A 22-year-old woman presents to the GP with vulval pain and a cluster of small vesicles on an erythematous base on the left labia. This is her first e...

Question

A 22-year-old woman presents to the GP with vulval pain and a cluster of small vesicles on an erythematous base on the left labia. This is her first episode. She has bilateral inguinal lymphadenopathy and dysuria. She is 6 weeks pregnant. Which is the single most appropriate treatment?

Accepted Answer

Oral aciclovir 400 mg three times daily for 5 days

Answer

Topical aciclovir cream

Answer

Oral valaciclovir 1 g twice daily for 10 days

Answer

No treatment needed as herpes is self-limiting

Answer

Oral famciclovir 250 mg three times daily for 5 days

uk-drcog MCQ (SBA): Primary Genital Herpes in First Trimester

A 22-year-old woman presents to the GP with vulval pain and a cluster of small vesicles on an erythematous base on the left labia. This is her first episode. She has bilateral inguinal lymphadenopathy and dysuria. She is 6 weeks pregnant. Which is the single most appropriate treatment?