Herpes simplex and human papilloma virus, which is associated with warts, commonly affect the vulva. Viruses are minute living organisms that are much smaller even than bacteria and can only function within the cells of the host. Viruses may lie dormant within cells for many years before they enter an active phase. Whilst they can be treated in these active phases, it is not possible to detect or destroy the dormant viruses. Many women with recurrent vulval herpes live in fear of the next attack and may feel unclean and helpless once the diagnosis has been made; libido may suffer. They may avoid intermittent relationships or fear sexual activity. Depression is a common se quel. Whilst premenstrual syndrome, period problems and hormone replacement therapy may be fashionable subjects for discussion, herpes and warts are subjects that are avoided as sufferers may feel ashamed.






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