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
(No Needle Test) Walk in & Walk out with 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.
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 patientsGo To Detail information section
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 test ( Tzank smear, WB, Elisa;recent or remote antibody, rapid assay, Type specific culture)
Comparison of Different Type of Herpes Test
(copyright protected 2009)
Herpes immunoassay gG2 test
Herpes IgG Elisa Test
Specificity of the Test
Sensitivity of the Test
Seroconversion detection as short as
~ 6 months
at time of sore presentation
Venopuncture, Finger prick
We have capability do test both in serum or blood
venopuncture , serum
swab ,by touching the sore
False Positive Result
Higher than immunoassay
High , misinterpretation
Very low to none
Intermediate non-conclusive result (gray area)
Herpes type specific
What is Herpes?Herpes is a sexually transmitted disease which get transmitted by virus called HSV or
Herpes simplex Virus. There are 2 type of Herpes virus, type 1 and type 2
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).
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.
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 and condom risk in male:Although condom is must but it does not provide full protection against herpes. Penile base shaft and scrotum skin which do not get covered by rubber would make you expose to herpes sore.
Herpes and condom risk in female: Although condom is must but it does not provide full protection against herpes sores. When male sexual organ is fully penetrated you may get contacted with penile base and scrotum skin.
Can I have herpes and not knowing and infect others?Yes, you could and there are tests to find out about that. We always tell to our patients. If you have been infected with herpes and never develop any rash or complication then you just have a "quiet roommate" and as time passes by and you continue to be asymptomatic then maybe you are lucky, however, your "quite roommate" may not be that quite if travel from your body to your sexual partner and become his/her number one enemy with recurrent herpes outbreak and complications. Herpes could infect different part of the body and not just sexual organ following is the example of herpes on eyelid.
tingling around genital area , rash , swelling lymph node, vaginal/ penile discharge, burning upon urinating
Herpes Diagnosis: There are few different techniques that we use to come up with clear answer such as obtaining direct sample culture, antibody testing, DNA PCR western blot, screening and titer and most important of all experience physician examination with dermascopy. We frequently see patient with nonspecific test report from online lab vender without doctor evaluation or ordering the test with just adding to patient confusion. Patients are often emotional and we understand this well and would try our best to answer all the specific detail questions. We make sure you leave our clinic happy with clear answers and plan.
Is Herpes type-1 just infect oral area?Not necessarily, most of oral region herpes infection is HSV-1 but it does not mean it can not infect other part of the body. In other words, herpes type 1 commonly infect labial area but you could get herpes type 1 on your genital as well.
Could Herpes Type 1 become Type 2? No, Never. Herpes type 1 regardless of location will stay type 1 and type 2 will stay type 2.
Can I kill Herpes virus ? No, You can not. No mater what anybody claims. It will die when the host dies. In other words, it will stay with the patient as long as he / she is alive.
Oral Sex: You could receive or give herpes by giving or receiving oral sex. Herpes Type 1 is labial herpes but it could live on genital area or Type 2 is mostly genital but could infect oral. If you have type 1 herpes with recurrent cold sores and you perform oral sex on your partner then your partner could develop genital herpes with type 1. Interesting enough your partner could possibly transmit his/her new type 1 genital herpes back to you but this time you get it back on your genital !
How to find out your partner has herpes?Upon our experience , unfortunately, many people won't inform their new partner about their herpes status till after getting intimate.
They simply afraid of rejection despite herpes is being very common. The best way is to ask your partner open ended questions prior to sex, such as : "I have heard Herpes is very common , what do you think about it ? then she or he may start the conversation easier then you will find out. Do not ask directly such as " Do you have herpes ?" Always be gentle and start slow on STD conversation then you could ask harder questions.
Psychological aspect of herpes:Newly diagnosed herpes patient may feel depress, anxious, guilty, they think they are the only one in the world they have herpes, we assure you that you are not. It is unlikely people walk around and tell to their friend, classmate, relative, co-worker that they have herpes. It is unspoken and in this way you feel lonely , about 20% of American have herpes. It is this psychological pressure which fuel the recurrent outbreak of herpes.
Is Herpes could infect other part of the human body:Yes, for example, If your partner has genital herpes and sit on your abdomen , you may get herpes on the contact area. We had similar patient with herpes on umbilical area.
Anal Herpes: You could also get herpes on anus, unprotected anal sex could contribute to this infection.
Digit Herpetic Sores:Herpes could appears as out break on fingers. Touching herpes rash could lead to this type of infection.
Herpes and HIV? Herpes infection fuel the spread of HIV. so herpes infected individuals are at higher risk to get infected with HIV. If you have herpes sore then your immune system would try to heal the sore. HIV will easily infect those immune cells so if vaginal fluid, oral fluid , blood, semen comes in contact with herpes sores then it could infect the patient with HIV. Aids patient may gets aggressive herpes out break as well. Herpes Case Scenario ( we have seen many similar patients in our clinic )
Mary and John are happily married for 7 years and he or she noticed herpes like rash on his/her genitalia. These are possible questions and concern:
1)Is it really Herpes ?
2)Is he / she been promiscuous ? why herpes now after 7 years of marriage ?
3)Is there possibility that other partner develops herpes in future?
4)Could get tested to find out that one partner has positive asymptomatic herpes infection?
5)Is this old or new infection ? is there any test that could say it is old or new infection ?
6) could this herpes is as result of transmission of mouth cold sore ? If yes ? then could get tested
to find out about mouth herpes ? or mouth type of herpes on genitalia ?
Many people with HIV are also infected with the herpes type 2 virus
Herpes Treatment: We will take many elements into our consideration before initiating treatment. 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.
TEL 323-231-6000 or 818-897-8000
Hidden Reasons to Choose Us
Arani Medical Center
" Online Testing Centers"
for Herpes 2 result
Shorter, Few days, 14 days in average
promise 1-2 days may take
up to one week
Longer, usually few months
Active sore on lip, anus , pubic and genital
able to do direct sampling culture
No Culture is available
in advance for each test
Up to 30-40% !
you can not change your mind because there is no full refund!!
you pay before getting tested
be done as part of the consultation
by doctor, you may get your diagnosis
without even testing
and Quality of Our STD Testing
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.
you become positive
Available on the same day of
have to find a doctor to get
treated then, and doctor may
need his own test order if
not in agreement with online
be given to you by MD Physician
(no mater what online vender claims)
test and screening order
MD in venerology practice
by doctor only considering
your exam, history, complaint, time of exposure
and your request
by online sales counselors,
telemarketer, venders, etc
is no company physical address
information is disclosed on
the web site, mostly out of
state with toll free # and
credit card machine
ID or Credit card name and
billing address information
would be shared online. you
may choose to pay direct as
well for the service.
may share all your billing
information and name, which
is link to patient online
or online company as a STD
Crabs, Bacterial culture,
Herpes culture, Trichomonas,
Chancroid, Infectious Mono,
LGV evaluation, Bacterial
Vaginosis (BV), MRSA, and
so many more test...
only 4-6 routine
panel test is available
with routine non customized
procedure for everyone
needs few days and 2 weeks in average windows
Needs few months after exposure
up after screening and STD
(MD) doctor unlimited
phone calls, for up
to 14 days By physician,
Ask all your questions
By physician, ask all your questions
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
you can't wait another week for
we give it to you as early as
FDA Approved, Same Day Testing
our clinic has an on-site certified lab,
and many tests are done here
our lab, and the
results can be ready in few minutes.
The type of
will be chosen by the doctor in
view of your concerns, your exam,
medical history. It is totally confidential,
you may not decide to
your credit card and not to be worry
about billing or information
Since we are a clinic and continuity
of care is important for us then
use the best quality and only and
only FDA Approved tests. Price of
the test will be
to you in advance.
symptom STD Sexually
transmitted diseases may or may not
you may be a carrier of bacterial
STD or viral infection such as
or Herpes or HIV but you may not have
new partner may get infected by you
and become symptomatic
the other way around.
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
condom use is a must, you may still
get STD even when using
protective condom. Bacteria and specially
viruses are so small, they could
slip through the condom ring around
the penile shaft or when the
is removed or infect area which does
not have coverage, however,
protection for vaginal, oral or
anal sex is highly
different STD varies with condom.
For example it may decrease the
NGU transmission but not much of help
for molluscum or genital wart
penile and pubic area.
only way to prevent STDs is by not
having sex at all. If you do have
sex, you can
your risk by only having sex with
(1) someone who doesn't have an STD
isn't having sex with anyone else.
Be careful of using your partner and
are open Monday to Friday 9:00
AM to 5:30 PM & This Saturday
9 AM to 3:30 PM
your convenience we have extended our
phone lines (323)
231-6000, [ 714 ] 313-8011 oc
S San Pedro Place
Angeles, CA 90011
Free Parking in Rear)
Call for Address & Appointment in OC
following patients were seen recently
in our clinic, and are just some examples
" I flew 3000 miles to see Dr.Arani,
he was only doctor that identified
my condition, more
importantly he was very sincere during
My visit to your office in March 2009 was everything I expected and more. Yourself and your staff were very proffessional, friendly, and answred 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
I went for my final test for my Hiv
and STD test. It was negative. It
had been over
last risk encounter. It had been a
worst year in my whole life. Fortunately,
found Dr. Arani and
he helped me through
this horrible year. So as all the
nurses in this clinic
been a great support for
me. He is not only my doctor, but
my friend and my psychiatrist.
would like to have all my thank to
Arani and nurses. 100% recommend to
excellent Infectious Disease Specialist
is more than just doctor, but friend"
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
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
Patient Torrance, California
came to Dr. Arani,...he was
the only person diagnose my
amazing that they tested
me for both HIV 1 and HIV
2 without needle with negative
result in few minutes. "
All information in this web site
is protected by copyright californiaSTD.com. using
this web site is only for information
purpose for our patients, use of this
web site for
written permission is prohibited.
our web site team frequently
search world wide web in
order to protect our copy right.
We are not a governmental agency or getting any governmental fund ,however, we comply
fully with laws and regulation of Los Angeles health department.