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HSV (Genital Herpes)

Infection presenting with painful genital ulcers caused by herpes simplex virus.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is HSV (Genital Herpes)?

Genital herpes is a chronic viral infection caused by HSV-2 (the main agent) and HSV-1, transmitted through sexual contact. The primary infection usually presents with severe symptoms, while recurrences are milder and shorter.

After the initial infection, the virus remains latent in the sacral nerve ganglia and may reactivate due to immune weakening, stress, or hormonal changes, causing symptoms or asymptomatic viral shedding.

Active genital herpes in pregnancy can be transmitted to the newborn during delivery (neonatal herpes) and may cause severe neurological consequences. Therefore, careful management during pregnancy is required.

Symptoms

Painful vesicles and ulcers in the genital area
Burning, itching, and tenderness
Swollen and painful lymph nodes in the groin
Fever, headache, and malaise in primary infection
Burning or pain when urinating
Prodrome before recurrences: tingling, burning sensation

Risk Factors

Sexual contact with a virus-carrying partner
Not using condoms
Multiple sexual partners
Immunosuppression
Female sex (transmission is easier from male to female)
Mucosal damage or other STI

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When painful blisters or sores appear in the genital area
  • If there is fever accompanied by painful genital lesions
  • When having a new or active herpes outbreak during pregnancy
  • If outbreaks are becoming more frequent or severe

Treatment Methods

01
Antiviral: acyclovir, valacyclovir, or famciclovir
02
Primary outbreak: 7-10 days of antiviral therapy
03
Recurrent: early-period episodic treatment (2-5 days)
04
Daily suppressive therapy: in frequent recurrences or HIV-positive cases
05
Suppressive therapy from week 36 in pregnancy
06
Avoid sexual intercourse during active lesions

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.