How to Order ? Simple.

  • 1.

    Select Treatment

    Choose from our treatment options or speak to the in-store pharmacist for advice

  • 2.

    Complete Medical Questionnaire

    Complete our free online medical consultation to be reviewed by our Clinical Team

  • 3.

    Collect Medication from Local Pharmacy

    We will notify you when your medication is ready for collection

Aciclovir Tablets from £20

Valaciclovir Tablets from £20

Advice for Genital Herpes

The infection is transmitted through direct skin-to-skin contact during sexual activity, including vaginal, anal, or oral sex, even when the infected partner does not have visible sores. Additionally, an infected mother can transmit the virus to her baby during childbirth, potentially leading to neonatal herpes, a serious condition.

Many individuals with genital herpes remain asymptomatic and may not realize they are infected. However, when symptoms do occur, they usually present as painful blisters or sores in the genital and anal areas. The first outbreak may also include flu-like symptoms, such as fever, muscle aches, and swollen lymph nodes.

After the initial outbreak, the virus remains dormant in the body and can reactivate, leading to recurrent outbreaks, which tend to be milder and shorter in duration. The frequency of outbreaks can vary widely among individuals.

There is currently no cure for genital herpes, but antiviral medications, such as acyclovir, valacyclovir, and famciclovir, can help manage symptoms, reduce the severity and duration of outbreaks, and lower the risk of transmission to sexual partners. Safe sex practices, including the use of condoms and dental dams, can reduce the risk of spreading the virus.

Education and open communication about sexual health are essential components of managing genital herpes, as they can help individuals make informed choices and minimize the impact of the infection on their lives and relationships. Regular medical follow-up and reporting of any new symptoms to healthcare providers are important for ongoing management.

Genital herpes is characterized by a range of symptoms that can vary in severity and frequency among individuals. Many people with genital herpes may experience mild symptoms or be asymptomatic, while others may have more pronounced signs during outbreaks. Here’s a detailed overview of the various symptoms associated with genital herpes:

Initial Outbreak Symptoms

The first outbreak typically occurs within 2 to 12 days after exposure to the virus and may last for 2 to 4 weeks. Symptoms during the initial outbreak include:

1. Painful Blisters:

The most characteristic symptom, blisters develop on or around the genital area, anus, or thighs. These blisters are filled with clear fluid and can be painful.

2. Ulceration:

The blisters eventually rupture, leading to painful open sores or ulcers that may weep or crust over during the healing process.

3. Itching or Burning:

Prior to the appearance of blisters, individuals may experience itching, burning, or tingling sensations in the infected area.

4. Erythema and Inflammation:

The affected skin may become red, swollen, and inflamed, indicating localized irritation.

5. Flu-like Symptoms:

Some individuals may develop systemic symptoms, including:
❖ Fever
❖ Headache
❖ Muscle aches
❖ Fatigue
❖ Swollen lymph nodes in the groin area.

Recurrent Outbreak Symptoms

After the initial outbreak, the virus remains dormant in the body and can reactivate, leading to recurrent outbreaks. Symptoms during recurrent outbreaks are often milder and shorter in duration, typically lasting about 3 to 10 days. Symptoms may include:

1. Localized Lesions:

Similar to the initial outbreak, but often fewer in number and less severe. The lesions may appear in the same areas as the first outbreak.

2. Prodromal Symptoms:

Some individuals experience prodromal symptoms shortly before an outbreak, which may include itching, tingling, burning, or a feeling of discomfort in the genital area.

3. Less Severe Ulcers:

The blisters may form and rupture, but the resulting sores are usually less painful and heal more quickly compared to the initial outbreak.

Asymptomatic Cases

Many individuals infected with the herpes virus experience asymptomatic infections, meaning they carry the virus without showing any noticeable symptoms. However, even in the absence of visible symptoms, the virus can still be contagious and can be transmitted to sexual partners.

Additional Symptoms Associated with Genital Herpes
Urinary Issues:

In some cases, genital herpes can lead to difficulties urinating due to swelling and irritation in the genital area, or pain during urination if lesions are present near the urethra.

Psychological Impact:

Many individuals may experience anxiety, depression, or distress related to their diagnosis, especially during initial outbreaks or following recurrent episodes. Understanding the symptoms of genital herpes is crucial for early detection and management. Individuals experiencing symptoms consistent with genital herpes should seek medical evaluation for diagnosis and treatment. Informing sexual partners and practicing safe sex are important measures to reduce transmission risk. Regular check-ups and open communication with healthcare providers can help individuals effectively manage their condition and maintain their sexual health.

Genital herpes is primarily caused by the herpes simplex virus (HSV), with two types responsible for the infection:

1. Herpes Simplex Virus Type 1 (HSV-1): Typically associated with oral herpes, it can also cause genital herpes through oral-genital contact.

2. Herpes Simplex Virus Type 2 (HSV-2): Primarily responsible for genital herpes, it is usually transmitted through sexual contact.

Causes and Risk Factors:
  • Sexual Contact: The most common cause of genital herpes is direct sexual contact with an infected person, including vaginal, anal, or oral sex.
  • Asymptomatic Shedding: Individuals with HSV can transmit the virus even when they do not have visible sores or symptoms (asymptomatic shedding).
  • Multiple Sexual Partners: Having multiple sexual partners increases the risk of exposure to the virus.
  • Weakened Immune System: Individuals with compromised immune systems, such as those with HIV/AIDS or those taking immunosuppressive medications, may be more susceptible to infection.
  • History of Previous STIs: A past history of sexually transmitted infections can increase the likelihood of acquiring herpes.
  • Skin Contact: The virus can also be transmitted through skin-to-skin contact with an infected area, even in the absence of sores.
  • Pregnancy and Childbirth: While rare, a mother with genital herpes can transmit the virus to her baby during vaginal delivery, leading to neonatal herpes.

Preventive measures, such as practicing safe sex, using condoms, and being aware of a partner's herpes status, can help reduce the risk of infection. If individuals suspect they may have been exposed to the virus or are experiencing symptoms, they should consult a healthcare professional for evaluation and possible testing.

The UK guidelines for the treatment of genital herpes focus on managing both initial episodes and recurrent outbreaks of the infection. For initial episodes, it is important to confirm the diagnosis through clinical assessment and, if necessary, laboratory tests. Antiviral treatment is recommended, with acyclovir as the first-line option, typically dosed at 400 mg taken three times a day for 5 to 10 days. Alternatively, valaciclovir is prescribed at 500 mg twice daily for 7 days or 1 gram twice daily for 5 days, based on the severity of the infection. Patients are also advised on supportive care, including good hygiene practices and pain relief options. Both these treatments are available with Pharmacinta.

For recurrent episodes, patients can self-treat with antivirals at the onset of symptoms, using acyclovir at 400 mg three times a day for 5 days, or valaciclovir at 500 mg twice daily for 3 days. For those who experience frequent recurrences (more than six outbreaks per year), suppressive antiviral therapy may be considered, with acyclovir dosed at 400 mg twice daily or valaciclovir at 500 mg or 1 gram once daily.

Patient education is crucial, involving discussions about the infection's nature, transmission risks, and preventive measures such as condom use. It’s also important to address the psychosocial impact of genital herpes and provide resources for support. Regular follow-ups may be necessary for ongoing management, especially for patients on long-term suppressive therapy. Collecting swabs for viral culture or PCR testing is essential for accurate diagnosis and management. Partners should also be informed and tested as needed to prevent further transmission of the virus.

In addition to antiviral medications, there are several other treatment options and supportive measures for managing genital herpes. Here are the key alternative treatments and strategies:

1. Pain Relief and Symptomatic Management:
  • Topical Anesthetics: OTC creams or gels containing lidocaine can provide temporary relief from pain and discomfort associated with sores.
  • Oral Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or acetaminophen, can help alleviate pain and inflammation.
2. Supportive Care:
  • Warm Baths: Taking warm baths can soothe inflamed areas and provide comfort during outbreaks.
  • Cooling Compresses: Applying a cool, damp cloth to the affected area can help reduce discomfort and irritation.
3. Lifestyle and Home Remedies:
  • Loose Clothing: Wearing loose-fitting underwear and clothing can prevent irritation on the affected skin.
  • Stress Management: Since stress can trigger outbreaks, practicing stress-reduction techniques such as yoga, meditation, or exercise may be beneficial.
  • Dietary Considerations: Some individuals find that certain foods, such as those rich in lysine or low in arginine, may help reduce the frequency of outbreaks, though scientific evidence is limited.
4. Complementary Therapies:
  • Herbal Remedies: Some may consider using natural supplements or remedies claiming to boost the immune system, though they should consult with healthcare providers to ensure safety and efficacy.
  • Homeopathic Treatments: These may be explored by some individuals as potential adjunct therapies, but scientific support is limited.
5. Psychosocial Support:
  • Counseling: Support from mental health professionals or support groups can help individuals cope with the emotional impacts of living with a chronic condition like herpes.
6. Preventive Strategies:
  • Education: Providing thorough information about transmission risks and safe sex practices can help prevent outbreaks and reduce the risk of spreading the virus to partners.
  • Suppressive Therapy: For individuals with frequent outbreaks, ongoing suppressive antiviral therapy can significantly reduce the frequency and severity of outbreaks.

These additional treatment options provide comprehensive care for genital herpes, focusing on symptom management, lifestyle adjustments, and emotional support. It's important to consult with a healthcare professional for personalized advice and to determine the best approach for each individual.

Frequently Asked Questions

Genital herpes is primarily spread through sexual contact, including vaginal, anal, and oral sex. The virus can be transmitted even when the infected person does not have visible sores or symptoms.

An outbreak refers to the period when symptoms appear. The first outbreak is often the most severe, with symptoms lasting from a few days to several weeks. Subsequent outbreaks tend to be shorter and less intense.

Genital herpes is diagnosed through physical examination and laboratory tests. Tests may include: ● Viral culture: Taking a sample from a sore. ● Polymerase chain reaction (PCR) testing: Detecting the virus from fluid or tissue. ● Blood tests: Checking for antibodies to HSV.

Currently, there is no cure for genital herpes. However, antiviral medications can help manage symptoms, reduce the frequency of outbreaks, and lower the risk of transmission.

Genital herpes can pose risks during pregnancy, especially if a woman has a first outbreak close to delivery. It may lead to serious complications for the newborn. Pregnant women with a herpes infection should consult with their healthcare provider for management and potential delivery options.

While there is no way to completely prevent transmission, risk can be reduced by: ● Practicing safe sex, including using condoms. ● Avoiding sexual contact during outbreaks when sores are present. ● Discussing herpes status with sexual partners and practicing open communication.

It is very rare to contract genital herpes from non-sexual contact. The virus primarily spreads through intimate skin-to-skin contact.

If you suspect you have genital herpes, consult a healthcare provider for evaluation, diagnosis, and treatment options. Early intervention can help manage symptoms and reduce the risk of complications.

Stigma surrounding genital herpes can affect mental and emotional well-being. Many people are diagnosed with herpes, and it is important to recognize that it is a common condition. Support groups and counseling can provide resources for dealing with the stigma.

Living with genital herpes involves learning to manage outbreaks and prevent transmission. Key aspects to consider include: - Adhering to prescribed antiviral medications. - Maintaining open communication with partners. - Understanding individual triggers for outbreaks (stress, illness, etc.) and finding ways to manage them.

For further information about genital herpes, consult healthcare providers, sexual health clinics, or reputable organizations such as the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), or the British Association for Sexual Health and HIV (BASHH).

Yes, many individuals with genital herpes may not show any noticeable symptoms. This is known as asymptomatic shedding, where the virus is present and can be transmitted to others even without visible sores. Regular testing and open communication with sexual partners are important for managing risk.

Genital herpes is a widespread infection. It is estimated that a significant portion of the adult population may be infected with HSV-2, but many are unaware of their infection status due to lack of symptoms or misdiagnosis.

Having genital herpes can impact sexual relationships, but it does not mean that intimate relationships cannot continue. Education about the condition, open communication with partners, and taking precautions (like using condoms and antiviral therapy) are essential for managing risks and maintaining intimacy.

Several factors may trigger outbreaks, including: ● Stress  ● Illness (like the flu or cold)   ● Fatigue  ● Hormonal changes (e.g., menstrual cycle)   ● Skin irritation or injury Identifying personal triggers can help in managing and possibly reducing the frequency of outbreaks.

Yes, genital herpes can be transmitted even when there are no visible symptoms or breakouts. This is known as asymptomatic viral shedding, where the virus can be present on the skin's surface and can infect a partner.

The duration of a genital herpes outbreak can vary. The first outbreak usually lasts longer, ranging from two to four weeks, while subsequent outbreaks may resolve within a week to ten days.

Genital herpes does not significantly weaken the immune system. However, each outbreak may temporarily impact your body’s immune response, similar to how other infections can.

A diagnosis of genital herpes can lead to feelings of shame, anxiety, or depression due to the stigma associated with STIs. It is important to seek support, whether through healthcare providers, counseling, or support groups. Understanding the condition and knowing that you are not alone can help improve mental well-being.

Yes, various resources can provide information and support, including: ● The Herpes Simplex Virus Association (HSV Association) in the UK and similar organizations worldwide.  ● Online support groups and forums where individuals share experiences and advice.  ● Educational websites published by health organizations that focus on sexual health.

Yes, many couples with one partner infected with genital herpes can safely have children. During pregnancy, it’s important for the mother to discuss her HSV status with her healthcare provider. If the mother has an active outbreak during delivery, medical professionals may recommend a cesarean section to reduce the risk of transmitting the virus to the newborn.

Sexual partners can be tested for genital herpes through a blood test that checks for antibodies against the herpes virus. If either partner has symptoms, a swab or culture from an active sore may also be tested.

If recurrent symptoms or outbreaks occur, individuals should consult their healthcare provider. They may require a change in medication, a different management approach, or additional tests to rule out other conditions.

While genital herpes affects both men and women, symptoms may present differently. Women might experience more severe symptoms due to the anatomical structure and the risk of complications like pelvic inflammatory disease (PID). Men may often have fewer outbreaks but can experience significant discomfort during episodes.

For diagnosis, treatment, and ongoing care for genital herpes, individuals should consult with: ● General practitioners (GPs)  ● Sexual health clinics  ● Family planning clinics  ● Specialized STI clinics These healthcare providers can offer confidential and supportive care tailored to individual needs.

Aciclovir and Valaciclovir are closely related. Valaciclovir is a pro-drug of aciclovir which means that after it is taken, it is converted in the body to aciclovir. The advantage of taking valaciclovir over aciclovir is that it doesn’t have to be taken as frequently so it is more convenient for the patient to comply with the regime.

Valaciclovir is the active ingredient in Valtrex and is available in a generic, unbranded tablet. Valaciclovir and Valtrex are medically equivalent but Valaciclovir is available at a much lower cost as it is generic.

For episodic treatment, patients typically take antivirals for five to ten days until the outbreak resolves. For suppressive therapy, treatment may continue indefinitely or as long as the individual desires to reduce outbreaks and transmission risk, and should be regularly reviewed with a healthcare provider.

Antivirals do not cure genital herpes, as there is currently no cure for the virus. They effectively manage symptoms, lessen outbreaks, and lower transmission risk but do not eradicate the virus from the body.

Pregnant women with genital herpes should discuss antiviral treatment with their healthcare provider. Acyclovir is often considered safe for use during pregnancy, particularly in managing outbreaks close to delivery to reduce the risk of transmission to the newborn.

Yes, antiviral medications may interact with other drugs, especially those that affect kidney function. It is essential to inform healthcare providers about all medications being taken, including over-the-counter drugs and supplements.

While antivirals are effective on their own, maintaining a healthy lifestyle may support overall immune function. This includes: ● Managing stress through relaxation techniques.  ● Getting enough sleep.  ● Eating a balanced diet rich in nutrients.  ● Staying physically active.

Patients may stop taking antivirals after discussing with their healthcare provider. Those who choose to discontinue suppressive therapy may experience a return of outbreaks, while those on episodic treatment can take medication during episodes as needed.