1) I definitely will do a western blot in the future. Have you worked with any SF Bay Area labs in recent years? I don’t want to navigate finding a lab myself.
Yes, I have. We use one often in the south bay area, Sutter Health
2) Back to my COVID mindset. We know the main symptoms were respiratory, but some patients would experience other things like gastrointestinal issues. The CDC or others would put rough percentages on it, and i think reasonable ppl realized that they weren’t primary symptoms but people may notice them. So, in that mindset, even though they are not the actual herpes symptoms (lesions, etc) , are there specific things ppl who have confirmed genital HSV1/2 have experienced more frequently in your experience with your actual patients ? Increased acne, increased petechiae/cherry angioma, more likely to get male fungal infections, persistent tiredness, etc? Those aren’t leading questions/examples, I’m just genuinely curious what you’ve seen with patients, even if it is pretty uncommon or not directly herpes related (but maybe from immune response for example).
None of the symptoms that you describe above are atypical herpes symptoms, no.
3) I’ve read on the NIH website (link below) that herpes simplex may be a cause of pudendal neuralgia. I’m not trying to debate who is right or wrong, that doesn’t help me at all. Instead, in your experience, when someone has confirmed genital HSV1/2, and also complains of pudendal neuralgia with no other obvious triggers, who would your first refer them to at that point? Pelvic PT, Neurologist. Someone else ?
Probably PT, yes
Thanks again – and I’m serious, I’m not questioning your experience/expertise, i value it, so I’m really looking for next step guidance. I’m also happy to talk more about this off the forum when we talk Western Blot if there is an SF area lab available.
Yes, we definitely will talk more in January!