May 26, 2021 at 2:20 pm #73738
30 y/o male. 3rd generation USA.
I thought I contracted HSV in late 2019. Got a swab test done and the results came back as me having HSV. I called them back asking if it was HSV1 or HSV2 and they were not able to give me that information according to the test and told me I would need an additional swab. My ex also received a negative blood test later.
I haven’t had any outbreaks besides the initial.
I went in for blood work this week and go the results back for:
HSV1 IgG, Type Spec <0.91
HSV2 IgG, Type Spec <0.91
Both came back negative and the doctor was surprised. Doctor is following up with previous doctor to see how the test was administered etc. I am a very healthy, active individual with a strong immune system according to my doctor.
What are my chances that I do not actually have either form of the virus?
Should I be ordering the UW test for more clarification?
Any other comments on my situation?
May 31, 2021 at 1:56 pm #73762
So yes, I think you need a blot. False-positive swab tests happen but very rarely. You must have had a lesion for them to do a swab, correct? The IgG test misses 30% of HSV 1 and 8% of HSV 2, compared to the blot, so there is plenty of room there for an error to have been made. I think you should do the blot and move on with a very clear answer.
May 31, 2021 at 2:50 pm #73776
Thanks for your reply. Sorry to hear about your recent loss.
When I was tested I had a cluster of about 3 lesions but they were all very small at the top middle of my penis. Doctor seemed very confident when doing the swab after looking at the tip of my penis being inflamed, and swollen lymph nodes that it was herpes. So at the time it seemed like a pretty clear cut case. However my ex at the time also got a negative IgG blood test later on.
I want to have an informed conversation with my physician and asking for this test. Is there a good resource I could send over to them before I request this test? I want to have a good conversation, and be proactive in suggesting I get this test. If they deny or don’t want to put in the time then I will go with the lab route suggested on your website.
Appreciate your time,
- This reply was modified 3 weeks, 1 day ago by anonmeee. Reason: spelling
June 1, 2021 at 9:56 am #73786
I would Google UW herpes western blot and print out that info. You could also print out the 2015 CDC STD treatment guidelines about HSV https://www.cdc.gov/std/tg2015/herpes.htm
and bring that in with you. Many physicians are unaware of this test and they are also unaware that knowing the type of virus is very important as HSV 1 and 2 in the genital area are very different diseases.
As I mentioned, the IgG test misses quite a few infections, particularly HSV 1, so she may well have been infected and the test didn’t pick it up.
June 7, 2021 at 3:06 pm #73854
I brought up the western blot and my physician informed me this new test I just did was equivalent. The new IgG test was an Immunoblot test but the results came back negative again for both.
HSV Type Specific Immunoblot
– HSV-1 IgG Antibody Negative
– HSV-2 IgG Antibody Negative
PERFORMING LAB: LabCorp Burlington, 1447 York Court
My physician assured me that this one should pick it up if so but I think I need to ask for the Western Blot. I should of been more assertive.
Did I get an equivalent test to the western blot or do I still need to go back and push for this test again?
This is exhausting :/
June 16, 2021 at 1:17 pm #73895
This is neither new nor equivalent to the blot. And the CDC says the immunoblot should never be used to confirm or deny an IgG test. They are very clear on this topic. You could print that off and give it to your doctor for future use. I still think you need the blot.
We used to do the immunoblot in our clinic but found some false positives with that as well as the IgG, compared to the blot so we stopped using it.
You must register to ask your own question or be logged in to reply to this question.