Genital Herpes Singapore | Shim Clinic
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Genital herpes refers to an infection of the genital region by the herpes simplex virus (HSV). Either or both herpes simplex type 1 and/or 2 may be involved.
DEFINITION
Genital herpes is a chronic, life-long viral infection. Genital herpes is caused by the DNA Herpes simplex virus (HSV), usually HSV type 2, but type 1 infections are also possible. Transmission of the virus can occur through genital to genital, mouth to genital, genital to anal and mouth to anal contact.
References
- BASHH. (2007). National Guideline for the Management of Genital Herpes. Retrieved from http://www.bashh.org/documents/115/115.pdf
- Corey, L., Wald, A., Patel, R., Sacks, S.L., Tyring, S.K., et. al. (2004). Once-Daily Valacyclovir to Reduce The Risk of Transmission of Genital Herpes. N Engl J Med, 1;350(1):11-20. Retrieved from PubMed.
- Ministry of Health. (2011). Management of genital ulcers and discharges – MOH Clinical Practice Guidelines 1/2009. Retrieved from http://www.moh.gov.sg/content/dam/moh_web/HPP/Doctors/cpg_medical/current/2009/Mx%20of%20Genital%20Ulcers%20and%20Discharges%20Booklet.pdf
- Sen. P., & Barton, S.E. (2007). Genital Herpes and Its Management. BMJ, 19;334(7602):1048-52
- Workowski, K. & Berman, S. (2010). CDC Sexually Transmitted Disease Treatment Guidelines (2010). Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5912a1.htm
Sexual risk (of HIV/STD/pregnancy), and what you can do before and after exposure.
| Timeline | HIV | STD | Pregnancy |
|---|---|---|---|
| Before exposure | |||
| Contraception (females only) |
|||
| HIV PrEP (pre-exposure prophylaxis) – Stop HIV infection before exposure |
STD vaccine: – Hepatitis vaccine – HPV vaccine |
||
| STD / HIV exposure | No condom / Condom broke / Condom slip |
||
| 0-72 hours | HIV PEP (post-exposure prophylaxis) – Stop HIV infection after exposure |
STD testing * – Screening test – to look for asymptomatic infections – from previous exposures |
Emergency contraception with the morning-after pill (females only) |
| 2 weeks | HIV DNA Test | ||
| 1 month | HIV 4th Generation Test – SD Bioline HIV Ag/Ab Combo – Fingerprick blood sampling. – 20 minutes to results |
||
| 3 months | HIV 3rd Generation Test – OraQuick® HIV-1/2 Antibody – Oral fluid or – Fingerprick blood sampling. – 20 minutes to results |
STD testing * – Full & comprehensive – diagnostic test – to look for current infections |
|
| Watch for | HIV Symptoms | STD Symptoms | |
| If infected | HIV Treatment | STD Treatment | Abortion |
* Males: Do not urinate for at least 4 hours before arriving.
* Females: testing is more accurate when you are not menstruating.
References