Prevention and Treatment of Herpes Simplex

Prevention of Herpes Simplex

Because the chances of contracting this disease increase with the number of sexual partners a person has, limiting the number of partners is the first step toward prevention.

To keep herpes from spreading, intimate contact should be avoided when sores are on the body. Itching, burning or tingling may occur just before the sores develop. Sexual intercourse should be avoided during this time.
Herpes can even be spread when there are no sores or symptoms. To minimize the risk of spreading herpes, latex condoms should be used during all sexual contact. Spermicidal foams and jellies may offer added protection although the evidence on this is controversial.

The herpes virus can also be spread by touching the sores and then touching another part of the body. If you touch the sores, wash your hands with soap and water as soon as possible. Also, do not share towels or clothing with anyone.
Babies can be infected with the herpes virus. If pregnant, you should tell your doctor if you have ever been exposed to anyone with herpes, even if you have never had any symptoms. Your doctor can take special precautions at the time of delivery to protect the baby from getting infected with herpes.


Treatment of Herpes Simplex

Unlike other sexually transmitted diseases, herpes cannot be cured because medication that will attack the virus while it lies dormant in the nerve cells will also damage the nerve cells. However, there is treatment available for acute outbreaks that involves the use of anti-viral drugs such as Acyclovir, Valaclovir or Famcyclovir.

Acyclovir has been found to reduce the reproduction of the virus in initial outbreaks, thus possibly lessening the number of subsequent outbreaks. To be effective, therapy must be started immediately after the first sores appear. Every sexual partner of the infected person needs to be examined, and if necessary, treated.

Famcyclovir has similar effects and may work to prevent a herpes infection from establishing itself if taken soon enough in the course of the illness. Valaclovir has similar effects.
Long-term drug therapy ('suppressive treatment') may be helpful for individuals who suffer frequent recurrent outbreaks. Suppressive treatment will reduce outbreaks by 85 percent and reduces viral shedding by more than 90 percent.

Topical antibiotic ointments also may be applied to prevent secondary bacterial infections.
During an outbreak of genital herpes, a number of measures can be taken to make the patient more comfortable:
  • Wear loose clothing
  • Avoid excessive heat or sunlight
  • Keep the sore area clean and dry
  • Place cool or lukewarm cloths on the sore area for short periods of time
  • Do not use perfumed soaps, sprays, feminine deodorants, or douches
  • Take aspirin, acetaminophen or ibuprofen for the pain
  • Avoid touching sores
  • Wash hands if you do touch the sores

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