HL & TL are husband and wife, both 32 years old, and are coming to see...

HL & TL are husband and wife, both 32 years old, and are coming to see their provider because TL just found out she has a herpes simplex virus type II. She is unsure where she got it, and TL does not feel he has ever had it. TL tells you she was seen three weeks ago at a clinic in Hawaii and was treated for herpes. She had noted blisters around her labia and vulva that became very sore. She also noted that she had a lump that was very tender in her right inguinal area. HL is quite concerned, as he was told that he might show up with symptoms later.

Discussion questions:

1. HL asks when he would most likely come down with herpes simplex II, and what he should look for. What is the treatment for Herpes?

2. Both HL & TL ask what causes it, and if they can get it again.What education would you provide them?

3. TL & HL are ready to start a family and wonder what effect herpes simplex will have on their baby.

Solutions

Expert Solution

1. It is not necessary for the infection or symptoms to show immediately .The symptoms may occur or the patient develops resistance to pop up symptoms by appropriate care. In most cases if there was a contact during a sore in partner the symptoms can occur immediately. He has to look for any blisters ,sores, urticaria, difficulties in voiding. The treatment are generally abstinence till symptoms disappear.Amtiviral therapy.

2.The cause of it can be

Any sexually transmitted infection in the partner
Having low immunity level
When there is multiple partners
Sharing things with infected people
stress

The risk of reoccurance is greater in initial infection gradually the rate decreases when years passes.It can occur around 4-5 times in a period of year

The treatment for this are

Not being in contact during the symptoms or during therapy
Antiretroviral therapy
Abstinence

3.If the women develops any symptoms during the pregnancy ,or having active sires during labor can pass this the baby. Asymptomatic mother will not transmit thus to the baby. They can have a healthy baby after proper planning .

Nightingale answered 1 year ago

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