A 28-year-old woman at 36 weeks of gestation presents to the GP with painful vesicular lesions on her vulva. She had a confirmed episode of genital he...

Question

A 28-year-old woman at 36 weeks of gestation presents to the GP with painful vesicular lesions on her vulva. She had a confirmed episode of genital herpes 2 years ago. She is otherwise well. Which is the single most appropriate management?

Accepted Answer

Prescribe oral aciclovir 400 mg three times daily for 5 days and advise that vaginal delivery is safe

Answer

Recommend elective caesarean section as she has recurrent herpes in the third trimester

Answer

Advise no treatment as recurrent herpes is self-limiting

Answer

Prescribe topical aciclovir only

Answer

Defer treatment until she is in labour

uk-drcog MCQ (SBA): Recurrent Genital Herpes in Pregnancy

A 28-year-old woman at 36 weeks of gestation presents to the GP with painful vesicular lesions on her vulva. She had a confirmed episode of genital herpes 2 years ago. She is otherwise well. Which is the single most appropriate management?