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Subject: "Think I have herpes and 32 weeks pregnant"     Previous Topic | Next Topic
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ally1001
Member since Jan-30-14
7 posts
Jan-30-14, 02:34 PM (CST)
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"Think I have herpes and 32 weeks pregnant"
 
   Hi and first of all let me say thank god for this site, it is so informative and helpful.
I wonder if anyone could give me advice. I am 32 and half weeks pregnant and I think I have a longstanding herpes infection which I have never had diagnosed. A few days ago I noticed mild irritation in the vaginal area and subsequently notcied a tiny paper like cut and redness which went after a day or two. This is not the first time I have noticed something like this, I had something similar a couple of years ago but tried to shake it off as nothing. Since that time I have had a few, what i assumed were yeast infections. This latest irritation felt a little different thou, I kind of noticed like a tingling sensation which prompted me to look into herpes. I am now convinced this is what it is. It cannot be something recebtly acquired as I have had no sexual contact since becoming pregnant!
This issue is something which I have yet discussed with my midwife and I'm unsure what to do next. After researching and seeing what the potential devatsating outcome could be if it is herpes and got passed on to my baby I am guessing I need to have a conversation with my midwife. However, I do not think they offer blood tests for it in the UK so how would I know?
Another worry for me is that I have been with my husband for 10 years (married for four). I have never known him to have any irritation or problems and am guessing this maybe something I've potentially had for a long time and just dismissed.
I am so very concerned of him finding something out. It would be a difficult conversation to have at this point and I worry that the stress of that would cause me more problems with the herpes. I have had a really healthy pregnancy but I am so concerned about going into labor with all these unknowns but am not sure of the best way to proceed. Any help would be much appreciated.


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  Subject     Author     Message Date     ID  
  RE: Think I have herpes and 32 weeks pregnant deb54 Jan-30-14 1
     RE: Think I have herpes and 32 weeks pregnant ally1001 Jan-30-14 2
         RE: Think I have herpes and 32 weeks pregnant Emma1 Jan-31-14 3
             RE: Think I have herpes and 32 weeks pregnant ally1001 Feb-01-14 4
                 RE: Think I have herpes and 32 weeks pregnant Emma1 Feb-01-14 5
                     RE: Think I have herpes and 32 weeks pregnant ally1001 Feb-01-14 6
                         RE: Think I have herpes and 32 weeks pregnant Emma1 Feb-03-14 7
                             RE: Think I have herpes and 32 weeks pregnant ally1001 Feb-03-14 8
                                 RE: Think I have herpes and 32 weeks pregnant Emma1 Feb-03-14 9
                                     RE: Think I have herpes and 32 weeks pregnant ally1001 Feb-04-14 10
                                         RE: Think I have herpes and 32 weeks pregnant Emma1 Feb-05-14 11
                                         RE%3A Think I have herpes and 32 weeks pregnant Emma1 Feb-05-14 12
                                             RE: RE%3A Think I have herpes and 32 weeks pregnant ally1001 Feb-06-14 13
                                             RE: RE%3A Think I have herpes and 32 weeks pregnant graceadmin Feb-20-14 14
                                             RE: RE%3A Think I have herpes and 32 weeks pregnant Ally10011 Feb-25-14 15
                                             RE: Think I have herpes and 32 weeks pregnant graceadmin Feb-25-14 16
                                             RE: Think I have herpes and 32 weeks pregnant Ally10011 Feb-25-14 17
                                             RE: Think I have herpes and 32 weeks pregnant Ally10011 Feb-26-14 18
                                             RE: Think I have herpes and 32 weeks pregnant graceadmin Mar-04-14 19
                                             RE: Think I have herpes and 32 weeks pregnant Ally10011 Mar-10-14 20

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deb54
Member since Jun-21-10
393 posts
Jan-30-14, 03:07 PM (CST)
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1. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #0
 
   Please call your midwife and discuss this with her. She will know about blood tests and if they are available. Take this one step at a time. First you need to find out if you have herpes and then go from there. Herpes is a very common virus, so I'm sure your midwife will have answers for you.


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ally1001
Member since Jan-30-14
7 posts
Jan-30-14, 03:10 PM (CST)
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2. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #1
 
   Thank you. I know I do have to bring this up with her, just finding it a very difficult conversation to think about having.


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Emma1
Member since Aug-18-13
17 posts
Jan-31-14, 04:15 PM (CST)
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3. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #2
 
   Hi ally

Please don't worry about having the conversation with midwife, they have heard it all before...

I am in the UK and you can get a herpes blood test done at a GUM clinic. I too had a longstanding, undiagnosed herpes infection for a good few years. When I became pregnant I had constant symptoms, so requested a blood test to be sure that it definitely was herpes. It was.

Herpes is a common virus and can be controlled and managed successfully during pregnancy


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ally1001
Member since Jan-30-14
7 posts
Feb-01-14, 08:48 AM (CST)
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4. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #3
 
   Hi Emma - I did mention it to my midwife and she said it was more than likely thrush and if it returns to get checked out by her or my doctor so am still unsure of the best way to proceed. Part of me agrees with that but also I am still concerned it would be better to know for certain.


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Emma1
Member since Aug-18-13
17 posts
Feb-01-14, 12:16 PM (CST)
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5. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #4
 
   Hi ally
I see what you mean... Do you have any symptoms at the moment?
I would definitely consider popping into your local GUM clinic and having a chat with them.

If you have had the virus for a long time it won't affect your pregnancy, although it may make you more likely to have symptoms due to hormone fluctuations etc.
If you have an active herpes infection when you go into labour, in the UK they won't offer a c-section (not suggesting that's what you would want) unless it's a primary infection and you have active sores at the time of birth.


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ally1001
Member since Jan-30-14
7 posts
Feb-01-14, 07:07 PM (CST)
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6. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #5
 
   Hey - no symptoms at the moment, althou I obsessively keep checking below! I'm just not sure whether to take it further or wait to see if anything occurs again. Just petrified of what I've read about women passing it on to their babies when they weren't aware of having the disease.
As I said in my first post, if I did have it it would be a long standing infection. Did it cause you any problems in your pregnancy/labour? It seems the practice in the US is a bit more cautious than the UK i.e offering women a c section if they have reoccurring symptoms.


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Emma1
Member since Aug-18-13
17 posts
Feb-03-14, 03:55 AM (CST)
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7. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #6
 
   Hi there,

Yes you're right - in the UK guidelines are different to that in the US.
My consultant said that it is extremely unlikely that you would pass a long standing herpes infection onto baby at birth... babies have antibodies passed from the mother that offer a great deal of protection from herpes infection during labour and also for a good few months afterwards.
The real danger to the baby is with a newly caught infection, which is not the case with you.

Unfortunately I had lots of herpes recurrences from 20 weeks pregnant and I did end up having a c section as I was just petrified about passing it on. In hindsight, I probably did overreact and my consultant advised on a normal labour, as the risks from a c section were greater than the tiny risk of herpes passing to the baby. But I went with my gut instinct.

The fact that you are even aware that you may have herpes is an advantage in itself....


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ally1001
Member since Jan-30-14
7 posts
Feb-03-14, 08:44 AM (CST)
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8. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #7
 
   I can understand why you would go for a c-section if you had a few re-occurrences throu pregnancy. An guessing all is well with your baby which is great.
Did you have problems with reoccurrences right up to the end of your pregnancy? Did you go on suppressive therapy? Did they say if there was anything they would avoid if you'd have opted for a natural birth? I.e I've read they should avoid breaking your waters or letting you go more than six hours after your waters break.
Thanks Emma, good to just sound off to someone who understands!


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Emma1
Member since Aug-18-13
17 posts
Feb-03-14, 03:49 PM (CST)
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9. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #8
 
   Hi Ally,

Yes exactly that - they wouldn't have let me go longer than 6 hours after waters breaking, and also would have avoided using forceps/fetal scalp monitoring etc.

I did go on suppressive therapy from about 34 weeks to relieve the symptoms.

Have you thought anymore about what you will do i.e letting your husband know your concerns or going for a blood test? I do believe that pregnancy can possibly effect the reliability of a herpes blood test and give false negatives, although I'm no expert on this.

Try not too google too much as this is the mistake I made. Your baby will be fine and everything will go smoothly do you know if you are having a boy or girl?

Yes, my little boy is just perfect and will be 3 months old this week


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ally1001
Member since Jan-30-14
7 posts
Feb-04-14, 01:24 AM (CST)
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10. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #9
 
   I keep swinging between what to do, part of me thinks just wait and and see if any symptoms come back and if so take it from there but also another part of me is convinced that if I do have it and therefore I should do the responsible thing and try and get a diagnosis so I have done everything possible to protect my baby. It is something that is continuously on my mind and really affecting my enjoyment of the pregnancy.

I guess selfishly Im scared about finding out for certain and also how I would then address this with my husband. I cant see it being a topic of conversation that would go down well AT ALL! I know this sounds terrible, but if I did get a positive blood test I wonder if I would have to tell him just yet and whether I could ask for it to be kept confidential on my medical file. However, I am aware that there would be a real risk it could come up when I go into labour if there were any symptoms present. Its just a conversation I wouldnt know where to begin having!

Yes googling has been a big mistake, it has made me a panic a lot and all I seem to be doing is focusing on worst case scenario. I wish in a way I had never looked!

Im having a little boy too, which Im very excited about
Glad everything is well with your little bundle and he hasn't kept you too sleep deprived!


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Emma1
Member since Aug-18-13
17 posts
Feb-05-14, 01:30 AM (CST)
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11. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #10
 
   LAST EDITED ON Feb-05-14 AT 01:34 AM (CST)
 
Hi ally,

It's a difficult one to call...

You see I knew it was herpes before I was diagnosed as the first outbreak was so severe with flu like symptoms, muscle aches, the blister and excruciating urination. Subsequent recurrences are thankfully a lot less severe and,apart from during pregnancy, less severe. However I appreciate not everyone has such a severe first outbreak.

I would defiantly consider popping to your local GUM clinic and have a chat with them. They can advise you further in your symptoms and may simply diagnose thrush or something similar. You may be worrying unduly. I have always found the GUM clinics very helpful.

I appreciate it's a difficult conversation to have with your husband, but depending on what the GUM clinic say you may not even need to have this conversation....


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Emma1
Member since Aug-18-13
17 posts
Feb-05-14, 02:17 AM (CST)
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12. "RE%3A Think I have herpes and 32 weeks pregnant"
In response to message #10
 
   LAST EDITED ON Feb-05-14 AT 05:39 AM (CST)
 
Hi ally

If you ever want to chat you can always call me as I know when I was pregnant I really wanted someone to chat to who was going through the same but of course I didn't know anyone.

If so just let me know and perhaps I can email you my number or something

Good luck x x


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ally1001
Member since Jan-30-14
7 posts
Feb-06-14, 01:52 AM (CST)
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13. "RE: RE%3A Think I have herpes and 32 weeks pregnant"
In response to message #12
 
   Aw thanks Emma, that is really kind and thoughtful of you. I am going to try and muster the courage to go to a clinic and have a chat next week (will just have to get over my embarrassment) and if that fails I am seeing my mdwife next week so will bring it back up again then. I will let you know my progress and thanks again.
xxx


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graceadmin
Charter Member
13486 posts
Feb-20-14, 12:07 PM (CST)
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14. "RE: RE%3A Think I have herpes and 32 weeks pregnant"
In response to message #13
 
chiming in real late on this but I haven't been stopping in recently


it's rather late at this point for herpes igg blood testing for you. If you do get it done, make sure they are giving you the type specific herpes igg blood test, not the non-type specific that gum clinics seem to offer in general. in the UK, most folks have to seek out private clinics for out of pocket testing to get it done properly. Gum clinics will do lesion cultures and typing though. Herpes igg blood testing is less accurate though in the 3rd trimester so really not good answers to be had at this point with blood testing. Be sure to follow up any time after 2 months post birth with the right testing to know your status for once and for all.

yes, without obvious symptoms at the time of delivery, the risk of transmitting hsv2 to your baby would be less than 1%. Be sure in the week prior to your due date, you are seen promptly if you suspect anything like a herpes recurrence so that they can do a lesion culture and typing.

best of luck!!

grace

The first step in stopping the perceived stigma about genital herpes - is to stop believing in it yourself


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Ally10011
Member since Feb-25-14
4 posts
Feb-25-14, 04:31 AM (CST)
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15. "RE: RE%3A Think I have herpes and 32 weeks pregnant"
In response to message #14
 
   God I definitely have baby brain, Ive had to rejoin under a slightly different name because for the life in me I cannot remember my password
Thanks for your input Grace. I finally got the courage to get a private test done yesterday at a private clinic, which I am presuming is type specific as they said it would show antibodies to type 1 or 2, or both I guess. I should get the results in a couple of days.
I am guessing if I do show positive and I inform my midwife of this then they should treat me as if I have got it rather than assuming its a false positive?
Also, just a few thoughts pre-empting a positive test. Would a water birth be ok if there was no active outbreak? Also is there any issue with perennial massage? Thanks again


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graceadmin
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13486 posts
Feb-25-14, 07:29 AM (CST)
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16. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #15
 
at this point no way to confirm a false positive for you as well as the odds of a false negative are higher due to the natural hemodilution with pregnancy that occurs I can help you with your test results if you post them here - i.e hsv1 igg 6.9 and hsv2 igg 4.8 or whatever they are.

a water birth is fine as is massage. if you have active herpes symptoms the week of your due date, they'll due a c section to protect the baby.

grace

The first step in stopping the perceived stigma about genital herpes - is to stop believing in it yourself


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Ally10011
Member since Feb-25-14
4 posts
Feb-25-14, 08:00 AM (CST)
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17. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #16
 
   Thanks v much grace. I will post my results as soon as I get them.
By active herpes symptoms do you typically mean lesions? If I did test positive and say around my due date I was experiencing mild irritation (as that is what I seemed to have got in the past, I.e v slight tingling, a bit of redness) should that be considered an outbreak? Thanks


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Ally10011
Member since Feb-25-14
4 posts
Feb-26-14, 01:56 AM (CST)
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18. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #17
 
   Hi Grace as I feared, my results indicate I tested positive for type 2. The results are HSV 2 2.86. Negative for HSV 1 0.176.
Although not a huge surprise as it is something I had anticipated, I am pretty upset and obviously concerned about my baby.
I have a midwife appointment on Thursday so will discuss my results then. How I approach this conversation with my husband is beyond me! I have researched and read huge amounts of information which point to this not being uncommon scenario but I am not sure he will take the same view.
Any feedback appreciated. x


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graceadmin
Charter Member
13486 posts
Mar-04-14, 09:06 AM (CST)
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19. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #18
 
It's a low positive and can not be confirmed at this time to make sure that it isn't a false positive except by lesion culture if you have symptoms that can be swabbed within 48 hours of their appearance. You will need to follow up and confirm your status with a herpes WB blood test any time after 2 months after you've delivered.

if you just have irritation, just have your provider examine you. If they see anything suspicious, you can discuss it further with them. Just a feeling of being irritated, wouldn't be a reason for a c section since so many things about pregnancy can cause that sensation.

wish there were better answers for you but you are just too pregnant at this point for accurate blood testing

grace

The first step in stopping the perceived stigma about genital herpes - is to stop believing in it yourself


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Ally10011
Member since Feb-25-14
4 posts
Mar-10-14, 09:26 AM (CST)
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20. "RE: Think I have herpes and 32 weeks pregnant"
In response to message #19
 
   Thanks v much grace for responding. X


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