Is genital herpes always positive?

Nov 29, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In general, genital herpes does not remain positive permanently. Maintain cleanliness and dryness of the genital area daily, wear loose-fitting, breathable cotton clothing to reduce friction and irritation. Keep a regular作息 schedule and avoid staying up late; eat a balanced diet to ensure adequate nutrition and boost immunity, thereby reducing the risk of recurrence. Avoid sexual contact during treatment, and sexual partners should undergo simultaneous examination and treatment.

Generally, genital herpes is not permanently positive. The specific analysis is as follows:

Genital herpes is caused by infection with the herpes simplex virus. Whether test results are positive or negative depends on the type of test and the stage of infection. During the acute phase, when the virus replicates extensively, nucleic acid testing is likely to yield a positive result. However, once the infection enters the latent phase, the virus remains dormant in nerve ganglia, resulting in extremely low viral load in the blood, and some tests may then return negative. Although antibody tests may remain positive for a long time, in some patients with improved immunity, antibody levels may gradually decline. Additionally, due to variations in sensitivity among different test kits, not all tests will show positive results indefinitely.

Maintain cleanliness and dryness of the genital area in daily life, wear loose, breathable cotton clothing, and minimize friction and irritation. Maintain regular sleep patterns and avoid staying up late; eat a balanced diet rich in nutrients to strengthen immunity and reduce the risk of recurrence. Avoid sexual contact during treatment, and sexual partners should undergo concurrent examination and treatment. Do not scratch lesions during recurrence; follow medical advice in using antiviral medications, and have regular follow-up visits to monitor disease progression and prevent viral transmission.

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