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Genital Hepes and Pregnancy

Hello

Ive read various information regarding Genital herpes and pregnancy and the risks.
I unfortanatley developed genital herpes in 2006 (through oral sex)  and have had few recurrant episodes since (probley about 2 more episodes, not resulting in liason just painful and tender genitals)

My question is what are the risks during pregnancy?
Will i need to have a C section?
What is the difference if any between HSV 1 and HSV 2 ad is one more riskfull than the other?

Im just concerned as i am hoping to get pregnant later in the year

Many thanks x
14 Responses
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101028 tn?1419603004
some women get more ob's while pregnant while others get less.  

you can transmit the virus to the baby during delivery even without obvious lesions present but overall the risk is very low.

in the UK, gum clinics do not offer type specific herpes igg blood tests from what I understand.
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Avatar universal
Back to pregnancy. Are the risks only if you have lesions whilst delivering? Are you more likely to develop them whilst pregnant? And do most STD clinics offer the test to determine the hsv type
Helpful - 0
101028 tn?1419603004
genital hsv1 reoccurs less often than hsv2 does on average. it also sheds less often than hsv2 does.  

follow up with your testing and if you need help with the test results, I can try to help you.  Just make sure it's a type specific herpes igg blood test done.  your  gp should be able to get your lesion culture results from the gum clinic too I would suppose.  
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Avatar universal
Ask any and every question that is on your mind. That is what they are there for. Trust me, when I went for my appt. I was there for well over an hour full of questions and making sure they knew to test for it all. Including every test possible to find out if mine is 1 or 2. 80% of all Herpes cases are or end up being Hsv1. And from some research I have done and being told is that genital Hsv1 is becoming more and more common. Not that any of it is something any body wants, but if your going to have it, then yes Hsv1 is the "better" one. Hsv1 occurs less (most of the time its none at all after first ob). I have heard of a woman who has now gone 13 years since her one and only(so far) ob. Good luck to you!
Helpful - 0
1174003 tn?1308160819
THey should culture the area and then request for it to be typed.  If it is HSV-1 which is chances what it is then you will know.  If you are going to have HSV and genitally the better of the two (I guess like the previous poster said) is HSV-1 genital.  
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Avatar universal
I've contacted my local STD Clinic and am getting tested. I have only had one out break since the initial one and it was from oral sex. Is it more likely then that I have acquired HSV 1 this being the better of the two?? Not that any is good to have. What do I need to ask for in regards to the tests?
Helpful - 0
1174003 tn?1308160819
I have done a lot of research on HSV.  Including reading a lot of stupid on PubMed.Gov and a few other interesting articles.  I am sure you can actually tell I have been at this for a while.

There is no such thing as Good or Bad Herpes.  Herpes is Herpes.  Regardless of where you get it.  Yes if the virus is not in a preferred location the outbreaks are less frequent and virial shedding is less frequent.  Good or Bad the posters don't see it that way.  Which is the part I disagree with.  No one wants to have Herpes at all.  While yes if they did get it then HSV-1 genitially would typically be the better choice but again no one wants to have it.  

Also you use the term exposed to the virus.  The term exposed refers to coming into direct contact with the virus.  This doesn't always lead to infection.  Once a person is infected with the virus it is life long.  

Just some minor differences.  
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Avatar universal
Hey you may want to re-read what I said compared to what you said. You said you disagreed with what I said, but yet you basicly said the EXACT same thing I did...only in other terms. =)

Now when I said one is "good" and one is "bad" I mean that as in one occurs less and is less severe compared to the other which can be severe and cause more ob's. And if you have done as much research as I have (and I have done a LOT), studies will even compare them as one being "good" and one being "bad". I have even talked to many doctors over this and even they explain them in the terms of 'good' and 'bad'.
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1174003 tn?1308160819
I disagree with Tajah on a few things.

Herpes is Herpes.  HSV-1 and HSV-2 are only different on the DNA level of the virus.  While that difference is there the two have different preferred areas.  HSV-2 likes the genital area.  HSV-1 likes the oral area.  The virus can be present at either site genitial or oral.  You can have both types in your body and they can even be at the same site.  Though it is not typically what happens.

If you have HSV-1 genitially you have less outbreaks than compared to HSV-2 genitially.  You also shed the virus few times out of the year.  HSV-2 orally is rare.  Neither of the viruses are "blood borne" live HIV or something else.  Herpes though does cause antibodies in the blood to form.  These won't infect someone with blood but they are present which is how we test for it.

You can contact your GP to see what they can do to help you with getting the type specific igg Herpes test.  I am sure they would know how to do the testing.  Please keep asking us questions and we will help you the best we can.
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Avatar universal
Whoever told you that you could only get one or the other was wrong. A person CAN be infected with both. Only testing will be able to tell you which one, both, or neither.

Hsv1 is considered the "good" herpes. Whereas Hsv2 is considered the "bad" herpes. Hsv1 is oral and Hsv2 is genital. But, there are cases to where the get crossed into the wrong area. Most people get Hsv1 genitally but with that, you have much less, if any, reocurring ob's. Usually a person will have one Hsv1 genital breakout, the virus realizes that is not where it is supposed to live and more than likely wont have another ob. (but it still can happen) Reguardless of which one or where it happens, once a person is exposed to the virus they will be a lifelong carrier. It all depends on the person as far as ob's and the severity of them.
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Avatar universal
Where would i seek this test from then. Do i need to inform my GP?
I have never suffered from cold sores and have been told you can only get one type either genital or cold sores.

Is there a big difference between HSV 1 and HSV 2? is one more severe thean the other? are the both blood borne?

Helpful - 0
101028 tn?1419603004
oh you certainly need to confirm your status better then before getting pregnant!!  It's my understanding that the gum clinics don't offer type specific herpes igg blood tests and that you need to pay out of pocket from them from a private provider. you and your partner both need to seek this out. Just because cold sores is the only symptoms they know they have, doesn't mean that they don't also have hsv2. Both of you getting tested tells you who has what. If you only test + for hsv1, no way to know if your hsv1 is oral , genital or both unless you get a recurrence of genital symptoms to have cultured promptly.  You can also try calling the gum clinic and asking specifically what your herpes test results were. just because they didn't call you doesn' t mean you didn't fall through the cracks and got forgotten about being informed about your status. if your lesion culture from then is hsv1+, much more accurate answers about your status too.  
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Avatar universal
HIya Grace

Thank you for the information.
I was never properly diagnosed, I developed sore and painful blister in my genetails and went to my GUM clinic, were they did a full screen on me. I never got the results back they just said if i was posite HIV then they would get in touch, but if i dont hear then not to woryy. My partner suffers from coldsore quite frequent and so i put two and two together and was just treated with strong painkillers.

The sores have never reappeared, just on two episodes i have felt tender and pain in the genitals. This was proberly once a year after the first episode.

Do you suggest i go back for a full screen before trying to concieve?
Many Thanks
Helpful - 0
101028 tn?1419603004
your genital herpes isn't an issue during your pregnancy - only during delivery. If you have an active lesion at the time of delivery your provider will probably do a c section. no obvious lesions at the time of delivery and your risk of transmitting the virus to your baby during birth is less than 1%.  You can discuss with your provider starting daily suppressive therapy in the pregnancy doses for the last month of pregnancy to try to avoid an obvious recurrence so that you can have a vaginal birth.  

how were you diagnosed as having genital herpes originally? did you have testing to confirm hsv1?

hsv2 reoccurs more often than hsv1 genitally does so it's higher risk of being active at the time of delivery.  the over all outcomes of babies infected with hsv1 at birth tends to be better but both are still an issue for babies which is why we recommend precautions against transmitting your genital herpes during birth as well as encouraging folks to not kiss baby on the face during the first month of life when they are most vulnerable to infections in general. Even in the UK, oral herpes is very prevalent with most folks who have it not getting obvious cold sores which is why we recommend no face kissing of newborns in general ( plus other infections are easily transmitted that way too ).

keep asking questions!

grace
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