Genital herpes

Genital herpes

Urogenital infections can reduce fertility in men due to direct damage to the germ cells by the microorganisms themselves, or by their toxins. Also, inflammatory damage is accompanied by the formation of free radicals and cytokines. Men most often develop urethritis (inflammation of the urethra), prostatitis (inflammation of the prostate gland), vesiculitis (inflammation of the seminal vesicles), epididymitis (inflammation of the epididymis), orchitis (inflammation of the testicle).

Let’s consider the main ones:


Genital herpes is a form of sexually transmitted herpes infection, characterized by the appearance of a rash in the genital area. Genital herpes is caused by two types of herpes simplex virus (HSV):

  • VGP – 2 – most often;
  • AIV – 1 – usually causes damage to the lips, face, arms, trunk, however, in recent years, the frequency of genital lesions has increased, apparently due to the increased popularity of orogenital sex.

Infection occurs through sexual contact with a partner who has a clinically apparent or asymptomatic herpes infection. Primarily, the virus multiplies at the site of invasion, then moves along the nerve trunk or spreads by a hemotogenic route. In a latent state, the virus is located in the paravertebral ganglia of the lumbosacral spine throughout a person’s life, and when local and general immunity is suppressed, favorable conditions are created for the reproduction of the virus.


Primary clinical manifestation of genital herpes: in initially infected patients who have never experienced symptoms of genital herpes, on average 3-9 days after sexual contact with an infected person in the external genital area, grouped painful vesicles appear, which turn into pustules that open up with the formation of ulcers and gray crusts. New rashes can appear within 7-10 days from the onset of the disease, accompanied by pain, itching, paresthesia, fever, chills, malaise, lymphadenitis, dysuric phenomena (in 80% of cases occur before the appearance of rashes). The severity of clinical manifestations and general intoxication directly depends on the state of general and local immunity of a person. The duration of first-onset genital herpes is 2-3 weeks, and the duration of recurrence (re-emergence) of the disease usually does not exceed 5-7 days.

In 80% of patients, HSV infection is not accompanied by clinical manifestations.

Recurrence (re-emergence) of genital herpes is observed in 50-70% of cases. This is facilitated by the following factors: stress, overwork, menstruation. Clinical manifestations range from asymptomatic shedding of the virus from the genital tract to very painful confluent ulceration. More often during a relapse, instead of a true ulcer, microscopic vesicular-ulcerative foci are formed, and swelling, a feeling of discomfort, pain and lymphadenitis appear in the external genital area.


Diagnostics is based on the identification of the pathogen or its components directly in the lesion focus – the genital tract.


The main tasks of an andrologist in the treatment of genital herpes are to reduce the severity of clinical manifestations, prevent the development of relapses, and prevent transmission of infection to a sexual partner or newborn. To carry out a complex drug correction, together with physiotherapy, aimed at correcting immunity while reducing the duration of the treatment and reducing the frequency of relapses (re-emergence) of the disease. It should also be noted that examination and treatment should be carried out in conjunction with the sexual partner. The criterion for the effectiveness of treatment is a decrease in the frequency of recurrences of genital herpes and their duration.

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