I am a 35 year old male.
2015: Tested positive for HSV1 (I’ve had it since I was a kid), negative for HSV2 (I don’t know the IGG values for these). I was married at the time.
January 2018: Got divorced (last unprotected sex with ex wife was November 2017).
June 2018: Started dating new girlfriend. To date, we have not gone beyond very light (licking) oral sex and I’ve also laid naked with her (my genitals touched the outer part of her genitals, no penetration).
December 2018: Was exposed to child with hand/foot/mouth disease (coxsackie virus) and impetigo.
January 2018: I developed symptoms of coxsackie virus and impetigo, was treated and symptoms subsided in a week (lesions on hands, feet and in/around mouth appeared and were essentially gone). I also developed epididymo-orchitis, was tested for STI’s and given some heavy antibiotics for 1 week, which I completed the other day:
My STI results were all negative except:
HSV1 IGG value 22.90 (no surprise there, I’ve had it since I was a kid).
HSV2 IGG value of 1.06, which is in the equivocal range (but close to a low positive).
The HSV2 value has me freaked out as my doctor told me some conflicting information: That the coxsackie virus could have interfered with the test, that I might have HSV2 (she initially just told me that I was positive for HSV2).
Would you recommend waiting and doing another IGG test in 4-6 weeks, would it be better to just get a western blot started now (or would that also require a waiting period)?
What do you think the chances are that I’m actually negative for HSV2?
I would recommend repeating the IgG in 6 weeks and see what you get. Right now, you are not positive for HSV 2 and I think it is highly unlikely that you will become positive on the next IgG test. If it is still equivocal or low positive, I would recommend the herpes western blot for confirmation. There is no risk from your current partner – you’ve not done anything that warrants concern.
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