X90 Genital herpes female (ICD-10:A60.0)

Introduction

Genital herpes is a sexually transmitted infection caused by the herpes simplex virus (HSV). It is a common condition that affects millions of people worldwide^[1]. This guide aims to provide healthcare professionals with a comprehensive overview of the diagnosis and management of genital herpes in females.

Codes

• ICPC-2 Code: X90 Genital herpes female^[2]
• ICD-10 Code: A60.0 Herpesviral infection of genitalia and urogenital tract^[3]

Symptoms

• Painful genital sores or blisters
• Itching or tingling sensation in the genital area
• Flu-like symptoms such as fever, headache, and muscle aches
• Swollen lymph nodes in the groin area
• Painful urination or difficulty urinating
• Vaginal discharge^[4]

Causes

• Herpes simplex virus type 1 (HSV-1): Typically causes oral herpes, but can also cause genital herpes through oral-genital contact.
• Herpes simplex virus type 2 (HSV-2): The most common cause of genital herpes, transmitted through sexual contact^[5].

Diagnostic Steps

Medical History

• Gather information about the patient’s sexual history, including number of sexual partners, condom use, and history of sexually transmitted infections (STIs).
• Ask about the presence of symptoms and their duration.
• Inquire about any previous episodes of genital herpes^[6].

Physical Examination

• Inspect the genital area for the presence of sores, blisters, or ulcers.
• Palpate the lymph nodes in the groin area for any swelling or tenderness.
• Perform a pelvic examination to assess for any additional signs of infection^[7].

Laboratory Tests

• Viral culture: Collect a sample from a sore or blister to test for the presence of the herpes simplex virus.
• Polymerase chain reaction (PCR) test: A highly sensitive test that can detect the genetic material of the herpes virus.
• Blood tests: Serologic tests can determine the presence of antibodies to HSV-1 and HSV-2, indicating a past or current infection^[8].

Diagnostic Imaging

• Diagnostic imaging is not typically necessary for the diagnosis of genital herpes^[9].

Other Tests

• No additional tests are typically required for the diagnosis of genital herpes^[10].

Follow-up and Patient Education

• Provide counseling and education about the nature of genital herpes, including transmission, prevention, and management of outbreaks.
• Discuss the importance of safe sexual practices, including condom use and disclosure of the infection to sexual partners.
• Schedule follow-up appointments to monitor the patient’s progress and address any concerns or questions.

Possible Interventions

Traditional Interventions

Medications:

Top 5 drugs for Genital Herpes:

1. Acyclovir:
   • Cost: Generic versions can be $10-$50/month.
   • Contraindications: Hypersensitivity to acyclovir.
   • Side effects: Nausea, vomiting, headache.
   • Severe side effects: Allergic reactions, kidney damage.
   • Drug interactions: Probenecid, cimetidine.
   • Warning: Adequate hydration is important to prevent kidney damage.
2. Valacyclovir:
   • Cost: Generic versions can be $20-$100/month.
   • Contraindications: Hypersensitivity to valacyclovir.
   • Side effects: Nausea, headache, dizziness.
   • Severe side effects: Allergic reactions, kidney damage.
   • Drug interactions: Probenecid, cimetidine.
   • Warning: Adequate hydration is important to prevent kidney damage.
3. Famciclovir:
   • Cost: Generic versions can be $30-$150/month.
   • Contraindications: Hypersensitivity to famciclovir.
   • Side effects: Headache, nausea, diarrhea.
   • Severe side effects: Allergic reactions, kidney damage.
   • Drug interactions: Probenecid, cimetidine.
   • Warning: Adequate hydration is important to prevent kidney damage.
4. Penciclovir (Topical cream):
   • Cost: $20-$50/tube.
   • Contraindications: Hypersensitivity to penciclovir.
   • Side effects: Local skin irritation, itching.
   • Severe side effects: Allergic reactions.
   • Drug interactions: None reported.
   • Warning: Avoid contact with eyes and mucous membranes.
5. Docosanol (Topical cream):
   • Cost: $10-$30/tube.
   • Contraindications: Hypersensitivity to docosanol.
   • Side effects: Local skin irritation, itching.
   • Severe side effects: Allergic reactions.
   • Drug interactions: None reported.
   • Warning: Avoid contact with eyes and mucous membranes.

Alternative Drugs:

• Lidocaine gel: Can be used to relieve pain and discomfort associated with genital herpes outbreaks.
• Antiviral ointments: Some patients may prefer ointments over creams for topical application.

Surgical Procedures:

• There are no surgical procedures indicated for the treatment of genital herpes.

Alternative Interventions

• Lysine supplements: Some studies suggest that lysine, an amino acid, may help reduce the frequency and severity of genital herpes outbreaks. Cost: $10-$20/month.
• Aloe vera gel: Applying aloe vera gel to the affected area may help soothe and heal the lesions. Cost: $5-$10/bottle.
• Tea tree oil: Topical application of tea tree oil may have antiviral properties and help reduce symptoms. Cost: $10-$15/bottle.
• Echinacea: Some individuals use echinacea supplements to boost the immune system and potentially reduce the frequency of outbreaks. Cost: $10-$20/month.
• Stress management techniques: Stress can trigger genital herpes outbreaks, so techniques such as meditation, yoga, and deep breathing exercises may be helpful. Cost: Varies depending on the method chosen.

Lifestyle Interventions

• Avoiding triggers: Identify and avoid triggers that may lead to outbreaks, such as stress, fatigue, and certain foods.
• Maintaining good hygiene: Keep the genital area clean and dry to prevent secondary infections.
• Using condoms: Consistent and correct use of condoms can reduce the risk of transmission to sexual partners.
• Avoiding sexual activity during outbreaks: Abstaining from sexual activity during outbreaks can reduce the risk of transmission.
• Healthy lifestyle choices: Eating a balanced diet, getting regular exercise, and getting enough sleep can help support the immune system and reduce the frequency of outbreaks.

It is important to note that the cost ranges provided are approximate and may vary depending on the location and availability of the interventions.

Mirari Cold Plasma Alternative Intervention

Understanding Mirari Cold Plasma

• Safe and Non-Invasive Treatment: Mirari Cold Plasma is a safe and non-invasive treatment option for various skin conditions. It does not require incisions, minimizing the risk of scarring, bleeding, or tissue damage.
• Efficient Extraction of Foreign Bodies: Mirari Cold Plasma facilitates the removal of foreign bodies from the skin by degrading and dissociating organic matter, allowing easier access and extraction.
• Pain Reduction and Comfort: Mirari Cold Plasma has a local analgesic effect, providing pain relief during the treatment, making it more comfortable for the patient.
• Reduced Risk of Infection: Mirari Cold Plasma has antimicrobial properties, effectively killing bacteria and reducing the risk of infection.
• Accelerated Healing and Minimal Scarring: Mirari Cold Plasma stimulates wound healing and tissue regeneration, reducing healing time and minimizing the formation of scars.

Mirari Cold Plasma Prescription

Video instructions for using Mirari Cold Plasma Device – X90 Genital herpes female (ICD-10:A60.0)

Localized (0) Sacrum (1) Prostate & Uterus (2) Kidney, Liver & Spleen (3) Heart, Bile & Pancreas (4) Lungs (5) Throat, Lymphatic & Thyroid (6) Neuro system & ENT (7)

Use the Mirari Cold Plasma device to treat Genital herpes female effectively.

WARNING: MIRARI COLD PLASMA IS DESIGNED FOR THE HUMAN BODY WITHOUT ANY ARTIFICIAL OR THIRD PARTY PRODUCTS. USE OF OTHER PRODUCTS IN COMBINATION WITH MIRARI COLD PLASMA MAY CAUSE UNPREDICTABLE EFFECTS, HARM OR INJURY. PLEASE CONSULT A MEDICAL PROFESSIONAL BEFORE COMBINING ANY OTHER PRODUCTS WITH USE OF MIRARI.

Step 1: Cleanse the Skin

• Start by cleaning the affected area of the skin with a gentle cleanser or mild soap and water. Gently pat the area dry with a clean towel.

Step 2: Prepare the Mirari Cold Plasma device

• Ensure that the Mirari Cold Plasma device is fully charged or has fresh batteries as per the manufacturer’s instructions. Make sure the device is clean and in good working condition.
• Switch on the Mirari device using the power button or by following the specific instructions provided with the device.
• Some Mirari devices may have adjustable settings for intensity or treatment duration. Follow the manufacturer’s instructions to select the appropriate settings based on your needs and the recommended guidelines.

Step 3: Apply the Device

• Place the Mirari device in direct contact with the affected area of the skin. Gently glide or hold the device over the skin surface, ensuring even coverage of the area experiencing.
• Slowly move the Mirari device in a circular motion or follow a specific pattern as indicated in the user manual. This helps ensure thorough treatment coverage.

Step 4: Monitor and Assess:

• Keep track of your progress and evaluate the effectiveness of the Mirari device in managing your Genital herpes female. If you have any concerns or notice any adverse reactions, consult with your health care professional.

Note

This guide is for informational purposes only and should not replace the advice of a medical professional. Always consult with your healthcare provider or a qualified medical professional for personal advice, diagnosis, or treatment. Do not solely rely on the information presented here for decisions about your health. Use of this information is at your own risk. The authors of this guide, nor any associated entities or platforms, are not responsible for any potential adverse effects or outcomes based on the content.

Mirari Cold Plasma System Disclaimer

• Purpose: The Mirari Cold Plasma System is a Class 2 medical device designed for use by trained healthcare professionals. It is registered for use in Thailand and Vietnam. It is not intended for use outside of these locations.
• Informational Use: The content and information provided with the device are for educational and informational purposes only. They are not a substitute for professional medical advice or care.
• Variable Outcomes: While the device is approved for specific uses, individual outcomes can differ. We do not assert or guarantee specific medical outcomes.
• Consultation: Prior to utilizing the device or making decisions based on its content, it is essential to consult with a Certified Mirari Tele-Therapist and your medical healthcare provider regarding specific protocols.
• Liability: By using this device, users are acknowledging and accepting all potential risks. Neither the manufacturer nor the distributor will be held accountable for any adverse reactions, injuries, or damages stemming from its use.
• Geographical Availability: This device has received approval for designated purposes by the Thai and Vietnam FDA. As of now, outside of Thailand and Vietnam, the Mirari Cold Plasma System is not available for purchase or use.

References

1. 1. World Health Organization. Herpes simplex virus. https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus
   2. ICPC-2 Code: X90 Genital herpes female. RxReasoner. https://www.rxreasoner.com/icpc2codes/X90
   3. ICD-10-CM Diagnosis Code A60.0: Herpesviral infection of genitalia and urogenital tract. ICD10Data.com. https://www.icd10data.com/ICD10CM/Codes/A00-B99/A50-A64/A60-/A60.0
   4. Mayo Clinic. Genital herpes – Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/genital-herpes/symptoms-causes/syc-20356161
   5. Centers for Disease Control and Prevention. Genital Herpes – CDC Fact Sheet. https://www.cdc.gov/std/herpes/stdfact-herpes.htm
   6. American College of Obstetricians and Gynecologists. Genital Herpes. https://www.acog.org/womens-health/faqs/genital-herpes
   7. UpToDate. Diagnosis of genital herpes simplex virus infection. https://www.uptodate.com/contents/diagnosis-of-genital-herpes-simplex-virus-infection
   8. Workowski KA, Bolan GA. Sexually Transmitted Diseases Treatment Guidelines, 2015. MMWR Recomm Rep. 2015;64(RR-03):1-137.
   9. American Family Physician. Genital Herpes: A Review. https://www.aafp.org/afp/2016/1001/p544.html
   10. National Institute of Allergy and Infectious Diseases. Genital Herpes. https://www.niaid.nih.gov/diseases-conditions/genital-herpes