00:00with the recent allegations about Usher and the herpes virus they've been known there's been a
00:07lot of misinformation going around so doctors what are some of the most biggest misconceptions
00:11about this sexually transmitted disease so any one of you can yeah this question I think this
00:16you know when I heard that occur what I really wanted to let people know is that the shame and
00:22guilt that comes with the social misperception about herpes is so it can be very emotionally
00:27traumatic for people so one is to take that kind of away take that out of the equation because
00:32it's one in six one in six are affected by HSV so there are a lot more people walking around with
00:37it than you would know but it really goes down to symptoms or no symptoms so if you were having
00:41symptoms such as you know in this case then yes that needs to be addressed and treated but it can
00:46be managed and that's the most important thing is that it can be managed but the social stigma is
00:51probably the biggest part of it for me that is very hard to relate to patients right to take that
00:55away dr. Dre and then you want to be open with your partner so if you have like herpes you definitely
01:00want to talk to your partner to tell them hey you know what had an outbreak of herpes before I still
01:04have this you know so we can be on the same page before you even before you even do naked dry humping
01:11right right because herpes you can get from just dry humping and be naked dry humping right skin to
01:16skin so you really and oral sex so you have to be very very careful with that just have a conversation
01:20with your partner and then they can weigh the risk dr. Nita if you're the partner if your partner comes
01:25to you and says in the hypothetical situation that they have herpes what should you do in that scenario
01:29and so in that particular scenario I think you would want to be open and honest with you know your partner
01:35about how you're feeling about the particular situation and I think you just have to educate
01:39yourself and know that condoms are great they're very important especially if someone has herpes or
01:45another sexually transmitted infections but infection but know that with herpes specifically
01:50condoms don't protect you 100% because like dr. Dre said it is skin-to-skin contact and so the
01:56condom won't protect you against everything and also realize that most people with herpes don't have
02:03any symptoms or they have very mild symptoms and so when I say mild symptoms that might may mean that
02:09they saw a bump and they thought it was just a pimple or an ingrown hair when it was really yeah
02:14genital herpes so there are suppressive medications that someone can take to help suppress an outbreak
02:21but unfortunately even if someone is not having an active outbreak they can still transmit the virus
02:26to you and while I have the OBGYN panel here in terms of having children women that are afflicted with
02:32herpes they can still have normal birth and have children and that we do manage them with medications
02:38during the pregnancy to ensure that they don't have an outbreak or minimize their risk of having an outbreak
02:43during the delivery and also during the pregnancy but the main thing is for women to in this particular
02:48instance know their body so well that you can sense possibly when you're having an outbreak to let your
02:53doctor know so that you can possibly be increased on medication be put on the correct dosage but yes I
02:59you know I've had a couple of patients since this incident happened who have come to me and said
03:03well I do have the virus do I have to have a c-section I'm like absolutely not so you know
03:08you can still have a vaginal delivery and that comes again with misinformation that's out there that we would love to
03:14correct this is why the doctors are so necessary I'll let you wrap with the you can so to the pregnancy at 36 weeks
03:22anybody who has genital herpes we typically put you on suppressive therapy if you're not already on medication so like Dr. Shepard was saying it is very important to share that information with your provider
03:32because if you are having a herpetic outbreak or if you're having symptoms of an impending outbreak meaning you're having burning or tingling when it is time to deliver then you will need to have a cesarean section so that's why it's so important to suppress the virus just because when you are pregnant your immune system is kind of lower it's weaker so it's more prone to you're more prone to have an outbreak so just make sure you're telling your provider and like Dr. Shepard said they're not judging you we just really want to help you and no judgment healthy happy baby
04:02yes yes look at these beautiful factors no judgment they just want to help
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