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This is quite common. A small number of people experience a painful first attack. This occurs at the site of infection with a small group of painful blisters on red skin which ulcerate into tender sores.
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They occur from days after sexual contact average days. They are often on the penis or scrotum in men and on the vulva in women. Often the first attack is so mild it can be missed, or confused with thrush candida , or a urinary tract infection. There can be flu-like symptoms with joint aches, headache and tiredness, and the glands in the groin become enlarged and tender.
If urine runs over the ulcers it can be painful. Sometimes there are shooting pains or numbness in the buttocks or thighs and women may notice a vaginal discharge. Very rarely there can be difficulty urinating or having a bowel motion. The ulcers gradually dry, crust and heal during the next three weeks.
After the ulcers have healed the skin looks perfectly normal, but the virus retreats into the sensory nerves carrying sensations to the spinal cord and lies dormant. From there it may become active again at a later date. Herpes Simplex may be reactivated at times when the body is stressed by fevers, illness, emotional stress, skin trauma, drugs, alcohol, cigarettes, poor diet, or menstruation.
It cannot be predicted if or when you will ever get a recurrence. Some people will never experience another episode again. However, most people would recognise about two recurrences a year. Recurrent episodes are much less painful than the primary episode. Often before an attack starts there are symptoms of burning, itching or pain in the buttocks or thighs called a 'prodrome' as the virus returns down the nerve endings to the same patch of skin.
The attack continues with tingling, redness, blisters, ulceration, crusting and healing. Recurrences usually get less frequent and milder as time goes by as the immune system recognises and controls later attacks better. The first episode has a large amount of virus. You are infectious from blistering until skin healing, but the peak of infectivity is when the skin is moist and ulcerated.
Recurrent episodes are milder and shed less virus. It is best to avoid intercourse from the time the early signs of an attack appear skin tingling , until the area is healed. Sometimes virus can be shed from the cervix or genital skin without there being any symptoms. It is hard to predict when this occurs. Simple treatments for the relief of discomfort.
The following treatments can alleviate pain and discomfort particularly in the first episode:.
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Acyclovir Zovirax is a medication that acts to control the herpes simplex virus. It works by preventing the herpes virus from multiplying inside infected cells. As it only acts on cells that contain the virus it has a very high level of safety.