Can I get pregnant with genital herpes?

  Many women infected with genital herpes are ready to get pregnant and have a baby, but are hesitant to do so because they are worried about the effect of the herpes virus on the fetus. Doctors who treat genital herpes say that it is possible for people with genital herpes to get pregnant, but there are certain risks involved.  Can a person with genital herpes get pregnant?  Genital herpes is a disease caused by infection with the herpes simplex virus (HSV). In patients with normal resistance and limited symptoms of genital herpes, the virus is mainly confined to the site of the infection focus, which is the genital and perianal area. Some can lead to peripheral lymphadenitis due to lymphatic reflux, but genital herpes infection is usually very limited and does not spread massively. A small percentage of genital herpes can travel up the peripheral sensory nerves and lurk in the sacral nerves. The virus does not usually enter the bloodstream and does not cause viremia. It is thus clear that HSV does not spread from organ to organ in the body through the bloodstream, and it neither reaches the placenta nor enters the fetus through the placenta, so the effect of HSV on the fetus is not discussed and patients with genital herpes need not worry too much.  However, for those pregnant women with genital herpes who are immunocompromised, the virus enters the bloodstream causing viremia and the probability of disseminated infection increases greatly, and the pregnant woman with genital herpes may develop systemic symptoms and cause damage to several organs throughout the body, which may threaten the life of the mother with genital herpes, not to mention the death of the fetus and miscarriage.  The doctor further pointed out that pregnancy is a special process, during which a pregnant woman with genital herpes may affect the growth and development of the fetus in her womb if she is not careful with her medication. In general, genital herpes does not have a great impact on the pregnant woman and the fetus, therefore, the current clinical treatment of genital herpes during pregnancy is on the conservative side, mainly taking measures to relieve the symptoms. Most obstetricians prefer not to treat genital herpes with oral medication and to perform a direct cesarean section so that the little one does not come in contact with the birth canal and to avoid infection of the newborn. By the same token, even if there are no symptoms or episodes before delivery, many genital herpes specialists recommend a cesarean section for pregnant women with a history of genital herpes in order to avoid exposure to the virus lurking in the cervical and vaginal secretions. Prophylactic antiviral eye drops must be administered to newborns as soon as they are born.  In conclusion, those who have genital herpes should pay more attention to the fact that some patients with genital herpes have a low immune system and are at risk if they choose to become pregnant at this time.  Treatment of genital herpes: Patients with genital herpes are mainly treated with antiviral therapy. The purpose of treating genital herpes is to relieve symptoms, reduce pain, shorten the duration of the disease and prevent secondary infections. The current genital herpes treatment methods are not yet able to achieve complete removal of the virus and eliminate recurrence.  1, genital herpes general therapy (1) is mainly to keep the genital herpes local clean and dry. It can be cleaned daily with isotonic saline, and painful people can take oral painkillers and give mental comfort.  (2) Patients with genital herpes complicated by bacterial infection can be treated with topical antibiotic creams for genital herpes.  (3) Local genital herpes pain is obvious, you can use topical 5% lidocaine hydrochloride ointment or oral painkillers.  (4) Psychological support for patients with genital herpes, explaining the nature of genital herpes, the causes of recurrence and how to treat and handle it, to increase confidence in the fight against genital herpes.  (2) Antiviral treatment for genital herpes The recommended treatment regimen for genital herpes includes: acyclovir, orally, 5 times a day; or acyclovir, orally, 3 times a day; or valacyclovir, orally, 2 times a day; or famciclovir, orally, 3 times a day. In case of primary genital herpes, the course of treatment is 7 to 10 days; in case of recurrent genital herpes, the course of treatment is 5 days. Those with frequent recurrences of genital herpes will require a longer course of treatment at a lower dose.