Herpes I is the most responsible type of herpes labialis. We have ability to test you for herpes labialis or oral herpes in 10 minutes. There is no window period in our test. Herpes I blood test may need up to 6 months after infection, however with our Herpes skin smear test we can let you know if your oral or labial sore is related to herpes or not in other words if you are infected with oral/ labial herpes or not.

 

Herpes Labialis

Is a disease usually caused by Herpes Simplex Type 1. Public may know it as "Fever blister" or "cold sore" . It is surprising that many people are not aware of the cold sore is herpes infection.

After After primary infection, the virus travel via the sensory nerve into the respective ganglion (mass nerve cells ), where it waits latent throughout the patient's lifetime. Stimulation such as physical or psychological stress can reactivate the virus, after which it returns to the epithelial cells via the sensory nerve. Herpes cold sore as falsley belived is not from fever, special food that you eat or stress or nightmare in contrast it is from a activation of herpes virus and could be trigered by afforemention situations.

Digital Herpes

Herpes could involve finger and give you recurrent sore and irritation. You could get infected with touch cold sore or genital herpes could test you for digital herpes.

Anal Perianal Herpes

Herpes could infect anus. It is usually very painful and could be misdiagnose by hemorrhoid. We could test you for anal herpes with 10 minutes result.

Eyelid Herpes

Herpes could involve other part of the skin. It could involve eyelid , back, groin, pubic, hand, etc.

Herpes Stomtitis

It involves mouth.

 

 

Infection:

Herpes I similar to herpes II is contagious. Patient gets infected by direct contact with person who is infected with herpes . Many people are infected with the hepres type 1 and some are not. We have seen many patient in our institution concerning regarding herpes type 1 as they developed sore on their lip or in their mouth. Not every sore in the mouth or lesion on the lip is representing herpes. For instances, many immunological disease could give your sore in your mouth or you could have sore because of syphilis ,so It is very important that you seek medical attention if you noticed sore (non-trauma related) in your mouth.

average incidence is about 1.6 per 1000 patients per year with prevalence of 2.5 per 1000 patients per year. Approximately 33% of all infected Herpes type 1 suffer relapses.

 

 

 

Herpes Type 1, STD

It is a common question that I get on daily basis that if cold sore or herpes type 1 is sexually transmitted disease or not. I will try to explain this to you so you have an understanding of this common question. STD means sexually transmitted disease in other words if you get the infection through sex then it is STD. Now, if you recieved oral sex from someone who is infected with herpes type 1 (cold sore) and you get infected in your genital and develop genital herpes (by type 1) then yes you got an infection with STD and Herpes Type 1 is Sexually transmitted disease.

In other clinical senario if you are a child and having loving and caring parents haugged you and kissing you thousands of time and unfortunately they infect you then you have not been infected through sex and that is why many people have antibody against herpes type one at young age.

Experienced Physician should explain to their patient in individual basis and what it means in interpersonal relationship and dating.

 

Diagnosis

In majority of cases patient seek help if for first time noticed a lesion or sore in their mouth, lip , tongue or gum. See an experience physician in STD field is the most important element in diagnosing of herpes related cold sore . Not every sore in mouth or lip representing Herpes 1 cold sore. Please Refer to differential Diagnosis on this page to find out what other disease could mimic herpetic sore.

If blood test for Herpes Type 1 has to main issue

First, about 80% of population have antibody against herpes type 1, and being positive for type 1 will not conclude that sores is related to herpes outbreak or not.

Second, If you just got infected with herpes type 1 and you develop sore then your test will be

(copyright protected 2011)

	Hepres I IgG Blood Test	Direct Smear Skin Test for Herpes
Location specific	No	Yes
Window period	waiting up to 6 months after infection	Immediately, after lesion or sores appear
Result	2-7 days	10 minutes
Technical	Detect development of antibody in blood against herpes	Direct Detection of Herpes manifestation in sore or lesion

 

DDX (Differential Diagnosis):

It means that doctor has to keep in mind of other possibilitis when making diagnosis of cold sore because other diseases could make similar lesion.

Physician must always think broad when making a diagnosis and some of other possibilities for herpes type 1 cold sore is as follow:

 

 

 

 

Complication

Prevention

Avoid direct contact with herpes sores. Minimize the risk of indirect spread by thoroughly washing items such as towels in hot (preferably boiling) water before reuse. Do not share items with an infected person, especially when they have herpes lesions. Avoid triggers (especially sun exposure) if you are prone to oral herpes.

Avoid performing oral sex when you have active herpes lesions on or near your mouth and avoid receiving oral sex from someone who has oral or genital herpes lesions. Condoms can help reduce, but do not entirely eliminate, the risk of catching herpes from oral or genital sex with an infected person.

Both oral and genital herpes viruses can sometimes be transmitted even when the person does not have active lesions.

Outbreak Triger:

2 main different type of stimulation could reactivate the virus and make it active to create cold sore:

Psychological: Psychological stress such as recievig bad news, loss of job or love one would be some examples and in some cases even when you see a bad dream!

Physical: excessive Sun light, menstration, Upper respiratory tract infection, are examples of physical stress.

 

 

Warning Against Herpes IgM testing: IgM test is non reliable test for diagnosis of herpes, recently many online STD testing sales companies try to promote Herpes IgM testing and misinform patients Go To Detail information section

 

Herpes is a disease that must get evaluated by experience doctor. Just get tested through blood

as general rule does not provide conclusion for your concern.  False negatives and false positives could be common,

the results have to be weighed together with the clinical presentation and patient's history; with the currently available

 tests neither a negative nor a positive can ever be absolute. Your time of exposure, history, and clinical presentation will

 assist us to choose the right test ( Direct smear, WB, Elisa;recent or remote antibody, rapid assay, Type specific culture)

for you.

 

Comparison of Different Type of Herpes Test

(copyright protected 2005-2011)

 

	Herpes immunoassay gG2 test	Herpes IgG Elisa Test	Herpes IgM	Herpes Culture	Herpes Skin Smear Test
Result time	10 minutes	2-6 days	2-6 days	10 days	5-15 minutes
Specificity of the Test	Very high	high	Low	Very high	high
Sensitivity of the Test	High	High	non conclusive	Low	High ( depends on lab & quality of sample)
Window Period	Seroconversion detection as short as 2 weeks	~ 6 months	limited	at time of sore presentation	No Window, Test could be done as soon as the lesion appears
Sampling	Venopuncture, Finger prick We have capability do test both in serum or blood	venopuncture , serum	venopuncture, serum	swab, by touching the sore	Swab, by touching the sore
False Positive Result	Very low	Higher than immunoassay	High , misinterpretation	Very low to none	Low
Intermediate non-conclusive result (gray area)	None	Present		None	Present
Herpes type specific	Yes	Yes	No	Yes	No
Availability of the service by our institution	Yes	Yes	Yes	Yes	Yes

 

 

Herpes evaluation by examination ?

The most important part of herpes evaluation is experience doctor examination. We have diagnosed many patients with herpes with just physical examination and patients was treated on the same day without even testing ( great saving for non-insured patients).

 

 

 

 

Herpes Virus: 

It is an enveloped virus with DNA with fragile membrane. The herpes virus with damage

envelope is not as infectious . It easily fall apart and virus could only be obtain by direct mucosa contact.

 It means it is unlikely to get it with sharing dishes or going to public bathroom. Herpes virus invade human

 body by direct mucosa/ skin contact. The Virus use host cell for reproduction and destroy the host cell, as

 result the classic symptom of blister formation (if symptomatic) tingling and pain occur.

    

 

 

Herpes Oralis / Labialis Treatment

tWe will take many elements into our consideration before initiating treatment. We have helped thousands of herpes patients in past and we follow many of them with one simple goal: No more outbreak. We assure our patients that we do not treat them based on pharmaceutical company advertising promotions for FDA approved or non approved medicines. Unfortunately there are various pharmaceutical companies try to advertise their product and some are not as effective as described and some are Non-FDA approved. Due to our clinical experience first episode of herpes is the most important one for long-term treatment and suppression. We treat many herpes patients and our considerable experience will be invaluable to you. Remember not all herpes infected patients are same for treatment plan. According to Dr. Arani three main element needs to be consider in herpes positive patient as follow:

1) Short Term Goal At this level the main goal is to treat the patient and relieve patient discomfort and pain. The earlier the treatment started the faster is the recovery. At this stage clinician must treat the outbreak. Certain advance outbreak accompanied with a lot of pain, Pain control should be consider as well. The pain management of herpes my not be as easy. Conventional pain killer may have limited or little effect. Usually female patients may have more discomfort than male for 2 reasons:

 

 

Touch Sensitivity: The location of herpetic sore is very important. Obviously gum and hard pae late ar very sensitive and in close contact with food particle during chewing or drinking . The salt contact or certain food and drink such as hot tea on sore my contribute to excruciation of pain.

 

Direct pain ("organic pain") This pain come from the herpes sore itself. Because of herpes virus lives in nerve then the pain associated with herpes might be more sever than other similar non-herpetic sore. The conventional pain killer might more helpfull for this type of the pain.

 

2) Long Term Goal

The mind will forget the diagnosis of herpes if there is no further outbreak, that is human. Forgetting the pain is the most blessing element in human brain structure/evolution. Imagine if you remember all bad news, all bad memory and all devastating trauma in your life as fresh as they have happened to you. You would never be able to get out of the bed and survive and live a normal life. The forgetfulness is blessing in those situations. The grief of having herpes may resurface every time you get an outbreak. You need to forget about this disease. In order to reach this goal you need to be herpes sore free. We address all this issue in details if we diagnosed you with herpes.

 

Psychosocial and Relationship

In book of herpes there is nothing more important than a physician(MD) clearly understand and know all the detail aspect of the psychological aspect of herpes positive patient. Patient has to live with a virus for remaining of his/her life. Clinician must put her/his feet in patient shoes when discussing the news or treating the herpes patient. In many instances of breaking the news, patient is so much emotionally overwhelmed that I had to gave moment of silent and approach the patient from different aspect. There are more than 6.5 billion people in the world while we can not find 2 people with 100% exact similar. We are made of our DNA, memories and experience and it is impossible to find all these 3 elements common between two unique people. I have had patient who's only concern was to protect his partner while another patient who care less about anyone else and I had to spend tremendous amount of time to educate him about how important it is to protect his partner. Patient has many questions concern that all need to be answered.

We know herpes virus lives in the nerve, so the stress and the thought of the herpes may contribute to frequent outbreak. We answer all your questions in details in your visit and we make sure that you leave with clear mind.

 

               

TEL (323)-231-6000 or (818)-897-8000    

 

     

     14 Hidden Reasons to Choose Us

 

Compare us	CaliforniaSTD.com Dr. Arani Medical Center    Immunoassay test	Other " Online Testing Centers" STD/std...com/.org & etc Elisa Test
Waiting for Herpes result       Window Period	in minutes       Immediately after lesion or sores appears	Always promise 1-2 days may take up to one week     Longer, usually few months
Active sore on lip, anus , pubic and genital STD	We are able to do direct sampling	No direct test available
Cancellation Fee   Testing Fee	No penalty   Always appraised in advance for each test	Up to 30-40% ! cancellation fee you can not change your mind because there is no full refund!! you pay before getting tested
STD/ Herpes Exam	Will be done as part of the consultation by doctor, you may get your diagnosis without even testing	No exam available
Accuracy and Quality of Our STD Testing	Exclusive STD medical lab would perform your test . Our tests are extremely accurate. Our Lab is under constant evaluation, quality control (QC), quality assurance (QA), and proficiency evaluation (PT) and state inspection. Our  lab director is MD in STD field.	Generic medical lab
Treatment of Herpes If you become positive	Available on the same day of testing	No Treatment   You have to find a doctor to get treated then, and doctor may need his own test order if not in agreement with online counselors tests
Peace of Mind	To be given to you by MD Physician only	None, (no mater what online vender claims)
STD test and screening order	By MD in venerology practice chosen by doctor only considering your exam, history, complaint, time of exposure and your request	Chosen by online sales counselors, telemarketer, venders, etc (Non-MD)
Responsibility	Please feel free to read about our center, we are well known by state and nationally,  credential of health care provider is in disclosed for your evaluation	There is no company physical address information is disclosed on the web site, mostly out of state with toll free # and credit card machine.
Confidentiality	No ID or Credit card name and  billing address information would be shared online. you may choose to pay direct as well for the service.	You may share all your billing information and name, which is link to patient online or online company as a STD testing Customer.
NGU, Crabs,  Bacterial culture, Herpes culture, Trichomonas, Chancroid, Infectious Mono, LGV  evaluation, Bacterial Vaginosis (BV), MRSA,  and many more...	All available	None  only 4-6 routine panel test is available with routine non customized procedure for everyone
NGU, Crabs, Bacterial culture, Herpes culture, Trichomonas, Chancroid, Infectious Mono, LGV evaluation, Bacterial Vaginosis (BV), MRSA,  and many more...	All available	None only 4-6 routine panel test is available with routine non customized procedure for everyone
Herpes Test	Immunoassay     needs few days and 2 weeks in average windows	Elisa   Needs few months after exposure
Follow up after screening and STD testing           STD Counseling	Direct (MD) doctor unlimited interaction, consultation, phone calls,  for up to 14 days By physician, ask all your questions.     By physician, ask all your questions.	No Doctor or Lic health professional provider follow  up Non-physician.     You get some service before payment then you are on your own after you get charged with 40% cancellation fee