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

  1. BASHH. (2007). National Guideline for the Management of Genital Herpes. Retrieved from http://www.bashh.org/documents/115/115.pdf
  2. 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.
  3. 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
  4. Sen. P., & Barton, S.E. (2007). Genital Herpes and Its Management. BMJ, 19;334(7602):1048-52
  5. 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
Abstain from sex, Be faithful, or Condom use
Circumcision (males only)
Contraception (females only)
HIV PrEP (pre-exposure prophylaxis) - Stop HIV infection before exposure STD vaccine: - Hepatitis vaccine - HPV vaccine
STD / HIV exposure
Unsafe sex / unprotected sex: 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

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