Herpes, Obstetrics and Gynecology FAQ

Understanding Painful Bumps in the Genital Area: Causes and Treatments

There is a bump on the external genitalia that resembles a pimple? I have developed a bump in the genital area that initially felt like a small pimple and was painless, but it has since grown larger and started to hurt. It causes pain when sitting or walking. I applied some topic...

Dr. Lü Lizheng Reply:
The response may indicate folliculitis. You can try purchasing topical acne treatments that contain antibacterial antibiotic ingredients. Other possibilities include herpes and sexually transmitted infections, which must be diagnosed and treated by a gynecologist. Sincerely, Dr. ...

Does Recurring Cold Sores During Pregnancy Affect the Baby?

Will recurrent herpes labialis in pregnant women affect the fetus? Hello, Doctor! During my pregnancy (around 3 to 4 months), I experienced a recurrence of herpes labialis, with small blisters appearing on my lips. At that time, I was hesitant to apply any medication, and after a...

Dr. Lü Lizheng Reply:
During pregnancy, the recurrence of lip and oral lesions will not affect the fetus, and there is no need for any special examinations. Sincerely, Dr. Li-Cheng Lu, Taoyuan General Hospital.

Is Acyclovir Safe During Pregnancy for Treating Cold Sores?

Herpes medications Hello, is it safe to take acyclovir during pregnancy or when just pregnant if I have herpes simplex? Will it affect the fetus? Thank you.

Dr. Dong Yuhong Reply:
Hello: During pregnancy, if you have a herpes simplex virus outbreak, a topical antiviral cream such as acyclovir is generally sufficient. Maintaining your health during pregnancy can help reduce recurrences. Acyclovir is classified as a Category B medication for use during pregn...

Understanding TORCH Test Results: What They Mean for Your Pregnancy

TORCH screening! Concerned! My wife is currently 15 weeks pregnant. In her previous TORCH screening, the results showed Toxoplasma IgM at 0.210 (-), Rubella IgM at 0.332 (-), Cytomegalovirus IgM at 1.17 (+), and Herpes Simplex Virus Type I IgM at 0.14 (-) and Herpes Simplex Virus...

Dr. Cao Guotao Reply:
When a pregnant woman is infected with cytomegalovirus (CMV), there is approximately a 3% chance that the fetus will be infected, potentially leading to congenital cytomegalovirus syndrome. This syndrome can include intrauterine growth restriction, microcephaly, intellectual disa...

Understanding Genital Herpes: Symptoms, Diagnosis, and Treatment

Genital herpes The doctor would like to ask you: I started feeling something unusual when urinating on the first day of my period, and I noticed a large pimple on my vulva. There was also swelling in the nearby lymph nodes. By the third day, I experienced a headache while walking...

Dr. Dong Yuhong Reply:
Hello: Your symptoms need to consider the possibility of a herpes infection. Herpes is an infection caused by the herpes virus, but infection should not be equated with infidelity. In addition to continuing your treatment, you should also attend follow-up appointments regularly t...

Herpes Infection in Pregnant Women: Risks and Management

Pregnant women infected with herpes? Hello, Dr. Lu! I have a question! If a pregnant woman is about to give birth and she contracts herpes at this time, how should it be assessed? Will it show up during prenatal check-ups? Can the attending physician diagnose it just by looking? ...

Dr. Lü Lizheng Reply:
Dear Xiao Sun, Hello, first of all, please do not worry too much. The likelihood of the herpes virus being transmitted to the fetus through the uterus before delivery is extremely low, approximately less than one in ten thousand. The more concerning time is during delivery; ther...

Understanding Symptoms and Discharge Appearance of Genital Infections

Genital infection Could you please explain the symptoms and appearance of discharge associated with various genital infections? This would help me make a preliminary assessment. Thank you.

Dr. Zhang Kunmin Reply:
Hello, here are the responses to your questions: 1. **Fungal Infection**: Symptoms include itching in the genital area, cottage cheese-like discharge, burning sensation, pain during intercourse, discomfort while urinating, swelling and redness of the vulva, and even skin lesions...

Diagnosing Gynecological Herpes: Can Internal Exams and Ultrasounds Help?

Examination issues How is gynecological herpes diagnosed? Can it be diagnosed through a pelvic examination or ultrasound?

Dr. Zhang Kunmin Reply:
Hello, the diagnosis of herpes virus infection is generally based on medical history, symptoms, and blood tests. Thank you! Wishing you peace and health, Dr. Zhang.

Can I Have a Natural Birth with a History of Genital Herpes?

Regarding whether a person with herpes can have a natural birth? Dear Dr. Dong, I experienced a recurrence of genital herpes at 36 weeks of pregnancy, with a lesion appearing between the anus and vagina. After receiving medication from my doctor, the symptoms disappeared. At 37 ...

Dr. Dong Yuhong Reply:
Hello: Your physician should have already discussed with you the mode of delivery and the infection risks for the newborn. You have antibodies for both HSV-1 and HSV-2, and this infection is likely a recurrence, with no active lesions present. Although the risk of neonatal infect...

Can You Deliver Naturally with a History of Herpes Simplex Virus?

Can a person with rubella virus have a vaginal delivery? HSV-1 IgG Positive 20.0 INDEX HSV-2 IgG Positive 5.5 INDEX HSV-IgM Negative 0.6 The above data is from a blood test conducted at 37 weeks of pregnancy. I had a recurrence of the herpes virus at 36 weeks, but I have n...

Dr. Dong Yuhong Reply:
Hello: Your physician should have already discussed with you the mode of delivery and the risks of neonatal infection. You have antibodies for both HSV-1 and HSV-2, and this infection is likely a recurrence, with no active lesions present. Although the risk of neonatal infection ...

Can Cold Sores Spread to Fingers and Genitals? Expert Answers

May I ask the doctor? Hello Dr. Chang: I would like to ask if herpes simplex virus (cold sores) can infect the fingers (since I read in previous materials that it can be transmitted through saliva). If it infects the fingers, can it then be transmitted to the genital area during ...

Dr. Zhang Kunmin Reply:
Hello, the herpes virus can be divided into two types: Herpes Simplex Virus (HSV) and Varicella-Zoster Virus (VZV). Herpes simplex is an infection caused by the herpes simplex virus, which can infect any part of the body. Generally, it can be classified into two types: 1. Oral h...

Can Herpes Be Transmitted Through Shared Towels and Bathing?

I'm sorry, could you please clarify your question? Hello Dr. Chang: I apologize for bothering you, but I remember you mentioned that when dealing with cold sores, one should avoid sharing the same towel with others. I would like to ask if such indirect contact could potentia...

Dr. Zhang Kunmin Reply:
Hello, based on your description, the likelihood of infection in the genital area is not very high, as it is uncommon to directly wipe the mucous membranes of the perineum with a towel. Additionally, herpes viruses are primarily transmitted through direct contact and are not typi...

Understanding Herpes Transmission Risks Beyond Sexual Contact

I'm sorry? Hello Dr. Lu: 1. If my roommate, who has a history of oral herpes, touches her lips and then touches the toilet seat cover while showering, is there a risk of transmitting the virus to her genital area? 2. Since we share a sink, if she rinses her mouth and sal...

Dr. Lü Lizheng Reply:
Dear Yoyo: Hello, the herpes virus is quite fragile and will die shortly after leaving the human body. Therefore, it is only dangerous with direct contact, such as kissing or engaging in sexual intercourse. Otherwise, if you are just living together and there is no direct conta...

Can Sharing Towels Lead to Herpes Transmission? Expert Insights

Ask on behalf of someone else? Hello Dr. Zhang: Thank you for your response. My roommate would like to ask you a question. She has a habit of using a towel to dry her face first and then her body after showering. However, she has heard that individuals with herpes simplex virus (...

Dr. Zhang Kunmin Reply:
Hello, the previous response provided general preventive measures. However, if it involves shared towels, since they come into contact with the mucous membranes of the eyes and the genital area, it is best to avoid sharing them. Shared laundry is less of a concern! If you have an...

Essential Personal Hygiene Tips for Women's Health Concerns

I'm sorry, could you please provide more details about the specific hygiene habits you would like to know about? Hello Dr. Chang: Thank you for providing me with information regarding herpes. I would like to ask about personal hygiene practices—what should I pay attention to...

Dr. Zhang Kunmin Reply:
Hello, the recommended preventive measures include: having a single sexual partner, regular health check-ups, vaccination, and regular self-examinations. If you notice any abnormalities, please seek medical attention as soon as possible. Generally, sexually transmitted infections...

Understanding Oral Herpes: Risks and Precautions for Women's Health

I'm sorry, could you please clarify your question? Dr. Chang: I apologize for bothering you. Recently, my roommate has had sores or inflammation in her mouth, like cold sores, for over a month without improvement. I would like to ask about the likelihood of oral herpes infec...

Dr. Zhang Kunmin Reply:
Please refer to the attachment for details.

Can You Swim with Someone Who Has Oral Herpes? Risks Explained

I'm sorry, but I need specific content to translate. Please provide the text you would like me to Can I swim with someone who has oral herpes? Is there a risk of getting infected in the genital area? Thank you, doctor!

Dr. Zhang Kunmin Reply:
Hello, the inquirer: 1. Disease Description Herpes simplex is a viral infectious disease caused by the herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2). After infection, there may be localized primary lesions, and there is a possibility of recurrence after healing. If the ...

Can Oral Herpes Spread to Genitals? A Gynecologist's Insight

I'm sorry, doctor? Dr. Chang: I sincerely apologize for forgetting to ask a question. Since underwear is often hung up in the dormitory, I’m concerned whether the underwear could be contaminated by saliva during casual conversations (or indirectly by touching objects that ha...

Dr. Zhang Kunmin Reply:
Please refer to the attached file. Thank you.

Understanding Vaginal Itching: Causes, Risks, and Prevention Tips

Genital issues Hello, Director Zhang: I have been experiencing persistent itching in my genital area, which fluctuates but never completely resolves. Sometimes it improves after applying medication. I have visited several doctors before, and they all said there was nothing wrong ...

Dr. Zhang Kunmin Reply:
Hello Ms. Hsin-Hsin: 1. Warts that typically appear on the soles of the feet or hands are classified as flat warts, which are caused by a different type of virus than genital warts (condyloma acuminatum), so please rest assured. 2. Herpes viruses can infect various parts of th...

Are Blood Tests for Suspected Herpes Charged at Gynecology Clinics?

Is there a cost for blood tests to diagnose suspected herpes? Hello, I would like to ask if, at a general obstetrics and gynecology clinic, when checking for suspected herpes, the doctor said a blood test is needed for confirmation and charged an additional fee of 400 NTD for the...

Dr. Dai Qihan Reply:
The diagnosis of herpes begins with a visual examination, followed by a biopsy if necessary. Blood tests are not required, and there are no additional charges.

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