August 12, 2015 at 12:19 pm #8784
I have no idea how many doctors, nurses, and other people I’ve talked to about this issue.
Around the end of May (31st) I developed a white bump on the inside of the hood of my clitoris. It would only hurt when I touched it, and didn’t itch or burn.
When it didn’t go away within a week I went to the gyn (11 days post possible exposure) because I was nervous that it was syphilis or something. My new gyn told me she thought it was herpes, didn’t swab it and then proceeded to give me blood tests for both type 1 and type 2.
My results were completely negative for both and she told me I had nothing to worry about. My primary also did a blood test and told me that everything was negative and that only my igm had come back equivocal for type 1.
About a month after this I developed a dull ache/throb in my buttocks and legs and a strange “full” feeling in my groin, close to my hip. Sometimes I’ll also -feel stinging sensations in my legs. The pain has not gone away within 2 months and I have not had an outbreak externally or on my cervix.
I then had another test done at 50 days (7.5 wks) post exposure which was again negative on the igg. However, my igm was then “weakly detected” for type 2.
Terri can you please shed some insight on this for me. I have been worried sick for the last 3 months. I would really like to put this issue to rest.
August 12, 2015 at 12:21 pm #8785
Hi Terri, I forgot to mention information about myself. I’m 20 years old and female. This would have been my 3rd sexual partner and we only had unprotected sex about 3 times. Beginning in April.
August 12, 2015 at 2:57 pm #8793
It is amazing to me how powerful a clinician’s speculation about what a bump is can be. And also how impactful it can be when someone orders a useless test and the answer throws a person into a bit of a tailspin. The IgM has many many fase positives and the Centers for Disease Control goes so far as to mention it in their 2015 STD treatment guidelines (and says not to use or order it).
When was the last time you had sex with this person?
The IgG is the only test you need to pay attention to, period.
When four months have passed since the sexual contact, if you need more reassurance, particularly about HSV 1, you could get the herpes western blot.
Is it possible to ask that partner to get tested theselves?
August 12, 2015 at 3:01 pm #8797
The last time I had unprotected sex with that person was on may 29th.
He even went to his own doctor who (he had me on speaker phone) would not order the test for him since he had no symptoms. He also has a compromised immune system and his doctor says if he had herpes his system wouldn’t have been strong enough for him not to have an outbreak.
Do you think I should be retested? I haven’t had any bumps since and the 7.5 wk test was negative again.
Does an intital herpes outbreak present itself in this way?
How long do most people take to seroconvert? I spoke with an ID doctor who told me I would have serocnverted at this point if I had herpes.
Also, if this is hsv which type do you believe it to be?
August 13, 2015 at 6:56 am #8801
If you live in the US, you don’t need a doctor’s order to get a herpes antibody test. He can order the test online for himself very easily – there are many site but I often use healthcheckusa.com He wants the IgG HSV 1 and 2.
By 6 weeks, 70% of those who are going to seroconvert will have done so. But most experts agree that 12-16 weeks should be the final test. But this would be much easier if he knew his test results, right?
Certainly the odds are in your favor at this point that you are not infected with HSV 2.
August 13, 2015 at 7:16 am #8804
I’m in the U.S., he’s in a foreign country so I’m not sure how that will work.
I know this my last post so here are my questions.
Do you think I have either strain of HSV? (Tested neg for 1 & 2 @ 11 days)
My lymph nodes have been a bit swollen, don’t hurt but I can feel little pea things in my groin, maybe around 2. Is this a symtom.
Also, I’ve had butt/leg pain (intermittent tingling) constantly for the last 2 months with no visible outbreak, could that be a symptom?
Why was my igm so elevated? It was at 1.05 then 1.81 last time of testing.
Why didn’t I have a typical outbreak ?
If you were me would you bother with more testing ?
Thanks again Terri
August 14, 2015 at 8:48 am #8815
I don’t know if people can order their own lab tests in countries outside the US.
It is too early to know with certainty if you have herpes now. But with your negative tests at 7.5 weeks, the odds that you are truly not infected are in your favor.
Swollen lymph nodes can be part of a new herpes infection, but they can be increased in size for many reasons, including an ingrown toenail on your foot.
Tingling that is ongoing for two months is extremely unlikely to be due to herpes.
We don’t know why the IgM tests demonstrate false positives – they are just poor tests and don’t confirm often with IgG
I think if you can’t put this out of your mind, then you could retest. If you are satisfied with perhaps a 75% chance that you are not infected, then you can stop. Everyone is different about their level of worry. You need to make that call yourself.
This was your last question. If you have more questions, please feel free to renew.
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