00:00Hello there, welcome to the second episode of Putting Dr. G on the Spot in the month of September
00:05when we celebrated World Sexual Health Day and also talked about sexually transmitted infection.
00:13This week, we're going to talk about herpes.
00:22Herpes is something that actually sends a chill down many people's spine
00:26because that itself has a really bad reputation as a form of infections
00:31that actually is transmitted by sex and also at regular recurrences.
00:36But believe it or not, there are two types of herpes.
00:39There is herpes type 1 and herpes type 2.
00:42Sometimes people describe it as herpes above the waist, which is herpes type 1,
00:47predominantly cold sore, and herpes type 2, which is below the waist, which is predominantly genital herpes.
00:53However, increasingly, there's also a chance of herpes being transmitted down to the genital
00:59through oral sex.
01:01In fact, prevalence of herpes is so common
01:04that it's estimated worldwide the adult population has about 3 billion people
01:12who have herpes type 1 because it's also transmitted from mother to child through oral contact.
01:19And about 500 million sexually active adults who actually have herpes type 2,
01:26which is genital herpes.
01:28In fact, herpes dates back to thousands of years, probably about 2 to 3 thousand,
01:33it creeps up from time to time.
01:35Why is that the case?
01:36Because it's caused by a virus, which is called herpes simplex virus.
01:40The virus itself after transmissions through sexual contact and then also oral sex
01:48actually is dormant inside the nerve.
01:52And when it's dormant inside the nerve, for the first time after infection,
01:56the individual will get problems such as flu-like symptoms,
02:00mild fever, blisters around the genitalia, and also generally feeling unwell.
02:05Well, following that, the subsequent outbreak is not as bad,
02:09but it will come up with painful blisters around the genitalia,
02:13in the anus, and in the mouth.
02:15And that itself is actually high risk for transmission.
02:18And therefore, during that time,
02:21try not to have sexual activity because that will be transmissible.
02:25However, in the other times, it's actually not so risky for contagiousness,
02:31but it is also transmissible.
02:33So for some people who get outbreaks on a regular basis,
02:37they can take antiviral during outbreaks or take antiviral on a daily basis
02:43in order to reduce the risk of transmission.
02:46And both are actually quite commonly practiced
02:49because antiviral itself is so low risk in side effects
02:54and it's commonly used.
02:56However, other forms of transmission also can be from mother to child,
03:02especially during childbirth.
03:04And then the child itself may have the transmission to the cornea
03:08and result in eye infection, which is quite nasty.
03:12So we're going down the theme of sexually transmitted infection.
03:16Another nasty, nasty thing, which is called gonorrhea.
03:20Try to find out in next week's Putting Dr. G on the Spot.
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