GHSV1?

[swartzf]

Hi Terri,

I’m a 25 year old male. In late November I had unprotected oral and vaginal sex with a new partner. After the initial encounter I had what I thought were small pimples on my genital region that I assumed were from shaving. These eventually grew in number and turned into what I assume were genital lesions. Some of these filled with liquid and would scab over, but all were completely painless. Besides the physical lesions I had no other apparent symptoms. These lasted for about three weeks to a month and left behind a little scarring.

About 23 days out from the encounter I took my first IGG test at Labcorp and got the results below.

Positive for HSV1 (2.66)

Equivocal for HSV2 (1.05) with negative supplemental.

About 15 or 16 weeks after the encounter I did a follow up IGG test with Quest.

I tested positive for HSV1 (1.18) and negative for HSV2 (no index given).

I’m almost six months out now from the encounter and haven’t had another outbreak and have never taken antivirals.

Also, I have never had any symptoms of oral HSV1.

Do you think I can safely assume that I only have GHSV1 and move on with my life?

I would take a Western Blot, but I’m a resident of New York where the test seems difficult to access.

[Terri Warren]

It’s no problem to do this even if you live in New York now.
I guess you can assume you have HSV 1 but I would have suspected some pain with a primary outbreak. So no swab testing was done. I think if you can afford it a blot would be a good idea

Terri

[swartzf]

Hi Terri,

Thanks for taking the time to answer.

Didn’t do a swab before because thought I could just do a blood test. I wasn’t aware at the time how inaccurate the blood tests can be. Also, I haven’t had a breakout since, which is the other reason.

I also found it odd that I had no pain with my primary outbreak. If it wasn’t for the appearance I honestly wouldn’t of noticed anything.

Was not aware the blot is now available for New Yorkers.

Are there labs around Albany, NY that I could get the blot done at?
What would be my next step if I wanted a blot done?

Thanks again!

[swartzf]

This is just another follow up question.

Based on my test results and symptoms what do you think the chances of me having GHSV2 are?

Also, a little confused on what you mean by no pain being suspicious. Does not having any pain make you question whether it was HSV at all or does it make you think it’s HSV2?

Thanks!

[Terri Warren]

I think HSV 1 is more likely than HSV 2, if you have genital herpes at all.
Most people have some discomfort, pain or tenderness with new herpes. So that’s why I was suspicious about it being herpes at all when you reported no pain.

Terri

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