Genital herpes is one of the most common sexually transmitted infections worldwide, affecting an estimated 1 in 6 adults. While there's no cure, effective antiviral treatments can reduce symptoms, shorten outbreaks, and lower the risk of transmission. UrgentDoc's English-speaking doctors provide confidential, judgment-free consultations to help you manage this condition discreetly—without the stress of navigating sensitive health topics in a foreign language.
Understanding Genital Herpes
Genital herpes is caused by the herpes simplex virus (HSV). There are two types:
HSV-1 (Herpes Simplex Virus Type 1)
Traditionally associated with oral herpes (cold sores), but increasingly causes genital infections through oral-genital contact. HSV-1 genital infections tend to have fewer and less severe recurrences.
HSV-2 (Herpes Simplex Virus Type 2)
The primary cause of genital herpes. Spreads through sexual contact and can cause recurring outbreaks. Many people with HSV-2 have mild or no symptoms but can still transmit the virus.
Common Symptoms
Our doctors can help if you're experiencing any of these symptoms:
- Painful blisters or sores – small fluid-filled blisters that break open and form ulcers
- Itching or tingling – often occurs before blisters appear (prodrome)
- Burning sensation – especially during urination if sores are near the urethra
- Flu-like symptoms – fever, body aches, and swollen lymph nodes (especially during first outbreak)
- Pain in the genital area – tenderness or discomfort in affected regions
- Discharge – unusual vaginal or urethral discharge
First Outbreak vs. Recurrences
Understanding the pattern of herpes outbreaks:
- First outbreak: Usually the most severe, occurring 2-12 days after exposure. May last 2-4 weeks with flu-like symptoms.
- Recurrent outbreaks: Typically shorter (3-7 days) and less severe. Frequency varies—some have several per year, others rarely.
- Prodrome: Many people feel tingling, itching, or burning 1-2 days before sores appear—starting treatment at this stage can prevent or shorten outbreaks.
- Asymptomatic shedding: The virus can be transmitted even without visible symptoms.
Common Outbreak Triggers
These factors can trigger recurrent outbreaks:
- Stress: Physical or emotional stress weakens immune response
- Illness: Other infections or being run down
- Fatigue: Lack of sleep or exhaustion
- Sun exposure: UV light can trigger outbreaks (relevant in sunny Spain)
- Menstruation: Hormonal changes around periods
- Friction: From sexual activity or tight clothing
- Surgery or injury: Trauma to the affected area
- Weakened immune system: From illness or medications
How Our Consultation Works
Book Your Confidential Appointment
Select a convenient time and describe your symptoms. All consultations are completely private and confidential.
Private Video Consultation
Our English-speaking doctor will discuss your symptoms, medical history, and outbreak patterns in a supportive, non-judgmental environment.
Treatment & Prescription
Receive your prescription for antiviral medication, which you can pick up discreetly at any pharmacy in Spain.
Treatment Options
While there's no cure for herpes, antiviral medications effectively manage the condition:
- Acyclovir (Zovirax): The original antiviral for herpes, taken multiple times daily
- Valacyclovir (Valtrex): Converts to acyclovir in the body, less frequent dosing required
- Famciclovir (Famvir): Another effective option with convenient dosing
Treatment approaches include:
Episodic Treatment
Taking antivirals at the first sign of an outbreak (prodrome) to shorten duration and reduce severity. Ideal for those with infrequent outbreaks.
Suppressive Therapy
Taking antivirals daily to prevent outbreaks and reduce transmission risk. Recommended for frequent outbreaks (6+ per year) or to protect partners.
Managing Outbreaks at Home
In addition to medication, these measures can help during an outbreak:
- Keep the affected area clean and dry
- Wear loose, cotton underwear to reduce friction
- Take over-the-counter pain relievers (paracetamol, ibuprofen)
- Apply cool compresses to soothe discomfort
- Avoid touching sores; wash hands if you do
- Urinate in warm water if urination is painful
- Avoid sexual contact during outbreaks
- Get plenty of rest to support your immune system
Reducing Transmission Risk
If you have genital herpes, you can reduce the risk of transmitting it to partners:
- Inform sexual partners about your diagnosis
- Avoid sexual contact during outbreaks and prodrome symptoms
- Use condoms consistently (though they don't provide complete protection)
- Consider daily suppressive therapy, which reduces transmission by about 50%
- Avoid sexual contact if your partner is pregnant, especially in the third trimester
Living with Genital Herpes
A herpes diagnosis can feel overwhelming, but it's important to know that millions of people live healthy, fulfilling lives with this common condition. With proper treatment, most people experience fewer and milder outbreaks over time. Our doctors can help you develop a management plan that works for your lifestyle and answer any questions you have about living with herpes.
When to Seek Immediate Care
Seek prompt medical care if you experience:
- Severe or widespread outbreak (especially first episode)
- Difficulty urinating or urinary retention
- High fever or severe flu-like symptoms
- Signs of secondary bacterial infection (increasing redness, pus, warmth)
- Symptoms near your eyes
- Outbreak during pregnancy
- Symptoms if you have a weakened immune system
- Severe headache, neck stiffness, or confusion (rare but serious)
These may indicate complications requiring in-person evaluation or hospital care.
Why Choose UrgentDoc for Genital Herpes Treatment?
Fast Treatment
Same-day appointments—starting antivirals early shortens outbreaks
Completely Confidential
Private consultations from home—no waiting room encounters
English-Speaking Doctors
Discuss sensitive topics without language barriers
Judgment-Free Care
Compassionate doctors who understand and support you
Need Treatment for Genital Herpes?
Get confidential care and effective treatment. Book a private consultation with one of our doctors today.
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