Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Obstetrics & Gynecology


Answer 5
  1. She is always at risk for shedding the virus. HSV infections can psychologically affect women, whether they are pregnant or not. For some, HSV infection is a significant social issue; therefore, physicians should counsel patients appropriately. Women with HSV infection are at risk for symptomatic or asymptomatic viral shedding at any given time. It is difficult to predict which women will shed more at any given moment. Use of barrier contraceptive methods during intercourse may decrease the risk for transmission to a sexual partner substantially and should be considered. Vitamin supplementation and use of oral contraceptives do not decrease viral shedding and transmission. HSV infection has not been associated with uterine cancer.

    SUGGESTED READINGS
    1.
     Langenberg AG, Corey L, Ashley RL, et al. A prospective study of new infections with herpes simplex virus type 1 and type 2. Chiron HSV Vaccine Study Group. New Engl J Med 1999;341:1432-8.
    2. Scott LL, Sanchez PJ, Jackson GL, et al. Acyclovir suppression to prevent cesarean delivery after first-episode genital herpes. Obstet Gynecol 1996;87:69-73.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj