First, patients with primary infections can be divided into primary infections and non-primary infections.
(1) Patients with primary infection have no previous history of herpes simplex and no HSV antibodies in their serum. After infection with HSV, the clinical manifestations are the most serious. The patient developed the disease after sexual contact with a patient with active herpes simplex injury. The incubation period is 3 to 14 days, with an average of about 6 days. Men tend to develop in the glans, coronary sulcus, foreskin and penis; women tend to develop in the vulva
gay dildo , cervix, anus and buttocks. Most millet pimples and blisters can merge into each other into pieces. After 2 to 4 days, the ulcer becomes erosion or ulcer, consciously itching and painful. When the injury invades the urothelial epithelium, the patient develops dysuria, dysuria, and mucus secretions from the urethral orifice. When it invades the cervical epithelium, cervical erosion
gay masturbation , ulcers and leucorrhea increase. The inguinal lymph nodes were swollen and tender
perfect ass , but there was no suppuration or ulcer. New rashes appear from time to time within 1 week after the onset, and the skin lesions reach a peak in 7 to 10 days, and then gradually subside and scab. Generally speaking, it takes 18 to 21 days for skin lesions to completely resolve and the epithelium to grow normally. In some cases
magic wands , viremia such as fever, headache, nausea, photophobia, and even neck stiffness may occur.
(2) Patients with non-primary infection have clinical manifestations of genital herpes for the first time, but have a history of herpes simplex on the lips in the past. There are antibodies to HSV-1 in the serum. Due to the protective effect of HSV-1 antibodies on the body, the clinical manifestations of non-primary genital herpes are milder than those of primary genital herpes. Skin damage is limited and the course of disease is mild. The skin damage is generally completely scarred and peeled off in about 2 weeks. Patients generally have no systemic symptoms and no inguinal lymph nodes are swollen.
2. Recurrent infection
The first recurrence often occurs six months to one year after the primary infection resolves. The average number of recurrences is 3 to 4 times per year, and more than 6 times are frequent recurrences. Predisposing factors for recurrence include decreased immune function, non-immune factors and infections such as fatigue, mental stress, trauma, and menstruation. In general, relapse is more common in men than in women, but the symptoms after relapse are more severe in women than in men. Clinical manifestations and the number of recurrences vary from person to person.