Orofacial Herpes Lesion Treatment

[ProtonMan]

I had a lesion on my face from giving unprotected oral sex about a month ago.  I did not receive oral sex when I think I contracted HSV.  I have in the past. The dermatologist cut the lesion off to have it tested and it came back positive as herpes.  I don't know if he did any additional test to tell if it was HSV1 or 2.  This was about a month 1/2 ago.  He prescribed Valacyclovir which I have taken when the lesions start to form, but it does not seem to work very well.  What other medications or creams can be used to shrink the lesions faster?  Also, I may be paranoid but I've noticed some nuisance type itching in the anal area and sometimes on the crotch.  I have had these problems before and normally some over the counter medications work, but it seems like they are no going away as they did before.  I'm concerned that I may have genital herpes, but there have been no lesions or sores just periodic itching which may be something else entirely.   I have a follow up visit with the dermatologist next week and need to know what type of test I should have him do to make sure I do not have genital herpes.  Also what type of test should he do to determine what type of oral herpes do I have?  Thank you for your help

[feelingundone]

Your random itching is not a sign of hsv at all. There are no tests besides swabbing a lesion or area suspected of a herpes outbreak to tell if you have genital hsv. You can get an igg bloodtest that may reveal which strain you have. Since you tested positive by biopsy for an oral infection you can be confident it's probably hsv1 especially if you have reoccurring outbreaks