April 29, 2016
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Genital Herpes in Women Overview (cont.)

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What medications treat and manage genital herpes?

Antiviral medications are available that can help manage the severity and duration of outbreaks, if taken immediately prior to (when there are tingling or unusual skin sensations but no blisters) or within 24 hours of an outbreak. The medications typically used are

  • acyclovir (Zovirax),
  • famciclovir (Famvir), or
  • valacyclovir (Valtrex).

These are all typically taken by mouth. In severe cases of viral infection, antiviral medications may be given intravenously, but this is not usually needed for genital herpes. Topical medications that are applied directly to the sores are also available, but these are less effective than oral medications and are not generally used.

All of these medications may also be given daily as suppressive therapy to decrease the number of outbreaks in people who have frequent outbreaks (more than six outbreaks per year).

How is genital herpes managed during pregnancy?

Oral antiviral medications as described above may be used during pregnancy. One serious concern with genital herpes in pregnancy is transmission of the infection to the baby during delivery. In an infant, genital herpes infection can spread through the bloodstream and have serious consequences. Cesarean delivery (C-section) is performed for women who go into labor while there is an active outbreak of genital herpes in order to prevent infection of the baby during birth.

The American College of Obstetricians and Gynecologists recommends that pregnant women with recurrent genital herpes be offered oral antiviral medication at or beyond 36 weeks until delivery in order to increase the chances of being able to deliver vaginally.

What is the prognosis for a person with genital herpes?

As discussed previously, there is no cure for genital herpes infection, and the infection persists for life. People vary in the number and severity of outbreaks they experience. For those with frequent outbreaks, taking antiviral medications as suppressive therapy can decrease the frequency of outbreaks.

Medically Reviewed by a Doctor on 4/25/2016

Source: MedicineNet.com
http://www.medicinenet.com/genital_herpes_in_women_overview/article.htm

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