January 3, 2021 at 4:10 pm #72208DumbfoundedParticipant
I’m 55 years old and (embarrassingly) am in possession of my first STD test report. Everything came back negative except for my HSV 1 results.
The testing was handled by Quest in NJ.
The results for my HSV 1 IGG type specific AB test came back: 2.24 H
This is greater than 1.09 which would make it positive according to Quest.
The results for my HSV 2 IGG specific AB test came back as <0.90 which indicates negative.
I have never ever had a cold sore or any symptom associated with HSV 1.
I’m devastated because I’m single.
Would it behoove me to get the Western Blot test done to confirm Quest’s results?
January 7, 2021 at 12:54 pm #72245Terri WarrenKeymaster
About half the population in the US has HSV 1 infection so zero reason to be embarrassed. A positive HSV 1 antibody test does NOT say you have an STI. Given your age, it is more likely that you have oral infection than genital infection. But I cannot say that for sure.
90% of people who tested for HSV 1 with an index value greater than 2, confirmed by western blot
It is very common for people to be infected orally with HSV 1 and not have symptoms. Or they get lesions inside the nose that get confused with something else. Does that seem possible?
January 7, 2021 at 3:22 pm #72265DumbfoundedParticipant
Thank you for your response.
Lesions in the nose. Doesn’t resonate.
I understand that I tested positive for having HSV-1 antibodies in my system which indicates that I contracted the virus at some point even though I don’t ever remember having symptoms or having an active outbreak. (I had chicken pox when I was a child and I had a swath of shingles around my waist area about five years ago. Plus, I’ve seen imagery of HSV-1 sores on the Internet and they do not trigger any memories in me)
My concern now is passing this forward. What do I need to be concerned about?
I’ve read that a person can pass the HSV-1 virus on to another prior to an active outbreak and for a short time after.
But if I don’t get symptoms or never have an outbreak, how can I be sure that I’m not passing this on? I think they call this Asymptomatic spread? What are the statistics on this (if you know)?
I read where many physicians don’t recommend getting tested for HSV-1 unless you have an active outbreak because of all the mental anguish it can cause. I’m too late for that. I decided to go with an online provider who had a 10 test special. I realize this is not life threatening and in the end, this manifests as a rash, but still, never having had any symptoms I was shocked and a bit devastated.
Thank you in advance for your time.
January 8, 2021 at 11:29 am #72274Terri WarrenKeymaster
HSV 1 can be transmitted when you do and when you don’t have symptoms. We cannot know the location of your infection, only that you have it, but given your age, it is probably more likely to be oral. WE don’t have statistics on asymptomatic transmission of HSV 1, no.
I’m sorry this is so upsetting to you. I have HSV 1, two of my three daughters have it, two of my grandchildren have it, my husband has it, it’s just incredibly common. If you do start having symptoms, they can be easily managed with antiviral medication.
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