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Sir, Long Back(23 Years Back)I Had Sex With Sex Workers(

Posted on Mon, 14 Oct 2019

Question: Sir, Long back(23 years back)I had sex with sex workers(oral sex also). Recently I got tested for herpes. The hsv 1&2 lgM value is 21.79(acute herpes). Which specialist doctor will treat better.What further tests are required and what is the treatment.I am suffering erectile dysfunction,fatigue,legs pain,constipation,unable to walk,itching on head.Please suggest.Thank you sir

Answered by Dr. Dr. Kakkar (34 minutes later)

Brief Answer:
Regarding STDs

Detailed Answer:
Hello and welcome to ask a doctor service. I have gone through your query and noted your concern.

I am a dermatologistt and venereal specialist. I can advice you regarding STDs. My advice to you is that if you have just serological evidence of Herpes but no signs of it then you don't need to treat it. A venereal specialist or a dermatologist can advice you regarding that. If you never tested for any STDs after promiscuous sexual contacts then you would be advised to undergo screening test for HIV, VDRL as well.

Hope I have answered your query. Let me know if you need any more assistance.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Kakkar (10 hours later)

Sir, I have tested for hiv,syphilis ,gonorrrhea,chlamydia,trichomoniasis,hepatitis b and the result is negetive.I have mentioned all symptoms in the previous quetion.Can a general physician treat acute herpes?Please give suggestion.Thank you sir

Follow up: Dr. Dr. Kakkar (2 hours later)

Sir,I have mentioned my test results in the previous question.The hsv 1&2 lgG value is 21.79 (acute herpes) is the actual report.Sorry for the mistake.Thank you sir.

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
Regarding herpes

Detailed Answer:
hi
Herpes is only treated if there are genital sores or oral sores of herpes. Do you have any oral or genital sores? No need to treat it otherwise, even if there is serological evidence of herpes. This is because serological tests for herpes just suggest that there was infection and stay positive forever. It doesn't mean we need to treat on evidence in blood unless there are visible sores. If rest of your STDs screening was negative then there is nothing to worry.
Take care.

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar