Type matters
HSV-2 recurs more often than HSV-1 - typing helps plan suppressive therapy. Negative PCR does not exclude herpes outside of exacerbation (the virus “sleeps” in the ganglia) - IgG antibodies are supplemented. For pregnant women with a history of rashes, the test is important before delivery to decide on prophylaxis.
When is it appointed?
- discharge, itching, burning, pain when urinating;
- new partner, unprotected contact - screening;
- pregnancy planning and preparation for IVF;
- inflammation (urethritis, cervicitis, prostatitis) - search for the cause;
- control of cure after 3–4 weeks.
PCR is the standard for diagnosing STIs
Half of sexually transmitted infections occur latently, destroying fertility for years: PCR finds the DNA of the pathogen in any carrier, even asymptomatic. Each infection is tested with a separate test or panel as prescribed; absolute pathogens are always treated in both partners, conditional pathogens are treated based on quantity and clinical features. Collections from both men and women are performed in a clinic with proper technique; result is 1–3 days, treatment is prescribed by a urologist/gynecologist on site.
