How to treat vulvar herpes?

The treatment of vulvar herpes requires understanding of the correct methods and techniques. Common treatments include the use of painkillers, such as analgesics or aspirin, as well as antiviral drugs. However, it is recommended that the use of drugs should not be blind and must be ordered by a doctor.

1. Pain relief

Giving analgesics such as aspirin, metamizole, etc. and cyproheptadine can also relieve the pain. Various tranquilizers are effective for postherpetic neuralgia. For example, amitriptyline combined with perphenazine or fluphenazine or thioridazine can usually relieve pain within 1 to 2 weeks. Carbamazepine, chlorprothixene, and rotundine can all be tried. Some people use cimetidine to accelerate recovery and relieve pain. There are also reports of taking vitamin E 400 mg three times a day to prevent postherpetic neuralgia. It has recently been reported that topical 0.025% capsaicin cream has a good effect on postherpetic neuralgia.

(ii) Antiviral agents

1. Adenosine 15 mg/kg is injected intravenously daily for 10 days. Early application can reduce acute pain and postherpetic neuralgia and accelerate recovery.

2. Early use of acyclovir or valacyclovir can inhibit the virus and prevent its spread.

3. Early application of high-dose interferon (5.1×10 IU/kg per day) can be used as an adjuvant treatment for active infection in high-risk patients.

(III) Corticosteroids

There is still controversy over the issue of corticosteroid treatment. Some people advocate that for elderly patients, if there are no obvious contraindications, early administration of prednisone can reduce inflammation, prevent toxic and destructive effects on ganglia and nerve fibers, reduce postherpetic neuralgia, and does not affect the formation of specific immunoglobulin IgG. However, there are also reports that corticosteroid treatment is ineffective.

(IV) Vitamins and Immunotherapy

Vitamin B1, vitamin B6, vitamin B12, etc. can be taken orally or injected. Levodopa also has a certain effect on the elderly and herpes zoster ophthalmicus. Herpes zoster immune serum and immunoglobulin are effective for chickenpox, but cannot shorten the course of herpes zoster and its postherpetic neuralgia. Therefore, some people believe that they should not be used to treat herpes zoster.

5. Acupuncture therapy

It has obvious anti-inflammatory and analgesic effects, and is also effective for post-herpetic neuralgia. Select acupoints or needle Ashi points according to the location of the damage. You can also use ear acupuncture to find the tingling points in the corresponding parts and keep twisting them for 20 minutes intermittently.

(6) Audio electrotherapy, laser irradiation or magnetic acupoint therapy can reduce inflammation and relieve pain.