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IUD and herpes

I got the Paragard IUD in January. I found out I have genital herpes 2 weeks ago (I contracted it in June of this year, I know that for a fact because that was the only guy I slept with recently). Is it safe to keep my IUD in now that I have herpes? I am just worried about infection or infertility...

Comments

( 3 comments — Leave a comment )
vertbio
Jul. 21st, 2012 05:44 am (UTC)
Should be safe. Herpes is a virus. The concern with iuds is typically bacterial infections like syphilis, chlamydia and BV which can lead to pelvic inflammatory disease if they spread to the uterus. The first 20 days after iud insertion you are most vulnerable because the cervix got dilated and the path to the uterus is more open. But since herpes is a virus, that's not an issue.
s0mmer
Jul. 21st, 2012 09:54 pm (UTC)
That's lousy news :( Your IUD should be fine. Like the previous poster mentioned, herpes is viral so the virus spreads throughout the body with symptoms only in specific areas.
divineoubliette
Jul. 22nd, 2012 11:23 am (UTC)

Asymptomatic herpes simplex virus excretion was more common from the vulvar area than the cervix, and women in group 2 (HSV acquired during pregnancy) were more likely to shed virus from both sites simultaneously than women in group 1 (HSV acquired prior to the start of pregnancy).
http://ukpmc.ac.uk/abstract/MED/2994477
*Women who acquired it before being pregnant had time to develop anti-bodies, the women who acquired it during pregnancy have no anti-bodies and were more likely to have asymptomatic shedding from the cervix.

↑So recently acquired HSV can causes shedding on the cervix. What I would do if I were you -I am familiar with HSV-2, I've had it for yrs- is either get on suppressive therapy prior to your insertion and keep it up for 3 - 6 months after your insertion or wait for 3 - 12 months without suppressive therapy to give your body and chance to develop anti-bodies and then get your IUD inserted. FYI - Medication for HSV is an anti-viral called Acyclovir. Acylcovir prevents replication of the virus so it prevents an outbreak or keeps a current one in check.

Shedding occurred more frequently from the usual lesion site than from the cervix. When an active lesion was present, concomitant shedding of HSV from the cervix occurred in seven (3.6%) of 193 pregnant women with vulvar lesions and in one (2.1%) of 47 women with lesions remote from the vulva.
http://www.ncbi.nlm.nih.gov/pubmed/6324571
(This study was done on women who had re-occurrent outbreaks, meaning that they have had HSV for a while and already have anti-bodies to it.)

Most research in this particular field is down on women who are pregnant because HSV is a huge risk for the fetus, anti-virals are a must if you ever get pregnant.

I've had IUDs for 3+yrs with HSv and have no problem with it, I would suggest the extra precautions of a suppressive dose of Acyclovir until you develop anti-bodies because your HSV is newly acquired though.

Where can I get more info on herpes?
We have a book available for $20 called Managing Herpes we highly recommend. It’s the most comprehensive and up to date book on herpes that is available. You can order this book by calling the National Herpes Hotline at (919)361-8488.

You can call University of Washington Virology Research Clinic at (206)720-4340 and ask to speak to a clinician about herpes. (I highly recommend this if you need to talk to someone who is experienced with the disease!) You can also contact the National Herpes Hotline (919)361-8488 to find out more about resources in your area.
http://depts.washington.edu/herpes/faq.php

Good luck and PM me if you want to talk!
( 3 comments — Leave a comment )