Can one decline herpes testing?

[Anonymous]

Anonymous wrote:

Anonymous wrote:Nurse practitioner who works in an STI clinic here – yes, of course she can decline any tests that she doesn’t want done. An experienced set of eyes might look at what she has going on and be able to give her a sense of what it probably is/isn’t. Herpes testing itself is fickle, the swab (best test) has to be done at the right time or you can have a false negative. The blood test just tells you about lifetime exposure to type 1 or 2 (most adults have been exposed to one or the other) and does have a non-trivial false positive rate.

So my question or thought isn’t totally crazy? She could always take anti virals and act on that assumption and not have to get confirmed test?

This has to be a troll.

[Anonymous]

It's not an ingrown hair lady. It's herpes and she needs treatment.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Nurse practitioner who works in an STI clinic here – yes, of course she can decline any tests that she doesn’t want done. An experienced set of eyes might look at what she has going on and be able to give her a sense of what it probably is/isn’t. Herpes testing itself is fickle, the swab (best test) has to be done at the right time or you can have a false negative. The blood test just tells you about lifetime exposure to type 1 or 2 (most adults have been exposed to one or the other) and does have a non-trivial false positive rate.

So my question or thought isn’t totally crazy? She could always take anti virals and act on that assumption and not have to get confirmed test?

We sometimes prescribe antivirals for a short time without a test confirming HSV while we are waiting for results, that’s pretty common. It would be unusual to just prescribe in perpetuity without a result though. Seriously people come in ALL the time with skin bumps that they are convinced are herpes and I can take one look at it and say “probably not”. If this area of concern of hers was never painful, it doesn’t sound a lot like HSV. If it’s scabbed over now testing won’t do a ton for her either so she may want to keep an eye and see if it returns.

[Anonymous]

Why would anyone cover their eyes and stamp their foot and scream no, no, no I don’t have this. You’ll never for anything yiu don’t want to hear about?

Grow up.

She’s an adult,, she gets tested for all the things it might and gets treated appropriately.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:knowledge is power. If she's too afraid to know, she should not be sexually active

Why if there is nothing to do about it? If she’s never going to have unprotected sex of course.

TO protect partners

So she can take anti virals

So when she gets pregnant she can tell her doctor and the doctor can put her on antivirals the last few weeks of her pregnancy so that she does not give her baby herpes, which can cause blindness in newborns

All of this, plus you can get herpes with a condom.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Why would you?!!!!!!!!!


Make it make sense!!!

Because of the emotional and mental stigma and a teen trying to navigate that.

If your teen isn't capable of handling that, they shouldn't be sexually active.

[Anonymous]

Anonymous wrote:Life is hard. Teaching her to bury her head in the sand is setting her up for lots of failure in life. Your job is to teach her to be a responsible, self sufficient adult.

+1 This is a parenting fail.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why would you?!!!!!!!!!


Make it make sense!!!

Because of the emotional and mental stigma and a teen trying to navigate that.

Good lord I fn hate it here. I truly fear for our children growing up in this world

I know, these poor kids have so much to deal with. Miss simpler times.

OMFG, stahhhhp. Simpler times, like when they used to send 7 year olds to work in the mines? Yes, kids today have stressors. They also have it far better than previous generations, and it has made them simpleminded and soft, expecting comfort and ease at all times and unable to handle simple adversity.

Herpes existed back then, too. Get a grip, and teach your kids to do the same.

[Anonymous]

Anonymous wrote:

Anonymous wrote:A single abscess in the labia is maybe more likely to be a bartholin's cyst, no? Either way, not seeing a doctor is unhelpful she could easily be putting herself in unnecessary pain.

If it isn’t painful it could also be just a skin boil too……

It's probably a bartholin's cyst, but the idea that someone wouldn't want testing to be sure it's not something contagious is WILD.

Some people need a license to eff...

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why would you?!!!!!!!!!


Make it make sense!!!

Because of the emotional and mental stigma and a teen trying to navigate that.

Good lord I fn hate it here. I truly fear for our children growing up in this world

+1
Seriously

Do people not realize there can be life changing effects to having sex and not being careful about your partner ( which lets be real, teens probably aren't asking for a STI panel)?

They only hear about getting pregnant tbese days.

[Anonymous]

OP here- it popped she said and it was large welt but now smaller and it’s right where the vulva meets the leg. Thanks for the replies - I didn’t know people even treat herpes but good to know for future. This one sounds like something else, but will keep an eye. More concerned it was staph boil vs herpes but who knows.

[Anonymous]

Anonymous wrote:OP here- it popped she said and it was large welt but now smaller and it’s right where the vulva meets the leg. Thanks for the replies - I didn’t know people even treat herpes but good to know for future. This one sounds like something else, but will keep an eye. More concerned it was staph boil vs herpes but who knows.

You are a super irresponsible parent and you are teaching your daughter to be just as irresponsible. Shame on you.

You should be teaching her to deal with whatever the problem is in front of her instead of sticking her head in the sand and possibly affecting other partners.

[Anonymous]

Anonymous wrote:OP here- it popped she said and it was large welt but now smaller and it’s right where the vulva meets the leg. Thanks for the replies - I didn’t know people even treat herpes but good to know for future. This one sounds like something else, but will keep an eye. More concerned it was staph boil vs herpes but who knows.

The only reason you know about it is because she came to you looking for info. Giving her what info you can is reasonable, but part of that should be that YOU ARE NOT A DOCTOR and that she should see an actual doctor for accurate information. If you can’t tell the difference between an ingrown hair, staph, herpes, or other unknown mystery cause (I probably couldn’t either), you should take her to someone who can.

Not only will it give your daughter the information she was looking for in the first place, it will teach her to go to reliable sources for information and that getting the truth is usually better than fearing possibilities. Next time it might be herpes, or something worse. If your daughter should someday get skin cancer (which I hope she never does), getting a prompt diagnosis could literally be the difference between life and death. The last thing you want is her avoiding treatment because she can’t handle getting bad news.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP here- it popped she said and it was large welt but now smaller and it’s right where the vulva meets the leg. Thanks for the replies - I didn’t know people even treat herpes but good to know for future. This one sounds like something else, but will keep an eye. More concerned it was staph boil vs herpes but who knows.

You are a super irresponsible parent and you are teaching your daughter to be just as irresponsible. Shame on you.

You should be teaching her to deal with whatever the problem is in front of her instead of sticking her head in the sand and possibly affecting other partners.

What? It popped and is getting smaller. If it doesn’t resolve I’m having her go, but meant it seems to improving from yesterday. I called Dr and they said give it 5-7 days and track size.

[Anonymous]

Also should she see GYN or Ped if she needs to go?