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I have had genital herpes for several years. I live with it without any problems, I even stopped using Acyclovir so that the body would immunize itself. The result is quick healing and usually small changes. However, I would like to get pregnant and here I have a few doubts. Before each eruption occurs, I feel as if the virus is attacking the nerves inside my body (from the heel, along the thigh, buttock, uterus, abdomen). No changes are visible on the outside of the body, but there are aches and pains of a type of hypersensitivity to touch and "pulling" when walking. The most worrying me is the pain in the vagina and uterus, because I am not able to look there and I do not know if any changes are happening there. During the eruptions on the lips, the uterus hurts and there are contractions. Is it possible that these are only side reactions and the efflorescence is actually only outside, or is there something going on inside? And what is the effect of intrauterine herpes on pregnancy? Because when it comes to HSV2, I know that in the case of secondary infection during childbirth, a caesarean section is performed. But how is an infection inside the uterus diagnosed? Should I be thinking about pregnancy or is it too dangerous? Like every woman, I want to give birth to a he althy baby and I am able to give up pregnancy if necessary. PS. I am allergic to most anesthetics (beznocaine, lidocaine). I have monstrous asthma after a minimal dose (half a cm in a syringe or a throat tablet). Are there any safe anesthetics for childbirth? Thanks in advance for your answer!

The herpes virus type 2 has an affinity for the skin and mucous membranes, so it is not found in the uterus. A typical symptom of infection is pain and hyperaesthesia of the skin and mucous membranes in the vicinity of viral infection, and neuralgia. The symptoms appear before the skin changes occur. The body will not develop immunity on its own. I advise you to see a doctor and undergo antiviral treatment before pregnancy. This is very important because the risk of complications, both for you and your child, also depends on the extent of the lesions.

Anesthesiologists do anesthesia, but I don't think you should worry. Currently, many drugs are used for anesthesia and you should only inform the doctors about the drugs you are allergic to.

Remember that our answerexpert is informative and will not replace a visit to the doctor.

Barbara Grzechocińska

Assistant professor at the Department of Obstetrics and Gynecology at the Medical University of Warsaw. I accept privately in Warsaw at ul. Krasińskiego 16 m 50 (registration is available every day from 8 a.m. to 8 p.m.).

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