What treatment will I need in pregnancy if I have genital herpes?

Antiviral medication. No treatment is needed unless you have an outbreak. During an outbreak your doctor can prescribe Acyclovir or valacyclovir (valtrex). At 36 weeks most doctors will start you on prophylactic treatment with daily medication to prevent an outbreak or viral shedding during delivery. If you have an outbreak at the time of a delivery a c section will be needed.
Anti-herpes medicati. An outbreak in pregnancy will usually be treated the same as in the non-pregnant patient. Your doctor may also decide to put you on daily treatment beginning one month before delivery to prevent an outbreak. Your doctor will also decide the best delivery route for you.
Antiviral medication. Treatment during pregnancy is the same as in non pregnant. Most doctors prescribe antiviral medication prophylactically for patients with a history of herpes or if their sexual partner has a history of herpes. This treatment has decreased the number of cesareans for herpes.
Anti-herpes meds. We usually start medications to suppress herpes at about 36 weeks. This decreases the chance you have an outbreak around the time of delivery. Be sure to watch for signs or symptoms of an outbreak during pregnancy. If you have active herpes when you go into labor, you may need a cesarean to make sure your baby doesn't get herpes.
Anti-herpes medicati. If you have a herpes outbreak while pregnant you can take an anti herpes medication. If you have an active outbreak while in labor you will need a c-section. Women who have had recent herpes outbreaks are given anti herpes medication after 36 weeks to try to prevent an outbreak in labor.
Antiviral medicine. If you have frequent herpes outbreaks, you may be started on antiviral medication early in pregnancy to suppress them. If you don't get outbreaks often, make sure to tell your doctor you have a history of herpes. You will be placed on treatment at 36 weeks to prevent an outbreak around the time of labor. Active herpes during labor requires a c-section to avoid giving the baby an infection.
Anti-herpes meds. During the last month of your pregnancy your obstetrician will place you on anti-herpes medication to reduce the risk of a herpes outbreak that could infect your baby during birth. They will do weekly herpes cultures of the vagina to insure that herpes is not being shed. Should you have an outbreak or your culture is positive, then you will probably undergo a cesarean section.

Related Questions

How is genital herpes infection treated during pregnancy?

Avoid contact/ RX. Genital herpes can easily spread between partners and between the mother and the delivering baby. The risk is greatest if the mom contracts primary genital herpes in the 3rd trimester and thus is not able to transmit protective antibodies to the baby. Avoiding genital/genital or oral/genital contact with an infected partner is key - esp. In later preg. Valtex should be given in 3rd trimester. Read more...
Anti-viral meds! There are slightly different treatment regimens used depending on whether this is a new infection or a recurrent infection. Regardless, an active infection during pregnancy is treated with valtrex, (valacyclovir) for example, and then daily suppressive therapy should be continued until you are delivered. Talk with your doctor if you think you have an outbreak! Read more...

Is it routine to test for genital herpes during pregnancy before you deliver?

Depends. If you have a known history of herpes outbreaks or a possible exposure to herpes while pregnant, yes, it's important to test if you start having symptoms around time for delivery. If you've never been exposed or had the disease, then routine testing is often not necessary. Read more...

Does having genital herpes have any effect on a woman's ability to have and maintain a pregnancy?

No. No, but if there are active lesions present at the time of delivery a cesarean delivery might be recommended to prevent transmission to the baby. Read more...
Pregnancy and herpes. Although a risk still remains of losing the baby while contracting herpes iinfection in utero, many women have had normal pregnancies and healthy babies. A cesarean section is often scheduled for delivery if there are active lesions. Read more...