I have asked your advice before due to confusing test results. I had a negative swab and an IMG score of 1.9. You advised I wait until 3 months after my encounter and get IGG testing done. At 15 weeks post encounter, my IGG for hsv1 was .6 and hsv2 was .2. The doctor did perform another IMG test at that time. It’s results were 1.32.
My doctors evaluation was confusing. I have not had another outbreak but still not sure I am in the clear. Any thoughts you have would be helpful. Thank you.
You need to stop allowing this terrible test to be done! The CDC is very clear that the IgM should never be used to try to diagnose herpes. Are you sure that you had an outbreak? Because your IgG is negative and that’s the important test. while it is not perfect, it is certainly better than the useless IgM!
I did have vaginal lesions that were visually diagnosed as a herpes outbreak, but my swab was negative. So I guess I am asking with a negative swab and a negative IGG score 15 weeks post encounter, do I have herpes? I feel like I am not getting a clear answer from any medical provider. Thank you!
If you do have genital herpes, I suspect that it is type one rather than type II but it would be worth probably getting a Western blot to see if you actually have herpes of either type since technically you test negative for both types. Your HSV one index value is a little higher than I am completely comfortable with as the IgG tests for HSV one is definitely flawed. If you were my patient in person, this is what I would recommend.
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