Can You Conceive with Genital Herpes? Tips for Couples

Genital herpes and pregnancy?

Hello, doctor.
Both my husband and I have genital herpes.
My husband experiences more frequent outbreaks (one to two times a month), while I have outbreaks about once every six months.
Recently, since my husband is getting older, we want to actively try to conceive, but we often encounter situations where his herpes flares up during my ovulation period (the outbreaks usually occur on his buttocks and scrotum), which leads us to refrain from sexual intercourse and reduces our chances of conception.
My husband has seen a doctor, who advised him to maintain a regular routine to boost his immune system and did not recommend any medication for treatment.
However, due to work-related stress, his symptoms have not improved significantly.
I would like to ask, since I have already been infected (there is no concern about being reinfected), if we can engage in sexual intercourse during my ovulation days even if my husband has an outbreak of herpes? Thank you!

uua, 30~39 year old female. Ask Date: 2017/06/06

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Both my husband and I have genital herpes.
My husband experiences more frequent outbreaks (one to two times a month), while I have outbreaks about once every six months.
Recently, since my husband is getting older, we want to actively try to conceive, but we often encounter his herpes outbreaks during my ovulation period (which commonly occurs on his buttocks and scrotum).
This leads to a cessation of sexual activity, reducing our chances of conception.
My husband has seen a doctor, who advised him to maintain a regular routine to strengthen his immune system, but did not recommend any medication for treatment.
However, due to work-related stress, his symptoms have not improved.
I would like to ask, since I have already been infected (and there is no concern about being reinfected), if we can engage in sexual activity during the days of my ovulation even if my husband has an outbreak? Answer: Yes, you can engage in sexual activity as usual.

Reply Date: 2017/06/06

More Info

When it comes to conceiving while having genital herpes, there are several important factors to consider. Genital herpes is caused by the herpes simplex virus (HSV), and while it can complicate the process of trying to conceive, it does not make it impossible. Here are some key points and tips for couples dealing with this situation.

Understanding Genital Herpes and Fertility
1. Transmission Risk: The primary concern with genital herpes during conception is the risk of transmission to your partner or to a potential baby. Since both you and your husband have genital herpes, the risk of transmitting the virus between you is significantly reduced. However, it is crucial to avoid sexual contact during an active outbreak, as this is when the virus is most contagious.

2. Timing of Intercourse: You mentioned that your husband's outbreaks often coincide with your ovulation period. This can indeed pose a challenge for conception. If your husband has an outbreak, it is advisable to refrain from sexual intercourse until the outbreak has resolved. Engaging in sexual activity during an outbreak can increase the risk of transmission and may also lead to complications.

3. Managing Outbreaks: Since your husband experiences frequent outbreaks, managing these effectively can help improve your chances of conceiving. Stress is a known trigger for herpes outbreaks, so finding ways to reduce stress through lifestyle changes, relaxation techniques, and possibly counseling can be beneficial. Additionally, maintaining a healthy immune system through a balanced diet, regular exercise, and adequate sleep can help reduce the frequency of outbreaks.

4. Medication: While your husband’s doctor has not recommended antiviral medication, it may be worth discussing with a healthcare provider. Antiviral medications like acyclovir can help reduce the frequency and severity of outbreaks, and they can also lower the risk of transmission during sexual activity. If your husband takes antiviral medication, it may allow for more flexibility in timing intercourse around your ovulation.

5. Consulting a Specialist: If you are facing challenges in conceiving, it may be helpful to consult a fertility specialist. They can provide personalized advice and may suggest additional options, such as fertility treatments, that can assist you in achieving pregnancy while managing the risks associated with genital herpes.

Tips for Couples Trying to Conceive with Genital Herpes
- Plan Ahead: If you know your ovulation cycle, try to plan sexual activity around it, avoiding intercourse during outbreaks.

- Use Protection: If there is any doubt about the presence of an outbreak, consider using condoms to reduce the risk of transmission, even if both partners are infected.

- Communicate Openly: Maintain open communication with your partner about your concerns, feelings, and any symptoms. This will help both of you manage the situation more effectively.

- Stay Informed: Educate yourselves about genital herpes, its management, and its implications for pregnancy. Knowledge can empower you to make informed decisions.

- Seek Support: Consider joining support groups for individuals with herpes. Sharing experiences with others can provide emotional support and practical advice.

In summary, while genital herpes can complicate the process of conceiving, it does not make it impossible. By managing outbreaks, planning intercourse around ovulation, and possibly considering antiviral treatment, you can improve your chances of conceiving while minimizing risks. Always consult with healthcare professionals for personalized advice tailored to your specific situation.

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