Impact of Genital Herpes on Pregnancy: What You Need to Know

Pregnancy Issues Related to Genital Herpes

Hello Doctor: I am currently 17 weeks pregnant.
I had genital herpes about a month ago.
The ultrasound examination showed normal results without any abnormalities.
I would like to know how an outbreak of herpes during pregnancy could affect the fetus.
I have undergone amniocentesis and am currently waiting for the results.
Are there any additional tests needed to determine if the fetus has been infected?

Youzi, 30~39 year old female. Ask Date: 2016/11/22

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, amniocentesis and amniotic fluid analysis may not be very helpful.
After the procedure, you will have to wait for the report.
It is recommended to consult Professor Ke Tsang-Ming in obstetrics and gynecology.
Wishing you good health.

Reply Date: 2016/11/22

More Info

Genital herpes, caused by the herpes simplex virus (HSV), can have implications during pregnancy, particularly if an outbreak occurs near the time of delivery. However, your current situation, being 17 weeks pregnant and having had a previous outbreak, requires careful consideration of several factors.

Firstly, it’s important to understand that the risk of transmitting the virus to the fetus is generally low during pregnancy, especially if the mother has a history of genital herpes and is not experiencing an active outbreak. The primary concern arises during delivery if the mother has an active outbreak of herpes lesions in the genital area. In such cases, there is a significant risk of neonatal herpes, which can be severe and life-threatening for the newborn. Therefore, if you were to have an outbreak close to your delivery date, a cesarean section may be recommended to prevent transmission.

Since you mentioned that your ultrasound has shown no abnormalities and you are awaiting the results of an amniocentesis, it’s essential to discuss the implications of these results with your healthcare provider. Amniocentesis can provide valuable information regarding the health of the fetus and can help determine if there are any infections present, including HSV. If the test results indicate that the fetus is not infected, that is reassuring.

In terms of additional testing, if you have not experienced any symptoms of an outbreak during your pregnancy, routine monitoring and follow-up with your obstetrician should suffice. However, if you do experience any symptoms such as sores, itching, or discomfort in the genital area, it is crucial to seek medical attention promptly. Your healthcare provider may recommend antiviral medications, such as acyclovir, to manage outbreaks and reduce the risk of transmission to the baby.

Moreover, it’s important to maintain open communication with your healthcare team throughout your pregnancy. They can provide guidance on managing your herpes condition and any necessary precautions to take as you approach your due date. If you have any concerns about your health or the health of your baby, do not hesitate to reach out to your doctor for personalized advice.

In summary, while genital herpes can pose risks during pregnancy, especially during delivery, the likelihood of transmission to the fetus is low if there are no active lesions. Monitoring your condition, discussing your concerns with your healthcare provider, and following their recommendations will help ensure a healthy pregnancy. Stay informed and proactive about your health, and best wishes for the remainder of your pregnancy!

Similar Q&A

Understanding Herpes Risks During Pregnancy and Pre-Marital Health Checks

Hello, Doctor: I am currently aware that I am pregnant, but I am very worried because the day after conception, I discovered what appeared to be a herpes infection in the area near my thigh, not on the vulva (the partner showed no symptoms, and this was my first time). On the fir...

Dr. Huang Jianxun reply Obstetrics and Gynecology
Dear MIGO, Hello, the characteristics of the general herpes you described differ from what is typical. 1. Location: General herpes typically appears on the vulva or labia, not on the thigh. 2. Number: General herpes usually presents with multiple lesions, rather than just one....

Impact of Stress and Herpes on Pregnancy: What You Need to Know

Hello doctor, my husband is experiencing fatigue and high work stress during my ovulation week, and he also has a recurrence of genital herpes (I have been infected as well, but I haven't had a recent outbreak). If conception is successful, will these two factors affect the ...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
1. If conception is successful, will these two factors affect the health of the fetus? Answer: If conception is successful, these two factors will not affect the health of the fetus. 2. Should we pause attempts to conceive during ovulation if he is physically fatigued, under sig...

Impact of Shingles on Fetal Development in Early Pregnancy

Hello doctor, may I ask if contracting shingles in the early stages of pregnancy will affect the fetus? Thank you.

Dr. Zhong Wenzhen reply Obstetrics and Gynecology
The impact of a shingles infection during early pregnancy on the fetus is minimal; however, the occurrence of genital herpes at the time of full-term delivery poses a higher risk of neonatal infection.

Can I Get Pregnant with a History of Genital Herpes?

Hello, doctor. I was infected with type 2 genital herpes 10 years ago, with the infection located around the vulva. I have been asymptomatic for about 3 years and have not had any recurrences. This year, I would like to get pregnant, but I am concerned about whether the virus cou...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it should not have an impact. In principle, you should be able to have a natural delivery. Wishing you good health.