Highlights from the European Guidelines for the Treatment of Genital Herpes (2024)
Highlights from the European Guidelines for the Treatment of Genital Herpes (2024)
In 2024, the European guidelines for the treatment of genital herpes were updated with a focus on more nuanced treatment, increased patient involvement and gentle care. The guidelines, prepared by the European STI Guidelines Editorial Board (IUSTI Europe), reflect the latest knowledge and recommend both medical and non-medical support for patients with HSV-2 and genital HSV-1.
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Diagnosis and testing
The guidelines recommend:
• PCR test as first choice when an active outbreak is suspected (high sensitivity)
• Type determination (HSV-1 vs. HSV-2) for first-time infection – as the course and risk of recurrence depend on the type
• Blood tests (serology) should only be used in special cases, e.g. in pregnant women or partners of people with known herpes
Rapid and correct diagnosis is central to safety and further treatment planning.
Treatment: Not one solution for all
The guidelines emphasize that treatment should be tailored to the individual. Many people can shorten outbreaks and relieve symptoms with over-the-counter gels/creams. Those patients who suffer from recurrent outbreaks several times a month may need occasional antiviral treatment during outbreaks, while others with very severe infections may benefit from fixed suppressive treatment.
Short-term treatment:
• Used for occasional outbreaks
• Can shorten duration and reduce symptoms if given early
Long-term suppressive treatment:
• Recommended for frequent or particularly bothersome outbreaks
• Can reduce the risk of infection to partner
Antiviral treatment is not necessary for everyone – and it is emphasized that self-care and skin care are an important part of treatment.
Skin care and symptom relief
The new guidelines emphasize that local relief and skin care should be integrated into treatment. Many patients experience physical and psychological discomfort during outbreaks – and good self-care is essential here.
• Using herpes gel or cream can reduce burning and itching
• Products like QUR effective herpes gel are highlighted as a gentle and effective choice for caring for the affected area – without perfume and with good relief
• Soothing, fragrance-free products can make a big difference in everyday life and during acute outbreaks
The guidelines recognize that physical comfort and a sense of control are essential to patient well-being.
Information and support
A key element of the new recommendations is that patients should be informed clearly and respectfully. This includes:
• Advice on infection, prevention and partner selection
• Involvement in decisions about treatment
• Offer psychosocial support when needed
It is important that people with genital herpes do not feel stigmatized or isolated. Both healthcare professionals and good patient information play an important role here.
Conclusion
The European guidelines for 2024 mark an important step towards holistic treatment of genital herpes. Medication is an option – but not always necessary. The combination of accurate diagnostics, open information and effective care with e.g. QUR herpes gel provides reassurance and a better quality of life for those living with the virus.
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Buy your herpes cream here - Effective and discreet treatment of herpes 1 & 2
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