I totally disagree with your doctor. The medicines are considered very safe in pregnancy, and the protocol is that women with HSV 2 infection, with or without symptoms, get suppressed, not just women with symptoms.
If I were you and your wife, I would insist on daily therapy because everything you have read says you can shed the virus without symptoms and you want the most protection possible. This is a situation where taking the medicine just makes so much more sense than not taking it - there's really nothing to lose by taking it but plenty to lose by not.
Terri
Thanks! We spoke with him and he gave us the prescription. Do you think starting at 36 weeks is good enough? That's when he wants her to start. Also, what dosage of Valtrex would you recommend? I believe he gave her 500mg 1xday, but I am not sure. thanks!
The suggested dose for pregnancy is actually 500 twice a day now of Valtrex or 400 mg three times a day of acyclovir because of the bigger dilution factor in the blood system and also the immunocompromised state of pregnancy. And yes, 36 weeks is fine if they don't expect her to go into labor early for any reason.
Terri