December 29, 2023 at 9:06 am #83751ghostenergyParticipant
My partner and I got an igG Herpes Panel done through STDCheck.com. I believe they use HerpeSelect? The reason that prompted the test was that she developed a Yeast Infection from antibiotic use that caused a skin reaction on my penile shaft. She was 100% open to getting tested because she was certain she had no STD/STI’s.
My (male) results came back negative for both HSV-1&2 (0.91< Index)
Hers came back positive for both HSV-1 (>62.2 Index) and HSV-2 (12.0 Index).
She recalls having cold sores as a child (8-10 years old) but has never had any outbreaks as an adult (29 years old now). She has also NEVER had any genital outbreaks in her entire life.
I am assuming the HSV-1 is correct based on her childhood and the high index value/accuracy of testing, however we are concerned about the HSV-2 and it is ruining our relationship.
After reading a lot of research studies, I am curious if it is possible that the HSV-2 is a false positive (influenced by high HSV-1 index) and the fact that she has never had any symptoms. I was wondering if you would suggest us getting a Western Blot test done for confirmation on this?
My fear is contracting HSV-2 from her and not being as lucky and having outbreaks if it does turn out to be positive.
We are just both extremely confused because she is asymptomatic, and has a low life number of sex partners (I am aware it only takes one).
December 30, 2023 at 1:51 pm #83760Terri WarrenKeymaster
Well, I have seen false positives at this number for sure.
So, since she’s had no outbreaks, I would recommend it, but I think there is a fairly high chance it will be positive. People who have prior HSV 1 and acquire HSV 2 are less likely to be symptomatic.
In terms of transmission – asymptomatically infected people with HSV 2 shed virus on about 10 out of 100 days. if she takes daily antiviral medication, it reduces shedding by about 70% and transmission by about 50%. if you use condoms, that also reduces transmission by 65%. In a couple where one is infected and the other not, who do nothing at all, transmission is about 4% a year, having sex about twice a week, so using condoms and taking meds reduces that to an incredibly small number. About 86% of people who truly have HSV 2 don’t know it, and they are far more likely to transmit it than someone who is aware of their infection and is doing things to reduce the risk of giving it to someone else. I don’t know anything about the nature of your relationship, but if you saw a future with her before, then I think you should consider doing all the things I suggest and getting past this fear. Just my opinion. Good partners are hard to find and you can get the risk of transmission to a very low number.
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