 [ Symptoms ] my gyno diagnosed me with hsv2 by just a 2 minute observation without a culture or bloodtest is this legitimate  i have had hsv 1 since i was a baby but have never had an outbreak a week ago i had a burning itch on my vagina that followed with skin peeling i was diagnosed with a yeast infection a week prior and was given a pill to get rid of it quickly went to see a new gyno he was down there for literally 2 minutes and filled a prescription for metrogel a herpes medicine and a yeast medicine without doing a culture can he diagnose herpes just by a general observation im confused [ Disease ] it depends on how good he is as a visual diagnostician genital herpes does have a characteristic appearance and history but when someone give you a medicine for a bacterial vaginosis a herpes medicine and a yeast medicine he is doing shotgun treatment sort of throwing everything at the issue hoping one will hit it i do not practice that way if your problem started with an itch and a bit of peeling i think yeast bacterial vaginosis can have a characteristic odor and yeast can have a characteristic appearance but it would be best to confirm it with a diagnostic test usually a microscopic exam or vaginal culture the same goes for herpes there is a very accurate diagnostic test when you have active lesions that would have given you the answer since herpes is contagious and recurrent it would sure be nice to know definitively i agree with you you need to know for sure and deserve a higher level of care than a two minute look and see