…..I hope this finds all of my friends doing well. For now we will finish our discussion of herpes.
…..During a symptomatic outbreak, the treatment consists of supportive measures such as oral and topical pain medications and special genital hygiene. An antiviral medication can be added to decrease the viral shedding and the duration of the painful ulcers. These medications should be started at the onset of the symptoms.
…..Acyclovir and valacyclovir are the two most common antivirals used and have a long history of safety in pregnancy. There are some patients who experience frequent attacks, and a daily treatment of these medications can greatly suppress the episodes and therefore decrease the chance of spreading to a sexual partner.
…..In the future we will have a discussion of herpes and pregnancy, but for now I am going to get a donut.