I have kind of an odd case of HSV2, in that I've never had a genital outbreak. I have had several outbreaks, and had the outbreak cultured as well as a blood antibody test which confirmed HSV2. However, every outbreak I've ever had has been in the same spot, on the back of the upper part of my right arm. I had my first outbreak about 2.5 years ago, and had several recurrent outbreaks over about a six month period after that before they finally checked for and diagnosed the HSV. Since then, I've only had two outbreaks start, but for both of them I had valtrex on hand and took it immediately, and neither of them developed into a full outbreak. Since that, nothing, until this weekend when I was 36w6d, and now I have a full on outbreak going--on the arm again.
I asked my OB at my 36w appt last week if I should go on valtrex as a preventative, and he said there was no concern whatsoever since the outbreaks are not in my genital region at all. I wasn't that concerned either because it's been so long since any hint of an outbreak, and I have come this far in this pregnancy (and through some very high stress situations during) and no sign of an outbreak. Now this. My concern is that if I'm having an outbreak anywhere on my body, isn't it more likely that I am shedding? Also, how do I know if I'm having cervical outbreaks and just unaware? I'm upset now that he didn't put me on the antiviral just in case, considering the seriousness should my baby contract it during birth.
I loved giving birth naturally with DS and had my heart set on it again. Would an active HSV2 outbreak on a body part besides the genitals at or near time of birth make me need a c-section for baby's safety? My first child, DS, was born at 38w4d (no meds, no induction, no interventions of any kind), and I'm now 37w1d. I'm afraid I might not even have time for this to heal now. I plan to call the OB when they open and ask for antivirals again, but now I'm worried it's too late anyway.