Department of Pediatric Infectious Diseases, Stanford University, CA 94305-5208, USA. aarvin@stanford.edu
The first goal in minimizing herpes simplex virus (HSV) mortality and morbidity in infants is to reduce the risk of acquisition of new infections during pregnancy, especially in late gestation. Antenatal testing does not necessarily predict the risk of transmission to the newborn infant, since this risk is variable. In order to identify newly acquired infection in women who are HSV-seronegative, repeat testing in late pregnancy would need to be offered. In those who are HSV-seropositive, concern for transmission to the infant is likely to result in administration of antiviral drugs to the mother or in Caesarean delivery. The potential consequence is medical intervention for many pregnancies that would not have been complicated by perinatal HSV transmission. Risk - and cost-benefit analyses are needed to assess HSV type-specific serological screening of pregnant women. Practical benefit can be achieved by counselling all pregnant women against oral or unprotected sexual contact during pregnancy.
Please click on the required question.
- 1 What skin conditions may affect the vulva?
- 2 Which viral infections can affect the genitalia?
- 3 What problems can occur to people with herpes simplex?
- 4 What are genital warts?
- 5 What is lichen sclerosus?
- 6 How is lichen sclerosus treated?
- 7 What could be causing my vulval irritation?
- 8 How could my vulval irritation be treated?
- 9 What is a Bartholin’s cyst / abscess?
- 10 How is a Bartholin’s cyst / abscess treated?
- 11 What is vulvodynia?
- 12 How can my vulvodynia be treated?
- 13 What is vestibulitis?
- 14 How can my vestibulitis be treated?
- 15 Where can I obtain further information?
- 16 Support Groups.
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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided. If you still have unanswered questions, please consider entering them into one of our forums and I will try to assist you.
