Genital herpes

Data gathering

  • Red flags – PCB, IMB, abdo pain, fevers
  • Others – painful blisters, PV discharge, cold sores, contraception, LMP, sexual history
  • Examine
    • HR, temperature
    • Pelvic + speculum

 

Clinical management

  • Explanation
    • STI
    • Chronic with flareups
    • Partner may have already had it and been asymptomatic (not necessarily infidelity)
  • Treatment
    • GUM clinic – full screen, contact tracing
    • Medications
      • Aciclovir 200mg 5 times/day (within 5 days, continue if new lesions)
      • Analgesia
    • Lifestyle
      • Avoid sex, sharing towels. Use condoms in future (not 100%)
  • Follow-up / Safety-net
    • If recurrent episodes – refer to consider aciclovir prophylaxis