- 65-90% of pts are unaware they have it.
- HSV2 increases risk of HIV by 3x.
- BV, OCPs and GBS increase viral shedding.
- Treatment: Suppressive vs Episodic. Suppressive recommended if high-risk partner, frequent episodes, pregnant @ 36 weeks.
- Suppressive tx does lower transmission rate, but doesn’t eliminate shedding (does not apply if pt has HIV).
- Complications are rare but serious.