Questions About Symptoms And Moving Ahead

[hemave]

I went for a screening to planned parenthood on april 1st due to the following symptoms (burning skin sensations on back, legs, excessive sweating, sore throat, flu like symptoms and some mild joint pain) I was tested for HIV (rapid test), HSV2 , Clymidia, Gonhorea  and Syphilis and was found negative on all of them but HSV2 - I immediately told my girlfriend and she went for an STD panel as well and was found to be negative for the same tests; Since the end of January (Which was the last time I had a sexual encounter that bared any risk (protected one night stand) I have tested negative for HIV @ 9 weeks past that encounter in January and have been assured by and specialist that my test @ that point are conclusive

I have never had a cold sore (but I do feel hot flashes on my lips and around my nose from time to time)
Never had a genital lesion or outbreak in the genital area

My questions are the following:

1. Could an HSV1 and HSV2 diagnosis from planned parenthood be wrong?
2.Could I have HSV1 and HSV2 (as diagnosed by PP and never have a cold sore or a genital lesion?
3.Could my symptoms be a product of HSV1 and 2? Maybe Zoster?
4.Is a 9 week rapid HIV test negative conclusive of my HIV status based on the described exposure?
5. Could that change @ week 12?
6.Are the symptoms described common symptoms of HSV1 or HSV2?
7. What do you recommend I do to treat my symptoms? (Planned parenthood gave me a prescription for Acyclovir but my primary care doctor said that acyclovir is only used as suppressive therapy for people with many outbreaks or to help alleviate outbreaks faster (since I have never had an outbreak I don't know if I should take it)
8. Could this symptoms be related to a more serious condition that has nothing to do with the current diagnosis of HSV2?

[Terri Warren, RN, Adult Nurse Practitioner]

1. Could an HSV1 and HSV2 diagnosis from planned parenthood be wrong?

I only see from the above your HSV 2 test was positive, not HSV 1.  Cna you please get me the numeric values of the test results so I can sort out the likelihood of a false positive result?

2.Could I have HSV1 and HSV2 (as diagnosed by PP and never have a cold sore or a genital lesion?

Yes, you could be infected with both and not ever have a symptom that you recognized.

3.Could my symptoms be a product of HSV1 and 2? Maybe Zoster?

I'm not sure what you mean by "a product of HSV 1 and 2"

4.Is a 9 week rapid HIV test negative conclusive of my HIV status based on the described exposure?

By 9 weeks, the new HIV tests will pick up greater than 95% of positives.
5. Could that change @ week 12?

I seriously doubt it.

6.Are the symptoms described common symptoms of HSV1 or HSV2?

Not really.  Sometimes people with herpes do have burning pain in the back of the leg, but other than that, no.

7. What do you recommend I do to treat my symptoms? (Planned parenthood gave me a prescription for Acyclovir but my primary care doctor said that acyclovir is only used as suppressive therapy for people with many outbreaks or to help alleviate outbreaks faster (since I have never had an outbreak I don't know if I should take it)

I think before you begin to take any medication, you should allow me to review the numeric values associated with the test results.  If the values are between 1.1 and 3.5, you need a confirmatory test done to be sure the results are accurate.

8. Could this symptoms be related to a more serious problem?

Hard to say without knowing more about your general health, lab results for other tests, other than STDs.  Joint aches are also bothersome, but I"m not sure about your situation.  But I can help you with the herpes issues.

Terri

[hemave]

Can someone please answer my question?

Thanks