Genital Herpes Pearls

  • 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.
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