of the sex could irritate the skin and unchain shoots.
If this is a problem for you, try to use a lubricante sexual to base of water. K-And jelly and AstroGlide are two available marks in a lot of pharmacies. It do not use a lubricante to base of oil, however, because the oil can decompose the látex. Besides, it do not use a lubricante that contain the espermicida nonoxynol-9. The nonoxinol-9 can cause small rasgaduras in the membranes mucosas (like the ones of the genital) that they can allow that virus like the genital herpes and the HIV go in to the body with greater ease.