When is the best time to get pregnant with recurrent genital herpes?

  In fact, after infection with genital herpes virus, HSV is mainly confined to the site of the infection focus, that is, the genitals, perianal area, etc.; some of them may have peripheral lymphadenitis due to the role of lymphatic reflux, but the infection is usually very limited and usually does not spread on a large scale; some of them can partially travel up 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, genital herpes occurs in the first weeks of pregnancy, etc., and the fetus has the possibility of causing 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 be actively treated 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 conservative, mainly taking measures to relieve symptoms, mainly topical medications, such as topical antiviral drugs (such as acyclovir, penciclovir ointment, etc.), etc., until the symptoms disappear.