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Возбудитель — **вирус простого герпеса (ВПГ)**, чаще всего ВПГ-2, но ВПГ-1 также может быть причиной [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/)[5](https://gemotest.ru/info/spravochnik/zabolevaniya/genitalnyy-gerpes/). Вирус проникает в организм через слизистые оболочки половых органов, вызывая воспаление и характерные высыпания [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). \n\n**Особенности**: \n- Хроническое течение с циклическими обострениями [2](https://www.smclinic-spb.ru/zabolevaniya/genitalnyj-gerpes). \n- При бессимптомном протекании пациент остаётся носителем вируса [2](https://www.smclinic-spb.ru/zabolevaniya/genitalnyj-gerpes).\n\n## Причины\n**Основной путь передачи** — половой: вирус передаётся при вагинальном, анальном или оральном контакте с инфицированным партнёром [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). Вирус может передаваться даже при отсутствии видимых высыпаний [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). \n\n**Факторы, повышающие риск заражения**: \n- незащищённый половой акт (использование презервативов снижает риск, но не исключает его полностью) [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/); \n- большое количество половых партнёров [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/); \n- наличие других инфекций, передающихся половым путём (ИППП) [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/); \n- сниженный иммунитет (состояния, ослабляющие иммунную систему, например, ВИЧ-инфекция, приём иммуносупрессоров) [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/).\n\n## Симптомы\n**Некоторые проявления генитального герпеса**: \n* **Высыпания** в области половых органов (вульва, влагалище, шейка матки, промежность, анус), на бёдрах и ягодицах [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). Сначала выглядят как мелкие красные пятна, которые быстро превращаются в пузырьки, наполненные прозрачной жидкостью [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). Пузырьки лопаются, образуя болезненные язвочки, которые затем покрываются корочками [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). \n* **Общее состояние**: лихорадка, озноб, головная боль, мышечные боли, усталость, увеличение лимфатических узлов в паху [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). \n* **Боль при мочеиспускании**, выделения из влагалища, дискомфорт и болезненность во время полового акта [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). \n\n**У некоторых людей** инфекция может протекать бессимптомно [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/).\n\n## Диагностика\n**Диагностика генитального герпеса основана на клинической картине и результатах лабораторных исследований** [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). Некоторые методы: \n* **Осмотр у врача** — врач осматривает половые органы на наличие характерных высыпаний [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). \n* **Анализы**: ПЦР (полимеразная цепная реакция) — наиболее точный метод диагностики, позволяет обнаружить ДНК вируса в мазке из высыпаний или в отделяемом из влагалища [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/). \n* **Культурный метод (посев на вирус)** — мазок из высыпаний помещается в специальную среду для размножения вируса [1](https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/).\n\n## Лечение\n**Полностью вылечить генитальный герпес невозможно** [5](https://gemotest.ru/info/spravochnik/zabolevaniya/genitalnyy-gerpes/). Терапевтические меры фокусируются на уменьшении проявлений болезни, недопущении распространения инфекции в организме и предотвращении осложнений [12](https://www.altermed.ru/gynecology/genital-herpes-in-women/). \n\n**Врач подбирает противовирусные препараты** [12](https://www.altermed.ru/gynecology/genital-herpes-in-women/). Могут быть назначены: \n* **Местные противовирусные средства** — мази и гели, которые наносятся на поражённые участки [12](https://www.altermed.ru/gynecology/genital-herpes-in-women/). \n* **Таблетки, капсулы** — противовирусные препараты, которые применяются при множественных высыпаниях или для профилактики рецидивов [12](https://www.altermed.ru/gynecology/genital-herpes-in-women/). \n\n**Приём препаратов** желательно начинать с появлением первых симптомов, тогда эпизод обострения протекает более «мягко» [13](https://ProBolezny.ru/genitalnyj-gerpes/).","linksData":[{"sourceId":1,"url":"https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/","shownUrl":"https://oren.medguard.ru/otdeleniya/ginekologiya/lechenie-ginekologicheskikh-bolezney/ippp-u-zhenshchin/genitalnyy-gerpes/","title":"Генитальный герпес у женщин: симптомы, причины, диагностика и эффективное лечение","shortUrl":"oren.medguard.ru","isTranslated":false,"description":"","greenUrl":"oren.medguard.ru"},{"sourceId":2,"url":"https://www.smclinic-spb.ru/zabolevaniya/genitalnyj-gerpes","shownUrl":"https://www.smclinic-spb.ru/zabolevaniya/genitalnyj-gerpes","title":"Генитальный герпес на половых органах у мужчин и женщин, лечение, симптомы","shortUrl":"smclinic-spb.ru","isTranslated":false,"description":"","greenUrl":"smclinic-spb.ru"},{"sourceId":3,"url":"https://polyclin.ru/articles/genitalnyy-gerpes/","shownUrl":"https://polyclin.ru/articles/genitalnyy-gerpes/","title":"Генитальный герпес: причины, симптомы и лечение","shortUrl":"polyclin.ru","isTranslated":false,"description":"","greenUrl":"polyclin.ru"},{"sourceId":4,"url":"https://www.unona-clinic.ru/articles/genitalnyy-gerpes-simptomy-diagnostika-i-prichiny-zabolevaniya/","shownUrl":"https://www.unona-clinic.ru/articles/genitalnyy-gerpes-simptomy-diagnostika-i-prichiny-zabolevaniya/","title":"Генитальный герпес: симптомы, диагностика и причины заболевания 🌺 – Юнона","shortUrl":"unona-clinic.ru","isTranslated":false,"description":"","greenUrl":"unona-clinic.ru"},{"sourceId":5,"url":"https://gemotest.ru/info/spravochnik/zabolevaniya/genitalnyy-gerpes/","shownUrl":"https://gemotest.ru/info/spravochnik/zabolevaniya/genitalnyy-gerpes/","title":"Генитальный герпес - 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