March 15, 2020 at 7:02 pm #69600Asdf35Participant
Hello! Thank you for a great resource here despite lots of confusing information about herpes amongst online & professional resources!
I have a new, monogamous sexual partner as of July 2019. Prior to this relationship, I’ve never had symptoms of herpes aside from one cold sore on my lip in 2011. In November 2019, I had what felt like a genital herpes outbreak. My test results from that time are as follows :
VIRAL CULTURE : negative
HSV1 IGG: .95 IV
HSV2 IGG: .35 IV
HSV 1/2 IGM: .50 IV
I informed my partner and we moved on without much conclusive information. Then in February 2020 (exactly three months after the first symptoms) I had another outbreak, and this time it was much worse then the first. I didn’t get a viral culture but my blood tests results were as follows :
HSV1 IGG: .98 IV
HSV2 IGG: .26 IV
HSV 1/2 IGM: .41 IV
My partner then decided to get tested and he had a negative HSV PCR blood test. His HSV IGM was.91.
I’m so confused! My questions are as follows :
Any opinions on what’s going on?
Do I have HSV 2 that isn’t showing up in blood tests yet?
Is it possible that I have HSV1 orally and genitally?
Any recommendations you can make for further testing or to avoid transmission to my partner?
Should I also get a PCR blood test? What is the accuracy of this test?
Is it still possible that my partner has HSV? Should he do further testing?
March 19, 2020 at 1:09 pm #69630Terri WarrenKeymaster
PCR should never ever be a blood test – herpes virus is not in the blood, antibody is in the blood. If that’s all he had, he needs an IgG antibody test. I cannot imagine why a blood PCR was ordered. There is zero accurate about whether you have herpes or not, based on a PCR blood test – ridiculous.
If you are truly certain that you have had a cold sore, the antibody test you had done is missing your HSV 1 infection (it misses 30% of HSV 1 infections and 8% of HSV 2 infections, compared to the gold standard western blot).
What should have happened is a swab test when you had symptoms. Did you see someone when you had symptoms?
March 19, 2020 at 6:53 pm #69634Asdf35Participant
Yes I had a viral swab culture and it was negative. The second time I couldn’t get to the clinic in time for a viral swab, as I know it is time sensitive.
Anything else I can try before western blot?
March 24, 2020 at 12:17 pm #69664Terri WarrenKeymaster
No, I don’t think there is anything else you should do before doing the blot.
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