One last question Doctor. I am getting tested for Chlamdia, Syphilis, and Gonnorhea. I have not any sores on the genital area, no discharge from penis nor pain during urination. Are any of the symptoms described above indicate any of the three std's i m testing for. sorry for being impatient. thank you
Yes, you have already ruled out HIV withthe negative antibody and PCR test you mentioned earleir. No concern there. EWH
can I rule out HIV with the antinody and pcr test? I will be seeing infectious specialist tomorrow thank you
It is unclear from your history whether the cold sore you noted was a primary infection of not. Many people with orolabial herpes (cold sores) have infection which precedes the appearance of the cold sores. You did not mention what happened to the lesion but my sense is that it resolved, correct?
While some of the symptoms you describe are similar to those that accompany first outbreaks of herpes infections, I doubt that your current complaints are due to herpes. The accompanying symptoms typically resolve as the lesions resolve and for them to last beyond a week or two is exceedingly uncommon. The headaches and joint pains are common symptoms for many viral infections and are far more likely to reflect some other, community acquired virus that herpes. I suspect there is little to be gained from valacyclovir therapy unless you have active recurrence of your cold sore and that symptomatic therapy from your physician is more likely to be helpful.
Hope this helps. EWH