Atypical forms of genital herpes are much more common in women than in men. This disease belongs to sexually transmitted infections. Primary infection most often occurs asymptomatically and either turns into a latent carriage, or goes into a relapsing form. Under the influence of ongoing therapy, recurrent genital herpes can change significantly and, as estet-portal.com notes, acquire an atypical course. It is very important to recognize genital herpes in time, despite its atypical form, and to prevent its dangerous complications.
Features of the course and manifestations of genital herpes in women
Typical picture of manifestations of genital herpes – this is erythema of the mucous membranes of the genital organs and against its background grouped vesicular elements. Subjective sensations in the patient – itching, burning, soreness. A few days after the formation, the vesicles open, weeping erosions or sores form in their place. The debut of genital herpes is accompanied by an increase in body temperature and an increase in inguinal lymph nodes.
Recurrent forms of genital herpes are considered one of the most common infectious diseases of the genitourinary system.
Nervous or physical overexertion, hypothermia or excessive insolation, fluctuations in the hormonal cycle can push the recurrence of genital herpes in women.
When the disease recurs, in addition to characteristic rashes, general weakness develops, the temperature rises to subfebrile values, the lymph nodes increase and hurt.
Recurrent genital herpes not only weakens the woman's immune system and causes frequent colds, decreased performance. The disease disrupts a woman's normal sex life and often causes family problems, neuropsychiatric disorders.
Atypical course of genital herpes in women
Recurrent genital herpes under the influence of ongoing treatment may take an atypical course – when elements in the area of skin lesions skip some stages of their development. In this case, the doctor will see, say, an edematous spot against the background of erythema or microerosion. In this case, a well-collected anamnesis will help to make a diagnosis, ascertaining the patient's episodes of herpes in the past.
Manifestations of an atypical course of genital herpes:
• disturbed cycle of development of herpetic elements (there is only erythema or formed blisters);
• the presence of only one of the components of inflammation (edema, or hemorrhage, or necrosis);
• unusual localization of lesions;
• the predominance of subjective sensations over the manifestation of herpetic elements in the lesion.
According to the intensity of manifestations, atypical forms of genital herpes are violent (ulcer-necrotic) or subclinical (when there are only microcracks).
The most difficult to diagnose are such forms of genital herpes, when the lesion has an unusual shape or is not accompanied by a violation of the mucous membranes and skin at all.
Atypical forms of genital herpes in women can be manifested by single deep cracks in the mucous membrane, underlying tissues of the labia majora and labia minora. These cracks are characterized by sharp soreness and constantly recur. Another frequently encountered atypical form – periodic appearance of pronounced local itching or burning in the vulva with slight hyperemia of the mucous membranes.
A feature of atypical forms of genital herpes in women is that the mucous membrane of the anus and rectum, the lower urethra are often involved in the pathological process.
General principles for the treatment of genital herpes in women
To achieve an acceptable therapeutic effect in the treatment of genital herpes is possible only in a complex way.
For this, the treatment is carried out in several stages:
• antiviral therapy and immunocorrection;
• anti-relapse treatment using an antiherpetic vaccine;
• use of adaptogens;
• revaccination with antiherpetic drugs;
• symptomatic use of antivirals.
Even with an integrated approach, it happens that the treatment gives low efficiency. At the same time, against the background of a decrease in the frequency of recurrences of genital herpes and their duration, the woman retains weakness and malaise. Therefore, it is very important to diagnose and begin treatment of the disease in a timely manner, avoiding complications.
See also: Gonorrhea in women: features of the course and specifics of therapy
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