Virally related: The presence of Herpes on the genitals as well as lip suggests a viral load that can be causing your symptoms. Proper topical treatment with antiviral agents such as Acyclovir along with oral anti viral agents might help alleivate the fatigue. Herpes simplex is a recurrent problem and protected sex is imperative. A blood test such as a CBC would be wise as well as an HIV test to check immune state
Answered 6/24/2014
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