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Patient and Partner Perceptions about Preventing Genital Herpes ...

Source: www.ihmf.org
Topic: Herpes
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Sort Desciption: BETWEEN 45 AND 60 million people in the USA have genital herpes, and up to 1.6 million new infections occur each year. ...

Content Inside:
Transmission Introduction BETWEEN 45 AND 60 million people in the USA have genital herpes, and up to 1.6 million new infections occur each year. 13 Although many studies have been conducted into the clinical and psychosexual aspects of a genital herpes diagnosis, few have focused on perceptions (or use) of prevention methods. 4 Patients are generally concerned about transmitting genital herpes to current and future sexual partners, and want information on prevention strategies. 510 Both clinical and research evidence suggest that genital herpes transmission is reduced by teaching people to disclose their history of infection to partners, to recognize symptoms, to abstain from sex during outbreaks, to take suppressive antiviral medication and to use condoms consistently and correctly. 4,11,12 In theory, genital herpes transmission could be reduced if patients receive adequate education and counselling from healthcare providers (or other reliable sources), are able to engage in dialogue with partners about safer sex and are willing to adopt risk reduction measures. Historically, the risk reduction message for those infected, their partners and other at-risk populations has been complex or equivocal. Discoveries about the frequency and unpredictability of herpes simplex virus (HSV) shedding required people with herpes to view themselves as being potentially contagious at any time and to consider risk reduction as more than an episodic problem. 13,14 Condoms, however, were characterized as having limited effectiveness for genital herpes prevention; until recently, no data were available concerning the impact of condoms or suppressive antiviral therapy on HSV transmission rates. 11,12 A Centers for Disease Control and Prevention genital herpes prevention advisory panel recommended studying partner management strategies and related behavioural interventions. 4 Though there has been little research in this ...

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