I have asked for your advice before due to confusing test results. I had a negative swab and an IMG score of 1.9 in November. 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 my hsv2 was .2. The doctor did order another IMG test. It’s results were 1.32. My doctors evaluation was still confusing. She believes my IMG will continue to go down and my IGG scores will go up. I thought at almost 4 months post encounter, I was good to get my IGG testing done. I haven’t had another outbreak or any sores since my inital swab was done. Also, at the time of my initial “outbreak” I was very sick with an double ear infection and strep throat. I also broke out in a full body rash on my last day of my antibiotic for my infections. I still wonder if the lesions were due to something else going on in my body. I did do a mono test which came back negative, but I have had lots of fatigue since that illness. I guess I am still not sure what my diagnosis is and any thoughts you have would be helpful. Thank you!
Your doctor is mistaken about two things. 4 months is plenty of time for an accurate IgG AND and IgM test should never be done – Your doctor should read the CDC STD guidelines about never using an IgM test. I’m pretty sad that in 2020, some doctors still don’t have the correct information about this. The IgG test misses 8% of HSV 2 infection and 30% of HSV 1 infections compared to the gold standard western blot. IF what you had was a herpes outbreak, it would be more likely HSV 1 than HSV 2 s your HSV 1 IgG result is negative, but a higher negative. You may wish to consider obtaining the herpes western blot.
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