Herpes vulvovaginitis (viral infection of the vagina)


Description

Herpes is a sexually transmitted disease (STD) caused by the herpes simplex virus (HSV). HSV-type 1 commonly causes oral lesions like fever blisters on the mouth or face (oral herpes). HSV-type 2 typically affects the genital area (genital herpes). The rash of HSV may resolve but the virus may remain dormant within the nerve cells. The sores of HSV may return when a person is experiencing emotional or physical stress or immune suppression. However, attacks of herpes may recur for no identifiable reason.

Symptoms

Painful blisters in the vagina and vulva that recur periodically.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical will be performed. A culture of a blister or a direct fluorescent antibody (DFA) test can be done to establish the diagnosis.

Other Specific Tests: HSV culture, direct fluorescent antibody (DFA) test

Specialists:
Internal Medicine, Pediatrics, Obstetrics and Gynecology, Family Practice

Treatment

Treatment includes: antiviral treatment (acyclovir/Zovirax, famciclovir/Famvir), nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), and pain medications such as acetaminophen (Tylenol).
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