At Home with Dr Christian Jessen - 239

Genital herpes is a very common and highly
contagious infection. This infection is usually
a result of the herpes simplex virus-2 (HSV-2)
or the herpes simplex virus-1 (HSV-1), the
virus usually responsible for cold sores.

Left untreated,
chlamydia can
lead to infertility

CAUSES
Genital herpes is spread by direct contact with
the infectious virus, via unprotected vaginal or
anal sex, genital contact or through oral sex
with someone who gets cold sores. Genital
herpes and cold sores are both very infectious
when an infected person has blisters or sores.
However, it is also possible for an infected
person to transmit the virus even when
they have no symptoms of the disease. Using
condoms will help to reduce the risk.
Chlamydia is
easy to cure

Y

our sexual health is of utmost
importance. Here, the experts at
Online Doctor and Pharmacy,
MedExpress (www.medexpress.co.uk)
discuss two common sexually transmitted
infections and the treatments available.

Estimated to affect up to one-in-10 sexually
active young people, chlamydia is the most
common sexually transmitted infection (STI)
in the UK. Over 200,000 people tested positive
for the infection in 2012, with 64% under 25.
CAUSES
Chlamydia is caused by chlamydia trachomatis,
bacteria found in the semen or vaginal fluids of
infected men and women that can be passed
on through genital contact and unprotected
vaginal, oral or anal sex. This is why it is a good
idea to always use condoms for protection.
SYMPTOMS
It is estimated that 50% of men and 75% of
women with chlamydia don't experience
any symptoms and, as a result, it can be left
untreated for years, passed onto other people
and cause serious complications. It's important,
therefore, to be aware of the symptoms.
For women, these may include the following:
*Unusual vaginal discharge
*Bleeding between periods
*Pain or burning when passing urine
*Lower back and abdomen pain,
particularly during sex
For men, symptoms may include the following:
*Discharge from the penis
*Pain or burning when passing urine
*Burning or itching in the genital area,
in particular at the end of the penis
Symptoms usually occur one to three weeks
after becoming infected. They may last a short
time, but they can persist indefinitely.

GETTING TESTED
The only way to know if you are infected is to
take a test. For women, this involves a swab
from the cervix and for men from the urethra.
There is also a urine test that can determine
whether or not you have chlamydia, however
it isn't 100% accurate. If you are experiencing
symptoms or you believe that you may have
been in contact with an infected person, then
it is a good idea to be treated regardless.
EFFECTS
The long-term effects a chlamydia infection
can have on your body if it is left untreated
varies. For women, there are several severe
complications, including:
*Pelvic inflammatory disease (PID) and
associated pain
*Increased chance of ectopic pregnancy
*Blocked fallopian tubes and infertility
*Reiter's syndrome (arthritis)
For men, complications are rarer, however
they may include the following:
*Epididymitis (testicle swelling and pain)
*Reiter's syndrome
*Testicle infection and reduced fertility
Due to the severity of potential complications,
it is essential that you seek treatment if you
suspect you may have chlamydia.
TREATMENT
Chlamydia is easy to cure - a single dose of the
antibiotic azithromycin is a very effective
treatment and takes about one week to
completely clear the infection, with no need
for follow-up tests to confirm it has worked.
Chlamydia is unlikely to go away without
treatment and, given the risk of complications
with a longer infection time, it is recommended
that treatment takes place as soon as possible.

SYMPTOMS
You may never notice symptoms from an HSV
infection, or you might notice changes within a
few days to a couple of weeks, or even years,
after the initial contact. Symptoms may start as
small blisters that break open and produce raw,
painful sores that scab and heal over within a few
weeks. These may be accompanied by flu-like
symptoms with fever, swollen lymph nodes, and a
burning sensation when passing urine.
EFFECTS
The risk of transmission from a mother to her
baby is greatest for babies born to a woman with
first-episode genital herpes around the time
of delivery. Neonatal herpes is potentially life
threatening but occurs very rarely in the UK.
TREATMENT
Aciclovir tablets are effective in treating a full
outbreak of genital herpes. They can also be
used as a suppressive treatment. Valacyclovir,
on the other hand, is a 'pro-drug', meaning it
is converted into Aciclovir by the body, and is
better absorbed by the body than Aciclovir
tablets. Although they do not clear the virus,
both start working immediately to reduce the
severity and duration of an outbreak.
Aciclovir tablets
are effective in
treating herpes

FOR MORE INFORMATION
Visit www.medexpress.co.uk
Call 020 8123 0508


http://www.medexpress.co.uk http://www.medexpress.co.uk

At Home with Dr Christian Jessen

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