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Suggest Treatment For Genital Herpes

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Posted on Wed, 6 May 2015
Question: Thank you for being here tonight. As a 67 yr. old male, I had the honor of caring for my elderly parents since May, 2009. Having now lost both of them, I wanted to re-enter the world of relationships and potential physical intimacy. Trying to be the responsible adult that I feel I've always been, I thought it would be wise to have myself tested before all STDs before I even attempted to pursue my goal. I wasn't worried at all because I knew my personal history had always been careful and guarded. I had an 8 panel test performed by a for profit testing center. The results were all negative with the exception of the Herpes 2 test which came back with a value of 4.47. I was absolutely floored ! My last sexual contact was in April, 2010 at which I received oral sex one time by someone I knew. For the 15 years prior to that , I had ongoing relationships with two women ( at separate times) with whom I did have intercourse regularly. I have never had any symptoms of Genital Herpes. This information has devastated me. Should I go to my personal physician and go on medications or can you offer any guidance? Thanks!
doctor
Answered by Dr. Muhammad Ali Rauf (1 hour later)
Brief Answer:
need some details regarding HSV 2 test performed

Detailed Answer:
Hello

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way.
There are a number of methods for performing HSV-2 test. I would be in a better position to guide you anything if you please answer following questions regarding the test performed:

1. Type of test
2. If antibody detecting then whether it was igG or igM type?
3. are you on any medication?
4. do you have diabetes, hypertension or any other illness?

I'll be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ali Rauf (16 minutes later)
Thank you for your response. The testing was performed by the company, "STD Test Express." According to their website,.... "Like the branded Herpes IgG test recommended by the CDC, our Herpes test is an accurate, type-specific serology test that distinguishes between Herpes 1 and Herpes 2 antibodies." That is the only specific information I can find regarding the test at this hour.

The medications I am on are:
Rabeprazole Sod Dr Tabs 20mg- one (1) tab QD.
Rantidine 150mg Tabs- one (1) tab every evening.
Fluticasone Propionate Nasal Spray USP 50 mcg - 2 sprays into each nostril QD.
Nortriptyline HCL 10mg (generic for Pamelor capsule)- at bedtime PRN for IBS symptoms.
Jublia Topical Solution 10%- Apply QD to large toes.

I have been diagnosed as "Prediabetic" but overall my health is good.

I did receive the Shingles vaccine over a year ago if that should have any influence.

Thanks again.
doctor
Answered by Dr. Muhammad Ali Rauf (6 hours later)
Brief Answer:
IgG suggests past infection and NO active disease

Detailed Answer:
Hello

Thank you for getting back with the answers.

"IgG" titers to HSV 2 means you had herpes type 2 before. If there was an active infection then IgM antibody titer should have raised. IgG does not say whether you have the infection now or whether you can transmit it to others. However, if you have no active sores, then it may have happened sometime in the past and you are not infectious now. If IgM was done and came out -ve then there is no need to worry.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
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
Dr.
Dr. Muhammad Ali Rauf

General & Family Physician

Practicing since :2013

Answered : 1312 Questions

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Suggest Treatment For Genital Herpes

Brief Answer: need some details regarding HSV 2 test performed Detailed Answer: Hello My name is Dr Muhammad Ali Rauf & i will look into your problem. I have gone through your query and would try to help you in the best possible way. There are a number of methods for performing HSV-2 test. I would be in a better position to guide you anything if you please answer following questions regarding the test performed: 1. Type of test 2. If antibody detecting then whether it was igG or igM type? 3. are you on any medication? 4. do you have diabetes, hypertension or any other illness? I'll be looking forward for the answers to conclude the discussion in the best interest of yours. Thank You