they get a sample of the discharge from inside your vagina and either look at it under the microscope, send it off to the lab or do some simple testing in the office to look for ph and a whiff test.
pregnancy naturally makes you immunosuppressed. the 500 mg 2x/day dose is the suppressive therapy for the last month of pregnancy.
when you have a recurrence of herpes, you switch to either 500mg 2x/day for 3 days or you can even do 2gm 2x/day for 1 day even.
I have had not testing done for vaginitis-what is the testing and how it is done? Please describe.
Where are the recommendations for obs prescription dosage?
I am on 1 gm now as my daily therapy before and during pregnancy-is that too much? Why do you recommend a different dosage the last month of pregnancy?
The metronidazole is for bv, not yeast. it's a shame your provider never did any proper testing to see what is going on and evidently just treated you for bv and then when that didn't work, treated you for yeast with the monistat. had you had any vaginitis testing done at all during the 2 years that you had itching issues?
You only have to increase your valtrex to 500mg 2x/day for 3 days to treat ob's.
At this point, if you continue to have itching, you need properly tested for yeast and bacterial infections vaginally. the cream you were using was for eczema - if you have an eczema condition going on, not unusual for itching to be frequent. At this point you need to be getting properly tested for vaginitis and if that's not an issue, discussing with your obgyn what medications you can use for chronic itch.
have you discussed with your obgyn going on the pregnancy doses of valtrex ( 500mg 2x/day ) for the last month of pregnancy too?
grace
I don't know much about dosage on the medicine and will leave grace to answer it.
Herpes isn't going to keep lasting every day for so many months. Your post makes it sound as this isn't letting up. Your OB should be testing for bacterial / yeast infections. She can also culture the area to see if this in fact your herpes acting up or not.
How were you diagnoised with HSV-2?