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Genital Herpes Suppression — SCE Infectious Diseases MCQ

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HardSTIsGenital Herpes SuppressionSCE Infectious Diseases

A non-pregnant adult has six virologically confirmed genital-HSV recurrences in 12 months and wants suppression. Which regimen is appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Aciclovir 400 mg orally twice daily with planned review of ongoing need

The best answer is “Aciclovir 400 mg orally twice daily with planned review of ongoing need”. Frequent or distressing recurrence is an indication for daily suppressive antiviral therapy; response, adherence, renal function and the continuing preference for suppression are reviewed. Genital herpes management depends on first versus recurrent infection, pregnancy timing, lesion status and neonatal-transmission risk.

Reference: BASHH genital herpes guideline: https://www.bashh.org/resources/6/genital_herpes_2014/