My Herpes Simplex 2 Titer Came Back Positive.

How Can That Be, I Have Never Had Symptoms and I Have Been Checked For Sexually Transmitted Diseases?

Let me start by saying this occurs about once a month.  Blood tests to check Herpes Simplex 2 exposure have not been around a very long time.  Many physicians just do not do this testing even if you ask to be checked for all sexually transmitted diseases.  The only reason I check it in a pregnant women is that 80% of Herpes Simplex 2 outbreaks occur in the genital area.  When you are pregnant, your immune system is suppressed making it more likely you will have an outbreak.  If there is any suggestion you are having a genital Herpes outbreak at delivery you will get a Cesarean Section to prevent transmission to the baby.

If you have a positive antibody result indicating past Herpes exposure and you have never been tested before, I have no idea how long you have had it, so I do not know who gave it to you.  The only reason I test for Herpes exposure is that if you take Valtrex, an anti-viral medication for the last four weeks of the pregnancy you have almost no chance of having an outbreak at delivery.  As a result, you can have a normal vaginal delivery.




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