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Suggest Treatment For HSV, Vaginal Infection And Erratic Menstruation

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Posted on Tue, 24 Mar 2015
Question: I'm 32 years old, female 5-7" tall weight is 145 lbs. I was diagnosed with HSV-2 (swab and blood tests positive) and HPV about 13 months ago. I also had chlamydia at that same time as well vaginitis, a UTI, yeast infection and a vaginal bacterial infection (all at once). I was put on 3 rounds of antibiotics.

I'm concerned that there are some other things going on with me and I'm not sure how much of it could be caused just by the STD's this year, vs other things such as an Autoimmune disorder possibly? My menstrual cycle has become erratic the past 3 months with extremely heavy periods (1 super tampon per hour) and I feel anemic during that week including dizzy...

I have been given antibiotics for repeat sinus infections over the past few years, I have also developed a slight allergy to the z-pack in the last year. I have been given antibiotics for repeat sinus infections. I have joint pain, muscle pain and stiffness mostly in my shoulders, neck and back constantly (this has been going on for a few years). Blood in stools, chronic hemorrhoids/fissure which have been getting worse since the HSV-2. I am being treated for this.

Constant lethargy/fatigue/exhaustion and virtually no short-term memory for names or items. Dry mouth and skin (possibly these symptoms are all because of the Zoloft). My body is cold (particularly my feet) after an intense workout (my personal trainer said she's never seen anything like it). My fingers and toes are sort of shrively/pruney, and I crave salt a lot. I get nasal polyps.

Also any specialists in the L.A. Area that you can suggest?
doctor
Answered by Dr. Bharatesh Devendra Basti (1 hour later)
Brief Answer:
Consult physician or internal medicine specialist.

Detailed Answer:
Hi
Thank you for query. I am Dr Bharatesh D Basti answering your query.
Welcome to health care magic.
I have gone through the details.
I can make out your worries regarding multiple symptoms.

Hsv2 or STDs leading to these symptoms are unlikely.

Some of the symptoms( bleeding,irregular cycles,lethargy,fatigue exhaustion) may be due to depression or due to sertraline.You can consult your doctor for changing the drug.
I do not see the possibility of autoimmune disorders with the given description.
Anemia may be due to fissure or hemorrhoids or menstrual irregularities.
Nevertheless you can consult a physician or internal medicine specialist in your locality for thorough investigation.We cannot recommend any particular doctor.

It is good that you are doing work outs.They will definitely help you.You can take protein rich balanced diet with iron supplements after consulting your doctor.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Dermatologist and venerologist
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Bharatesh Devendra Basti (3 days later)
Thank you for your response. I have answered below.
a. I have been on Zoloft for Depression/Anxiety since 2005. I have gone up and down from 50-75 to 100 and back down depending on how I am doing. The joint pain, muscle pain and stiffness mostly in my shoulders, neck and back constantly has gotten worse in the past couple of years though it started developing to where it was uncomfortable about 6 years ago. The lethargy/fatigue/exhaustion and virtually no short-term memory for names or items continues to progress. I think I noticed it in relation to the depression/anxiety but while my mood is improved by medication, the other symptoms certainly aren’t. My body is cold (particularly my feet) after an intense workout and my fingers and toes are sort of shrively/pruney, these things I have noticed in the last year. I have detailed durations, etc with the symptoms where you have asked below.
b. I seem to have constant congestion, nasal polyps (6 years) that come and go, and post nasal drip. I always have had these symptoms as long as I can remember. I have not been tested for allergies. I sneeze a lot around flowers and dust at work (both are in the air regularly). I have no pets and don’t seem to be bothered when I’m around them. I have had sinus infections about 5 times which I have been put on antibiotics for over the past few years. Including one that it seems I have just gotten in the past couple of weeks.
c. Yes, when I had my first HSV-2 outbreak XXXXXXX 2014, I had a fever, my rectal symptoms flared up significantly as well as all those the other things going on at the same time including the chlamydia. I was in bed for about 9 days and even lost control of my bowels once. I was put on 3-4 rounds of antibiotics. I have had a UTI once since then but have not had other HSV-2 outbreaks since.
d. I am an Event Planner, it does get stressful. Stress does worsen the digestive and rectal problems. I have not noticed a big difference in other areas due to stress. Nor have I been under more stress in the past few months. I met my boyfriend 2 months ago, and if anything I have been less stressed since then.
e. I have had IBS since I was a kid, and it flares up with stress. I had Acid Reflux which has seemed to go away since I have stopped eating spicy foods and highly acidic foods. My digestion has never been great, but I have periods where it gets better and then it flares up (diarrhea and constipation). I take Metamucil at least once a day. I do get indigestion/bloating, etc but not on a real regular basis. As far as history, my mother had emergency colon surgery a couple years ago due to a blockage (she was 66 at the time). And my father was treated for a fistula in the past. Both have had hemorrhoids.
f. I try to eat fairly healthy, not much fried food, not too many carbs and not too much sugar. I do however have 2 cups of coffee and 2 glasses of wine each day approximately. I do eat processed foods more than I would like because I’m on-the-go so much that I’m not at home to cook much (generally gone 10-12 hours a day). I do notice stress and diet have a good amount to do with the hemorrhoids/fissure. I have had one rectal botox injection and it helped a lot for about 6 months (with the fissure). The colo-rectal surgeon said that the fissure could have been caused by damaging episodes of diarrhea.
g. No shortness of breath, wheezing, etc.
h. No pain killers. Absolutely nothing else, I have tried to stay off of all other medications in the last few years, even birth control. I take cranberry pills, B-complex liquid and the Metamucil.
i. Let me know if I didn’t cover anything between my original summary and in answering your questions.
j. No rashes, though I have always had sensitive skin. I started to feel like I was getting hives when I took the z-pack last, so they had me stop part way through (in the last year). I have had acne flare-ups much more in the past 6 months than in the past 5 years.
k. No I have not.
L. I sleep very soundly and fall asleep quickly unless I am in a place I’m not familiar with (such as when traveling). I also don’t sleep well if I have had alcohol close to bedtime.
m. I went to the OB/GYN five times in 2014. I am not too impressed with my gynecologist… when I was diagnosed with all the things going one in unison, he tested my blood for STD’s (onsite) and did not run any other panels even when I asked about that. The only procedure done (twice) was a colposcopy. The last one was in late 2013, and my pap 1 year later came back normal.
I have not been back in the past 3-4 months since I have started having such menstrual abnormalities… no idea the recent menstrual disturbances. I went to have a blood panel done a couple days ago elsewhere and figured that would be a better start before going to the OB/GYN once again.
doctor
Answered by Dr. Bharatesh Devendra Basti (5 hours later)
Brief Answer:
Consult physician and psychiatrist.

Detailed Answer:
Hi
Thank you for follow up query.
I can make out worries regarding multiple symptoms.
I would recommend you please consult internal medicine specialist or physician to evaluate your symptoms. Continue to consult psychiatrist for depression related symptoms.
These symptoms are not due to herpes.
Herpes is known for recurrence. It reduces in severity over a period of months.

Some of the following may help you:
Yoga, meditation, exercises.
Please get involved in activities you like.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bharatesh Devendra Basti

Dermatologist

Practicing since :1998

Answered : 1764 Questions

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Suggest Treatment For HSV, Vaginal Infection And Erratic Menstruation

Brief Answer: Consult physician or internal medicine specialist. Detailed Answer: Hi Thank you for query. I am Dr Bharatesh D Basti answering your query. Welcome to health care magic. I have gone through the details. I can make out your worries regarding multiple symptoms. Hsv2 or STDs leading to these symptoms are unlikely. Some of the symptoms( bleeding,irregular cycles,lethargy,fatigue exhaustion) may be due to depression or due to sertraline.You can consult your doctor for changing the drug. I do not see the possibility of autoimmune disorders with the given description. Anemia may be due to fissure or hemorrhoids or menstrual irregularities. Nevertheless you can consult a physician or internal medicine specialist in your locality for thorough investigation.We cannot recommend any particular doctor. It is good that you are doing work outs.They will definitely help you.You can take protein rich balanced diet with iron supplements after consulting your doctor. You can get back for any clarification. Thank you Dr Bharatesh D Basti Dermatologist and venerologist