What questions do I often get from people with genital herpes? When will I be able to get pregnant? How will it affect the baby? It is sometimes difficult to answer these questions, because there are many factors involved in a good or bad pregnancy, and visible herpes is naturally a concern. In fact, for patients with normal resistance and limited first symptoms (the majority of pregnant women fall into this category), there is no problem if they are cured in time. The frequent attacks of some women are often related to their own irregular diet, like spicy and stimulating diet, drinking or overeating, staying up late, not in a good mood, not having a good rest during cold or menstruation, so that their resistance to the virus is always poor, and naturally it is easy to ignite the replication of the virus and let it flourish. In fact, after infection with genital herpes virus, HSV is mainly confined to the site of the focal point of infection, that is, the genitals, perianal area, etc.; part of it may occur due to the role of lymphatic reflux peripheral lymphadenitis, but the infection is usually very limited and generally does not spread on a large scale; some people can partially travel up along the peripheral nerves, latent in the sacral ganglion area, etc., to be re-emerged after suitable conditions. The virus does not usually enter the bloodstream and does not cause viremia. Therefore, there is no need to worry about HSV spreading from one organ of the body to another through the blood. It is said that it does not reach the placenta and cannot enter the fetus through the placenta, therefore, the effect of HSV on the fetus in the middle and late stages of pregnancy cannot be discussed. According to some survey data, those pregnant mothers infected with HSV did not have an increased rate of fetal malformation and miscarriage compared to normal pregnant women. However, the results observed in animal experiments differ, so it is important to be careful for women with early pregnancies. Especially for pregnant women with low immunity, the probability of the virus entering the bloodstream and causing viremia is greatly increased, and the occurrence of genital herpes, etc. in the first weeks of pregnancy, the fetus has the possibility of triggering malformations, death, miscarriage, etc. Mothers with low resistance may themselves have the possibility of discomfort or other problems. Pregnancy is a challenge in itself for women and their own immunity can change. To be on the safe side, we recommend that pregnant women with a history of genital herpes should preferably have a blood immunology test to clarify their situation before considering pregnancy. Therefore, it is better to actively treat herpes for a period of time, pay attention to adjusting your mood and living a regular life so that herpes episodes are reduced to less than two to three times a year to get pregnant. Or it may be helpful to have HSV test or blood HSV check IgM before pregnancy, if it is negative and there is no discomfort, it is better to get pregnant. Of course, in general, genital herpes does not affect the pregnant woman and the fetus too much, and it is important not to be nervous after it occurs. If there is no obvious general discomfort, treatment is on the conservative side, mainly taking measures to relieve symptoms, mainly topical medications, such as topical anti-viral drugs (such as acyclovir, penciclovir ointment, etc.), etc., until symptoms disappear. If a pregnant woman is approaching her due date, she may consider taking acyclovir until delivery (since the fetus is already mature by then, the drug will have little effect on them) to reduce the amount of virus in the birth canal and prevent the baby from contracting the virus during delivery through the birth canal. In fact, most obstetricians do not advocate oral administration of the drug, but rather perform a direct cesarean section so that the little one does not come into contact with the birth canal to avoid neonatal infection. Likewise, many doctors recommend, as a precautionary measure, that pregnant women with a history of genital herpes, even if they are asymptomatic and free of episodes before delivery, should opt for a cesarean section to avoid possible exposure to the virus lurking in the cervical and vaginal secretions due to the birth canal. Prophylactic antiviral eye drops must also be administered after the birth of the newborn. Nowadays, the environment is very polluted and the incidence of genital herpes is very high, so it is crucial to take active preventive measures to avoid accidentally getting infected.