The next step would be treatment.Well for viruses there’s a specific class of antibiotics referred to as antivirals that we use on them.But as you remember from the timeline of symptoms that you’ll see with herpes,they usually go away in about days,so we don’t often give antivirals.These are specifically given to patients that are at high risk for complications of herpes and these folks tend to be suppressed.So we only give antivirals to those that are suppressed.And there are some exceptions to this rule,but this is the general trend and suppressed is sort of an umbrella term for a lot of things. Women that are pregnant.
Are relatively suppressed.So we’ll treat them with antivirals if they’re positive for herpes sometimes.So in addition to treatment what can we do to prevent the herpes virus from happening in the first place.So prevention,and the mainstay of prevention for all sexually transmitted infections is to block transmission.So going down our list of modes for transmission of herpes we see sex as one of the common ways to do it and so one of the things that we can do during sixes to use a condom.That will help limit direct contact and then additionally for oral sex use of dental dams can also decrease direct contact as well.
During childbirth Cold Sore Treatment there are two ways that we can limit spread of herpes from an infected mother to a child.One would be to just treat mom with antivirals.And the other is if a pregnant woman has active sores in their genitals,one strategy would be to deliver the baby by section because removing the baby through abdominal surgery rather than through a vaginal delivery will decrease their contact with the open sores and thereby block direct contact to decrease their risk of developing neonatal herpes.
These last two modes of transmission pertain mostly to healthcare workers in which case use of gloves is a very prudent.