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Genital herpes: gynaecological aspects
1Vancouver BC.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|April 24, 2008
Summary
Genital herpes management focuses on preventing transmission and complications. Key recommendations include condom use, laboratory diagnosis, and suppresssive antiviral therapy for frequent recurrences or significant impact.
Area of Science:
- Gynecology
- Infectious Diseases
- Public Health
Background:
- Genital herpes, primarily caused by herpes simplex virus type 2 (HSV-2), poses significant health challenges.
- Asymptomatic shedding accounts for a substantial proportion of HSV-2 transmission, highlighting the need for effective prevention strategies.
Framework:
- This guideline provides evidence-based recommendations for healthcare providers on the optimal management of genital herpes.
- Recommendations are derived from a comprehensive review of Medline-indexed literature and relevant reports.
Implementation:
- Laboratory-based diagnosis is crucial for effective management of genital herpes.
- Condom use is strongly recommended to reduce disease transmission, as up to 70% of infections occur during asymptomatic shedding.
- Suppressive antiviral therapy (e.g., valacyclovir) is advised for patients with frequent recurrences, significant complications, or substantial psychosocial impact.
Implications:
- Implementing these recommendations can lead to more effective prevention of genital herpes complications and transmission.
- Safer sex counseling, combined with antiviral therapy and consistent condom use, is essential for individuals diagnosed with genital herpes.
- Routine or targeted screening for HSV is not currently indicated based on the available evidence.
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