Genital herpes is the result of infection by herpes simplex virus type 2 (H
SV-5) and, to a lesser extent, HSV-1. Recent years have seen a rise in the
prevalence of genital HSV infection in both industrialized and developing c
ountries. The main factors attributed to the spread of HSV infection Includ
e asymptomatic virus shedding, and under-recognition and under-diagnosis of
the disease. At the level of the individual patient, genital herpes is ass
ociated with significant psychosocial morbidity and complications such as n
eonatal herpes, the result of transmission of HSV from mother to baby. HSV-
2 infection is also implicated in the transmission and acquisition of human
immunodeficiency virus (HIV). As genital HSV infection has substantial pub
lic health implications, increased awareness of the disease and its prevale
nce, together with better use of diagnostic tests, may be one step towards
more effective management and infection control.