Mothering Forum banner

1 - 15 of 15 Posts

·
Registered
Joined
·
228 Posts
Discussion Starter · #1 ·
Okay, so I knew I'd be in for some interesting things when choosing an ob for this pregnancy. Well I went in yesterday at 14 weeks, and we reviewed all of my test results (all good - yay!). She then said that because I tested negative for the Herpes 2 virus, she advised me not to receive oral sex as this could introduce the possibility of unwanted infection.<br>
Now, while I understand the logic, I was surprised because I'd never heard of anyone being told this before by their ob. I must say it's kind of a bummer deal as I'm fairly certain my husband doesn't have herpes (after 7 years I'd probably know), and isn't being pregnant and dealing with crazy hormones enough without giving up the good stuff?<br><br>
Have any of you mamas been getting this advice with your bloodwork results? Is this standard talk now?
 

·
Registered
Joined
·
1,021 Posts
How bizarre! Does the OB know you are with a monogamous partner? I just can't even fathom what in the world they are thinking. Maybe she thinks you have multiple partners or something. No one in three pregnancies has ever said anything like that to me.
 

·
Registered
Joined
·
1,788 Posts
Oh my! I've never heard of something like that!! I'm wondering if she just assumes no one is monogamous? I'm kind of speechless here.
 

·
Banned
Joined
·
1,548 Posts
If she spotted what looked like a cold sore on yours or your partner's mouth, she would give that advice. A new herpes infection can be more complicated during pregnancy, and the risk of hurting the baby would be higher.
 

·
Registered
Joined
·
228 Posts
Discussion Starter · #5 ·
That's the thing, my DH wasn't able to come with me and so she hasn't met him., and fortunately, neither dh nor I have ever had a cold sore, though I've heard they can be transferred that way. (and I think she specifically said "your husband" during this exchange)<br>
So I thought it was super weird, in a clinical I'm covering ALL her bases sort of a way. I'm sure she see's all kinds of scenarios, so that's what I get for having an ob.<br>
(it's never too late to change my mind and find a mw to pay out-of pocket, right? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

·
Registered
Joined
·
1,462 Posts
He could have herpes, and just never had more than a really mild outbreak.<br><br>
That's weird though. I was concerned I might have it, and the dr. didn't test. I've been told by several different dr.'s they can only tests during an outbreak, and even only if it's exactly the right time. too early or too late, the test doesn't mean anything.<br><br>
Since they seem to have been able to test you, I wonder why they can't test your husband?
 

·
Registered
Joined
·
1,391 Posts
This would be one of those times when I would smile, nod and then do what I felt was right. You're right...there's no reason you should give up the good stuff. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">
 

·
Registered
Joined
·
1,059 Posts
Well, I have never heard of that one before. Why didn't she tell you to use a condom to protect against all forms of STDs while she was at it? Kind of strange. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/nut.gif" style="border:0px solid;" title="nut">
 

·
Registered
Joined
·
1,641 Posts
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>1Plus2</strong> <a href="/community/forum/post/9023837"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">This would be one of those times when I would smile, nod and then do what I felt was right. You're right...there's no reason you should give up the good stuff. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"></div>
</td>
</tr></table></div>
Yeah I'd do this. That is way too weird. I've never heard anything like that.
 

·
Registered
Joined
·
103 Posts
Very weird that she tested for it at all. Standard practice and government recommendation is to NOT test pregnant women for GH. <a href="http://www.ahrq.gov/clinic/uspstf05/herpes/herpesrs.htm" target="_blank">Link</a><br><br>
The highest risk of neonatal herpes occurs when the mother contracts the virus (HSV1 or HSV2) genitally during the first trimester AND is having her primary episode at the time of delivery. Otherwise, the risk is very, very, very low -- less than .04% -- though even the highest risk isn't all that high.<br><br>
"The overall chance of neonatal infection from asymptomatic shedding in a woman with a history of genital HSV infection is estimated to be less than 4 in 10,000 (ie, 1% risk of asymptomatic shedding multiplied by the [up to] 4% risk of transmission)." - from <a href="http://www.emedicine.com/med/topic3554.htm" target="_blank">this</a> pretty comprehensive article on the topic.<br><br>
Nearly 25% of people (more women than men) have HSV2, and nearly 80% of people have HSV1. MOST people (about 75%) who have genital HSV2 are asymptomatic - they never have an outbreak at all.<br><br>
If it was really risky, then I would think that it would be something that would be routinely tested for and there'd be all kinds of crazy warnings about it. Considering that SO many, many, many, many people have oral HSV, and a not inconsiderable number have genital HSV -- and it's NOT considered a huge risk, that you shouldn't worry about getting some lovin' from your hubby. There are many other things out there that are less ubiquitous and more risky than HSV that your OB should be more concerned with.<br><br>
That all said, it is easy to do a blood test for your husband to rule out any possibility anyways, should you so desire. Your GP should be able to do it, and if not, there are other places to test for both HSV1 and HSV2. Planned Parenthood or <a href="http://www.tstd.org/" target="_blank">tSTD.org</a> can do a test that you get results back on within 72 hours.
 

·
Registered
Joined
·
3,919 Posts
extremely odd as herpes simplex II is the genital herpes. simplex I is the oral....
 

·
Registered
Joined
·
228 Posts
Discussion Starter · #12 ·
Thanks for the feedback. It wasn't something I was particularly concerned about, just thought it was strange. I'm sure this ob had something like it happen to a patient in the past, and now she feels obligated to mention it to everyone, regardless of how rare it is. Either that or she just couldn't let me escape the visit without something to worry about considering all my test results were good. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
I have heard from other practicioners that the line between HSI and II is being blurred as sores from the mouth can be passed to the other region, which is why the concept didn't shock me. But I was wondering if this was some new standard being mentioned by most ob's or if mine was particularly anti-oral. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:<br>
I just thought, geez, as a pregnant lady, I'm paranoid enough! Give me a pat on the head for being nice and healthy, tell me the baby looks fine, see ya in a month or so and give me a lollypop on my way out the door.
 

·
Registered
Joined
·
2,520 Posts
Screw that! If you're in a monogamous rel. and don't have it already, it ain't gonna happen. Have fun!
 

·
Registered
Joined
·
135 Posts
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">it's never too late to change my mind and find a mw to pay out-of pocket, right?</td>
</tr></table></div>
Are there any MWs that bill under the name of the OB overseeing the practice in your area? I'm so pleased with the MW I'm seeing this time. It's a world of difference from an OB and cost me just the same out of pocket. I didn't know any of that when I was pregnant with my first.
 

·
Registered
Joined
·
103 Posts
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>zonapellucida</strong> <a href="/community/forum/post/9050611"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">extremely odd as herpes simplex II is the genital herpes. simplex I is the oral....</div>
</td>
</tr></table></div>
That's the most common misconception about HSV.<br><br>
Those are the sites of PREFERENCE.<br>
But either strain can exist and be transmitted to either location.<br><br>
In fact, new cases of genital HSV1 are increasing at a faster rate right now than new cases of genital HSV2.<br><br>
Why?<br><br>
Because people are generally more responsible about using protection for PIV (Penis in Vagina) sex, but very few people use protection for oral sex. And many teens/young adults are engaging in oral sex instead of/in addition to PIV sex because there's no risk of pregnancy with oral sex.<br><br>
Cases of oral HSV2 are still pretty rare, but do exist.<br><br>
There is such a crazy stupid social stigma surrounding HSV2..... when HSV1 is perfectly happy to infect your genitals if given a chance. Yet no one flips out if someone they're dating gets cold sores.<br><br>
Either way, HSV is really common, and pretty much the least harmful STI out there. The small risk of neonatal transmission is the only potentially fatal effect of the virus.<br><br>
Otherwise..... let's see. It doesn't kill you, it won't sterilize you, it doesn't do much other than MAYBE cause an annoying recurring rash. For most people who have it, not even that. And for most of those in the minority who ARE symptomatic, the recurrences are only a few times per year, decreasing in frequency and intensity the longer they have they virus. Oooooo, yeah, that's a scary virus alright.<br><br>
I know people who have more trouble from athlete's foot than the trouble that most symptomatic herpes-pos folks have.<br><br>
heh
 
1 - 15 of 15 Posts
Top