My patient, who I’ll call Katie, came to my office in tears.
She brought it her lab results from another physician and it showed a positive herpes antibody test.“No, but the doctor said I have it and that I have to take medicine every day,” she replied.
It used to be that physicians primarily saw the herpes virus type 1, or oral herpes, in patients with cold sores and herpes virus type 2 in patients with genital sores. It’s now, however, common to see both types of the herpes virus in both areas. So, if a patient has ever had a cold sore near the mouth, then the herpes blood test could be positive.
Yes, the first outbreak can be painful, but people who get subsequent outbreaks become aware of symptoms that are associated with herpes before the outbreak. They can usually stay ahead of an outbreak and start treatment with an antiviral medication. Outbreaks can look like clusters of painful sores or even slightly tender tears in the skin. And folks who get frequent outbreaks can take a daily suppressive medication to prevent it from happening in the first place.
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