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Dr.Arani Medical Facility with technology of quick screening, STD testing (FDA Approved), examination & treatment of the most challenging sexually transmitted diseases such as herpes.  California STD.com is sponsered by Dr. Arani Medical Center for Type Specific Herpes Testing, In this page we have tried to project  some of our clinical experience regarding herpes.    

Confidential Herpes Exam, Test & Treatment Available Today

Herpes Type 2 Result in 10 minutes, Walk in & Get Your Result.

 

Your Peace of Mind is Our Goal......Watch Dr. Arani, M.D. from California STD.com expert input on Fox News @ 10

                                

Herpes II is the most responsible type of herpes for genital STD infection. Our test specificity has been compared to western blot technique, highly specific to minimize false positive result. If you have preliminary positive result by different lab then we could also confirm the accuracy of your result. No confusing Range number for interpretation of test, No indeterminate result unlike herpes elisa and select, with our test either you are POSITIVE or NEGATIVE in 10 minutes. We also able to provide oral herpes , anal herpes, pubic herpes test results in minutes

 

OUR HERPES TEST ACCURACY

Majority of herpes 2 test by different  lab is by antibody detection by Elisa method such as select IgG. The problem we were facing was we had to interpret the result based on range of numbers for example below 0.9 negative, 0.9-1.1 indeterminate, and above 1.1 being positive. We used to get indeterminate and low positive and patient turned out to be sometimes negative and sometimes positive. This was confusing for our patients. They wanted to know if they are simply positive or negative. Finally on Feb. 2007 we decided to incorporate our current immunoassay testing system which has been compared to western blot (getting done in University of Washington) into our laboratory. Patient come to our clinic with one main question "do I have herpes 2 or not?" and they want "Yes" or "No" for answer. We give that answer with better confident in about 10 minutes now.  

 

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 answer and right test (Tzank smear, WB, Elisa;recent or remote antibody, rapid assay, Type specific culture) for you.

 

Comparison of Different Type of Herpes Test

copyright protected, curtesy of Dr. Arani, M.D.

  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 on average, maximum 102 days

~ 3-6 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 Labialis

 

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 II is very contagious. Patient gets infected by direct contact with person who is infected with herpes . Many people are infected with the hepres type 2 and some are not. Not every sore on genital or other part of skin representing herpes. For instances, other infectious diseases could give you sore on your genital such as syphilis or chancroid by Haemophilus ducreyi so It is very important that you seek medical attention if you noticed sore on your genital .

 

 

Compare Our Herpes II blood Test to Others (online)

 

 

 

Our Hepres II IgG (immunassay Blood Test )

Online Herpes Testing (select Elisa)
Test Result 10 Minutes 3-7 Days
Window period for detection after exposure Days to Weeks Months
MD Exam Availabe None
Treatment Same Day Available None

 

Is Herpes just a dermatological Disease?

 

 

No, it is beyond that , It is a viral infection that will stay with you for lifetime. The skin rash is just manifestation of this infection. You may not have any dermatological symptom to begin with. You could infect your other part of your body by contact ( for example you could get eye infection, Herpes conjunctivitis). You could develop secondary bacterial infection, or it might put you on higher risk of getting other STDs as well. We do not just consider dermatological aspect of herpes, we approach it

systemically we will answer all your questions.

 

 

 

Complication

  • Recurrence

  • Spread of herpes to other skin areas

  • Secondary bacterial skin infections

  • Generalized infection -- may be life-threatening in immunosuppressed people, including those with HIV or cancer infections

  • Blindness


Note: Herpes infection of the eye is a leading cause of blindness in the United States, causing scarring of the cornea.

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.

Symptom

 

Herpes could be typical such as blisters or atypical such as unusual rash which does not appear to be like herpes at all on exam and needs very experience clinicial to make the diagnosis. The first episode may be mild or severe.
  • First symptoms usually appear within 1 or 2 weeks, and as long as 3 weeks, after contact with the virus.
  • Sore throat and fever that can last up to 5 days may occur before the blisters appear. There may also be swollen glands in the neck.
  • First episode may last 2 to 3 weeks. The lesions may be on your genital, pubi, arround anus.

Later episodes are usually milder.
  • May be triggered by menstruation, sun exposure, fever, stress, or various other unknown causes.
  • Warning symptoms of tingling, burning, increased sensitivity, or sensation may occur about 2 days before lesions appear
    An outbreak usually involves:
  • Rash or skin lesion around genital or anus
  • Small blisters (vesicles) filled with clear yellowish fluid
    • Blisters on a raised, red, painful skin area
    • Blisters that form, break, and ooze
    • Yellow crusts that slough to reveal pink, healing skin
    • Several smaller blisters that merge to form a larger blister

Outbreak Triger:

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

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.

 

Doctor 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

 

                   

   

 

Result Today           

If you can't wait another week  for your result

                         Then we give it to you as early as 10 min today

 

 

 

Confidential FDA Approved, Same Day Testing

Since our clinic has an on-site certified lab, and many tests are done here

in our lab, and the results can be ready in few minutes. The type of

test will be chosen by the doctor in view of your concerns, your exam, and

your medical history. It is totally confidential, you may not decide to

use your credit card and not to be worry about billing or information

sharing. Since we are a clinic and continuity of care is important for us then

we use the best quality and only and only FDA Approved tests. Price of the test will be

always discussed to you in advance.

 

 

 

No symptom STD
Sexually transmitted diseases may or may not be symptomatic.
you may be a carrier of bacterial STD or viral infection such as

Chlamydia or Herpes or HIV but you may not have any symptoms.

Your new partner may get infected by you and become symptomatic

or the other way around.

 

....................UPDATE.....................


1. IgM will be negative in many patients who recently acquired herpes but have culture-document first episodes. ( doctor could do culture which could directly detect herpes particle)

 

2. IgM tests cannot accurately distinguish between HSV-1 and HSV-2 antibodies, and thus very easily provide a false positive result for HSV-2. Most adult population in the U.S. already has antibodies to

HSV-1, the primary cause of oral herpes. A person who only has HSV-1 antibody all his/her life may get false belief of got infected with HSV-2 as IgM might become positive.

 

3. IgM tests may cross-react with other viruses in the same family, such as varicella zoster virus (VZV) which causes chickenpox or cytomegalovirus (CMV) which causes mono, meaning that positive results may be misleading.

 

4. IgM has short life so there is small window period that appears and disappear , so person could have been infected with herpes and get negative IgM .

In conclusion, we do not recommend to use Herpes IGM for any diagnosis of types specific herpes


 

Safe Sex
Although condom use is a must, you may still get STD even when using

a protective condom. Bacteria and specially viruses are so small, they could

easily slip through the condom ring around the penile shaft or when the

condom is removed or infect area which does not have coverage, however,

use protection for vaginal, oral or anal sex is highly recommended. Protection

against different STD varies with condom. For example it may decrease the

chance of NGU transmission but not much of help for molluscum or genital wart

on base of penile and pubic area.

The only way to prevent STDs is by not having sex at all. If you do have sex, you can

 lower your risk by only having sex with (1) someone who doesn't have an STD and

(2) isn't having sex with anyone else. Be careful of using your partner and always

use protection. PUBLIC HEALTH, CA link

 

Use Protection or Say No To Your Partner! 

 

 

We are open Monday to Friday 9:00 AM to 5:30 PM & This Saturday 9 AM to 3:30 PM

                   

                   For your convenience we have extended our phone lines
                (323) 231-6000, [ 714 ] 313-8011 oc    

                                                      (818) 897-8000

                                                      (323) 231-7500                              

                               (323) 231-8200

                               (323) 231-7400

                                      Welcome Walk in

       4524 S San Pedro Place  

             Los Angeles, CA 90011

        ( Free Parking in Rear)

Call for Address & Appointment in OC

TEL 714-313-8011

 

 

 

 

 

 

 

 

Testimonials  

(The following patients were seen recently in our clinic, and are just some examples of numerous

other similar praises.)

 

" I flew 3000 miles to see Dr.Arani, he was only doctor that identified my condition, more

importantly he was very sincere during this ordeal".

J.R   Florida

 

My visit to your office in March 2009 was everything I expected and more. Yourself and your staff were very proffessional, friendly, and answered all my questions and concerns completely which made my travel from New York

to California 100% perfect. Matt, S New York

 

After being declared HIV positive by one of the world’s most renowned medical institutions, I came to your lab for a second opinion. Within 30 minutes, you were able to administer and return the results of an FDA approved test that showed that the original lab had made a mistake. After a week, the original lab called to tell me that I was in fact HIV negative and that they had made a mistake. The piece of mind your facility provided was crucial in helping me get through one of the most difficult weeks of my life.

Nic, Los Angeles CA 11/18/2008

 

".... I had over 50 warts :-/ ..After a few treatments, I've finally gained my self confidence back. It's a pretty embarrassing thing to have, but I'll have to say that Dr. Arani made me feel very comfortable in office from day 1. The removal of the warts healed quickly and after a few months could not even tell that I had even had them. Just ask to see his before and after photos. I would not hesitate to recommend him to my friends (although this ailment is not something I'm vocal about) so instead I'm happy to let others know on here that he is a great doctor, will make you feel very comfortable and help get things back to normal for you. My advice would be to see him at the first sign of anything such as these warts. I would have saved a lot of $$ & time had I gone in after the 1st wart showed." 

 

"Thank you for giving me all of the test and explanations ....I looked on the internet for other centers. There are labs, but none had a doctor." T. Braz California

 

"Today I went for my final test for my Hiv and STD test. It was negative. It had been over

a year since the last risk encounter. It had been a worst year in my whole life. Fortunately,

I found Dr. Arani and he helped me through this horrible year. So as all the nurses in this clinic

had been a great support for me. He is not only my doctor, but my friend and my psychiatrist.

I would like to have all my thank to Dr. Arani and nurses. 100% recommend to everyone who need

an excellent Infectious Disease Specialist who is more than just doctor, but friend"

L.J Los Angeles, California

 

".....With 4 weeks of  penile discomfort and negative Gonorrhea/ Chlamydia  test finally

I was tested by Dr. Arani and he explained my Urethritis and he treated me and everything

got cleared in few days ...."

P.J Camarillo, California

 

.. "I got tested with  commercial medical lab and I was positive for herpes. I was so stressed and I did not know what to do till I came and got examined and tested with doctor and I was explained that everything was fine !. I got so relieved....." Confidential Patient  Torrance, California

 

"I came to Dr. Arani,...he was the only person diagnose my condition"

E. Briceno  Panorama City, California  

 

"It was amazing that they tested me for both HIV 1 and HIV 2 without needle with negative result in few minutes. "   Pacoima, California

 

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this web site is only for information purpose for our patients, use of this web site for

other purpose without written permission is prohibited. our web site team frequently

search world wide web in order to protect our copy right. CaliforniaSTD.com. Do not use any of material

from this website for any type of publication. We are private institution and not a governmental agency or getting

any governmental fund ,however, we comply fully with laws and regulation of Los Angeles health department.

 

 

 

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