Genital Herpes
(Hawkins, J., et al, 2014) Primary Infections can present multiples lesions in both males and females. It is most commonly seen in the male’s penis, buttocks, thighs and females’ labia, fourchette, cervix, buttocks, thigh, nipples.
-Myalgia
-Arthralgia
-Malaise
-Fever, lymphadenopathy
-Dysuria on both males and females
-Dyspareunia
-Headaches (can be a sign of Herpes Meningitis)
If this is a recurrent genital lesions- it is less painful, no systemic symptoms , unilateral and will present with prodromal symptoms like itching, burning and/or tingling at site where lesions appear. Primary Infection:
-Check temperature and blood pressure.
-Examination of the genitalia will hsow vesicular lesions containing cloudy liquid or erythematous …show more content…
-Stress avoidance of tight, restricting clothing.
- Vulva should be exposed to airflow as much as possible
-Peri-irrigation for comfort
B. Medications
Initial Outbreak:
-Acyclovir 400mg orally 3x a day for 7 to 10 days OR
-Acyclovir 200mg orally 5 x a day for 7-10 days
-Famciclovir (Famvir) 250 mg orally 3x a day for 7 to 10 days OR
-Valacyclovir (Valtrex) 1 g orally twice a day for 7 to 10 days
-Comfort Measures: Zylocaine 2% gel or cream; apply 3-4 x daily (do not use around the urethra) for comfort measures or bacitracin ointment, apply locally for secondary infection only 2 – 5 times a day or add garamycin, a topical antibiotic to suppress replication of HSV 1 and HSV 2.
1. After urinating, wash the genital area with cool water.
2. If urinating is difficult, sit in a tub of warm water to urinate.
3. Cool, wet tea bags applied to the lesions may offer some relief.
4. Avoid intercourse when active lesions are present. If intercourse does occur, condoms should be used.
5. Women with chronic herpes should have a Pap smear yearly. 1. Secondary infections
2. Urinary retention if unable to void in bathtub
3. Suspected ocular lesion
4. Severe primary
(Hawkins, J., et al, 2014) Primary Infections can present multiples lesions in both males and females. It is most commonly seen in the male’s penis, buttocks, thighs and females’ labia, fourchette, cervix, buttocks, thigh, nipples.
-Myalgia
-Arthralgia
-Malaise
-Fever, lymphadenopathy
-Dysuria on both males and females
-Dyspareunia
-Headaches (can be a sign of Herpes Meningitis)
If this is a recurrent genital lesions- it is less painful, no systemic symptoms , unilateral and will present with prodromal symptoms like itching, burning and/or tingling at site where lesions appear. Primary Infection:
-Check temperature and blood pressure.
-Examination of the genitalia will hsow vesicular lesions containing cloudy liquid or erythematous …show more content…
-Stress avoidance of tight, restricting clothing.
- Vulva should be exposed to airflow as much as possible
-Peri-irrigation for comfort
B. Medications
Initial Outbreak:
-Acyclovir 400mg orally 3x a day for 7 to 10 days OR
-Acyclovir 200mg orally 5 x a day for 7-10 days
-Famciclovir (Famvir) 250 mg orally 3x a day for 7 to 10 days OR
-Valacyclovir (Valtrex) 1 g orally twice a day for 7 to 10 days
-Comfort Measures: Zylocaine 2% gel or cream; apply 3-4 x daily (do not use around the urethra) for comfort measures or bacitracin ointment, apply locally for secondary infection only 2 – 5 times a day or add garamycin, a topical antibiotic to suppress replication of HSV 1 and HSV 2.
1. After urinating, wash the genital area with cool water.
2. If urinating is difficult, sit in a tub of warm water to urinate.
3. Cool, wet tea bags applied to the lesions may offer some relief.
4. Avoid intercourse when active lesions are present. If intercourse does occur, condoms should be used.
5. Women with chronic herpes should have a Pap smear yearly. 1. Secondary infections
2. Urinary retention if unable to void in bathtub
3. Suspected ocular lesion
4. Severe primary