6 months post possible exposure and IgG labcorp results

[Labcorpconfused]

I made a huge mistake 6 months ago in my monogamous relationship. I have had no issues until about a month ago . I had some ongoing bleeding after my period and met with a new doctor. She ran blood,pap,colposcopy, followed by an endometrial biopsy. I had a run in with HPV awhile back and had some cervical dysphasia and some changes due to long term birth control use. I had clear paps after some some procedures about 5 yrs ago. So the HPV is back ( high risk) or newly acquired idk???
LABCORP provided me with my hsv-1 & 2 IgG results

HSV1igG 58.80 high

index 0.00-0.90
Neg <0.91
Equivocal 0.91–<1.09
Positive >1.09

HSV2 IgG <0.91

Index 0.00-0.90
Neg <0.91
Equivocal 0.91-1.09
Positive >1.09

My question after having doc do her pap, colposcopy , and biopsy I had some sensitive areas of labia and burn to touch . Altitude discomfort but I freaked and started taking valtrex that I have for my HSV1. No visible blisters or really any redness – just sensitive & irratated to touch. I have had one other occurrence of a hsv1 on my genitals and had IgG blood test which proved it wasn’t hsv2 . Is it possible this was just my original hsv1 infection acting up after all this time? would 6 months past exposure with mistake guy be long enough even without outbreak to show antibodies a week before possible symptoms that occurred after my biopsy and pap.( a week after blood draw) do I still need to redo blood work in a few weeks ?
Please help I don’t want to give this to partner. I can get through to my doctor and have a few days to figure this out.

But my question is this…… After the new doctor did her pap, colposcopy, and biopsy

[Terri Warren]

Six months is plenty for an accurate HSV 2 screen, yes. I like 12-16 weeks for the ELISA test to be accurate. The western blot takes 16 weeks for sure to be the most accurate and pick up all those “late bloomers” but the ELISA become positive more quickly than the western blot as it is only looking for single protein while the western blot is looking for multiple proteins associated with the antibody and some take longer to come up than others.

I do not believe that you need to rescreen even if you have labial tenderness.

So you had a positive HSV 1 swab gathered from a lesion in the genital to know that you have HSV 1 genitally?

Terri

[Labcorpconfused]

I had an outbreak about 8 years ago . I had it swabbed but it came back negative . Then I had blood drawn I believe 4 weeks later and it only came back positive for Hsv-1. Fast forward all this time . I screw up one night 6 months ago and have had the burden of guilt since but was just starting to be able to not this about every single day. Then BAM ! All this happened . I initially thought I just had a reoccurrence from my initial HPV since I dealt with it for about two years straight . This doctor makes it seem like I have major changes spdown there and need a laporscopy and D&C . I just had the endometrial biopsy and it came back neg for cancer . Soo I’ve been taking the acyclovir 200mg 3 times daily for with a double dose here and there for 6 days. The labia and sensitive parts aren’t sensitive anymore and never had a over night healing or dramatic effects. I know feel like I have yeast infection minus the white discharge . I’m having a “snotty” brownish trying like here and there. I’m 8 days out from my biopsy .
Is this normal for post biopsy?
Could it be a different infection ?
Could I be freaking out and way too far out for this to be steaming from my work mistake ever – I had no discomfort or strange things happening down there up until the bleeding ( with no pain even with intercourse) mid July . This has all happened since the biopsy on the 18th of August .

[Terri Warren]

Yes, the brown discharge (old blood) happens after biopsy often. If you are having an unusual discharge, you should go in and see your doctor, especially after a procedure like a biopsy.
Your antibody test is negative for HSV 2 and your timing for having had it done is completely appropriate.

terri

[Labcorpconfused]

I’d love to get in to see my doc but she has zero time for me and is 30mins away … I have a job that she obviously isn’t aware I cant leave everyday.
How long after acyclovir and zero visible lesions or redness is acceptable for intercourse ? My doctors is also putting me on suppressive therapy . Will this always be necessary with type 1hsv or just for the next couple of years ?
also have a low chloride serum ( 95) and sodium serum (133) on my general labs – could that mean anything or just dehydrated ?

You’re answering more questions now than my doctor has…. My previous doc had online patient portal with messaging ability– IT WAS AWESOME ! Your ability to reach out for such a low fee is very much appreciated and a great offer to those who need answers

[Terri Warren]

I always encourage patients with herpes to wait until new skin has replaced any lesions and redness had gone before having sex. whether you even want to take acyclovir at all is a decision for you and your partner and how worried you both are about transmission determines how long you take it. I don’t recall if your regular partner has HSV 1 or not – if he does, obviously you don’t need to worry about this.

Terri

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