... during my pregnancy? I was classified type 2 genital herpes. I'm in the process of getting medi-cal so I can insurance and talk to a doctor. I know that it can be harmful to the baby to take over the counter medications. But If I stop taking my medication it severly increases my chances of having an outbreak which I believe will be just as harmful. Any advice!!! Please!
When taking meds during pregnancy there is a thing called risk to benefit ratio. If a benefit is greater than the risk to mother or babies health, the drug is given. This may be one of those times but you do need to consult with an OB-GYN about it as soon as you can. Herpes can indeed be detrimental to a baby especially during vaginal deliveries. Many women who have genital herpes are delivered by c-section though to minimalize risk of exposure to the infant. As soon as possible you need to talk to an OB doc even if you may need to pay for the first visit upfront until your insurance can kick in.
I am a Women's Health Care Nurse Practitioner. There is no risk to the baby of contracting HSV until you give birth or the bag of water ruptures, so the risk of taking Acyclovir in the first and second trimester when the organs are forming is not worth the benefit, so I wouldn't. Your doctor will probably advise you to restart the Acyclovir at around 36 weeks in case you deliver. If you were to have an outbreak at THAT time, it would be very risky to the baby and the benefit, at that point, will outweigh the risk. Although, you usually know when you have an outbreak, there is a "prodrome" period where you do not feel anything except maybe a tingling, or an itch. You are still contagious then, so you really cannot rely on your perception of whether you have an outbreak and just take it then. You are contagious, even more so, during that "prodrome" period. So, taking Acyclovir at 36 weeks on is beneficial. You may have more outbreaks during your entire pregnancy because of the changes in your immune system, but the risk is not worth the benefit before 36 weeks. I am sorry for any pain you experience in your pregnancy. But, having a healthy baby at term is such a special gift.
- Acyclovir Information for Consumers
- Acyclovir Information for Healthcare Professionals (includes dosage details)
- Side Effects of Acyclovir (detailed)
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