Updated 15 July 2021 | Approved By Dr. Umberto Russo
Genital Herpes - Symptoms, Diagnosis, and Treatment
What is Genital Herpes?Genital herpes is one of the most common sexually transmitted infections (STI) worldwide. In Australia, approximately 12% of people carry genital herpes . While most with the condition will remain asymptomatic, there can be periods where people report symptoms resurfacing. During this period, many people will experience issues such as redness and blistering around the genital area. While there is no cure, speaking privately to a GP can help this condition's management. Treatments are available for reducing symptoms, transmission and frequency of breakouts.
The Herpes VirusThis condition is caused by the herpes simplex virus, which comes in two forms. Those with Herpes simplex virus 1 (HSV-1) mainly experience lesions around the mouth known as cold sores or oral herpes. In comparison, herpes simplex virus 2 (HSV-2) usually causes lesions around the genitals or genital herpes.
Genital Herpes SymptomsInitially, people infected with genital herpes won't immediately experience symptoms. As a result, those that carry the condition won't be diagnosed or realise they have it. For many, symptoms may take at least 4-7 days to appear . The first episode of genital herpes may be particularly irritable and stressful. People who have been previously exposed to the herpes virus are particularly vulnerable. For some, these severe symptoms can last anywhere between 2-4 weeks . A visit to the GP will be able to help with diagnosis, treatment and management. Future recurrences will usually not be as severe as the first time.
Symptoms During Episode 
- Herpes blisters and sores which can either occur:
- Around the penis, particularly the shaft, foreskin and glans.
- Outside the vagina, vulva and cervix
- Pain and itchiness around the areas affected
- Flu-like symptoms, such as fever, body aches and swollen lymph nodes.
What does herpes look like?During an episode, there may be several types of growth around the genitalia region. Small red spots and white blisters can form around the genitalia. Over time, these blisters can begin to ooze and bleed, which can become even more painful. Eventually, scabs will start to form during the healing process.
Genital Herpes CausesAs noted earlier, genital and oral herpes (cold sores) are caused by the human simplex virus (HSV). This is a very contagious condition that spreads from contact. In the case of oral herpes, this is transmitted through activities such as sharing utensils or kissing.
How do you get Genital Herpes?Genital herpes spreads through sexual contact. Even without any signs or symptoms, carriers are still able to transmit this condition. Additionally, the risk of contracting genital herpes is higher in those who do not use protection. When using condoms, this protects the spread by approximately 30% .
Tests and DiagnosisAn experienced GP can clinically diagnose genital herpes. Doctors will look at important information, such as medical history and symptoms. Further testing  may be required to confirm a diagnosis, including:
- A swab of the herpes lesion
- Blood tests
- Viral culture
Genital Herpes TreatmentWhile there is no herpes cure, symptoms can be reduced and managed effectively with proper management. Strategies and treatment plans can be developed collaboratively by consulting with your GP.
Herpes PreventionAs with most health conditions, prevention is better than cure. Several preventative measures can be taken to prevent herpes transmission . Examples include:
- Using condoms during sexual activities
- Avoid sexual activity if you or your intimate partner has a herpes outbreak.
- Reduce alcohol consumption before having sex. This prevents risky behaviours.
- Limit the number of intimate partners. The more sexual encounters, the higher the risk of infection.
- If your partner has been diagnosed with genital herpes, taking these preventative measures can help reduce the spread.
Easing symptomsOnce infected, most people will remain asymptomatic until genital herpes or outbreak. When symptoms appear, there are strategies to help ease the discomfort , including:
- Wearing loose-fitting underwear and pants
- Keeping sores around genitals dry and clean
- Salt baths for 10-20 minutes
- Using over the counter pain medications such as paracetamol
Herpes MedicationTo help reduce symptoms and speed up recovery during outbreaks, GPs may prescribe antiviral medications. These should be commenced as soon as possible after the appearance of sores to be most effective.
ComplicationsHaving genital herpes and/or HSV-2 can lead to complications to both sexual and general health. Especially when left untreated or unmanaged, this condition can lead to poorer health outcomes.
- Pregnancy-related issues
- Infections (e.g urinary tract infections, cellulitis, etc.)
- Nerve-related pain
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- Cunningham, A. L., Taylor, R., Taylor, J., Marks, C., Shaw, J., & Mindel, A. (2006). Prevalence of infection with herpes simplex virus types 1 and 2 in Australia: a nationwide population based survey. Sexually transmitted infections, 82(2), 164-168.
- World Health Organization. (2016). WHO guidelines for the treatment of genital herpes simplex virus. World Health Organization.