infectious diseases
Genital Herpes
Prevention of Genital Herpes
The best ways to avoid genital herpes are Abstaining from sexual contact (vaginal, anal, and oral sex) Being in a long-term mutually monogamous relationship with a partner who has been tested and is not infected Risk of genital herpes can by reduced by Using latex condoms correctly and consistently However, condoms do not cover all areas that can be affected and thus do not fully protect against genital herpes. Patients with genital herpes should abstain from sexual activity when they have lesions or other herpes symptoms. Patients should be reminded that they can transmit the infection even when they do not have any symptoms. Efforts to prevent Neonatal Herpes Simplex Virus (HSV) Infection have not been very effective. Universal screening has not been recommended or shown to be effective. Pregnant women should be asked about a history of genital herpes at a first prenatal visit and should be counseled about the importance of not contracting herpes during pregnancy. If women have herpes symptoms (eg, active genital lesions) when labor begins, cesarean delivery is recommended to prevent transmission to the neonate. Pregnant women who develop genital herpes lesions anytime during pregnancy can be givenacyclovirstarting at 36 weeks gestation to reduce the risk of a recurrence and thus the need for cesarean delivery. Fetal scalp monitors should be avoided during labor on infants whose mothers have a history of genital herpes. 