GENITAL HERPES AND GENITAL PAPILLOMA-VIRUS - HSV AND HPV

The past year has seen many developments in our understanding of the c linical patterns of genital herpes, including asymptomatic carriage an d transmission, These issues raise concerns about transmission and con tribute significantly to the psychosocial impact of this disease. Mana gement strategies are rapidly changing as we enter the era of possible vaccine intervention. Management during pregnancy continues to raise controversies, stimulating the Infectious Diseases Society of America to publish official recommendations. New data, however, show us that h ealth care providers are doing a relatively poor job of giving appropr iate care and emotional support to patients in need. Similarly, human papilloma virus infections can also be missed on a clinical basis. Inf ection may be multifocal nature and even oral. Psychosocial impact can be severe with this incurable virus. Its correlation with cervical an d vulvar neoplasia becomes more evident, while management strategies a ddress only the majority of clinical warts leaving much to be desired.