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HSV- abnormal for 2 years

› Forums › Herpes Questions › HSV- abnormal for 2 years

  • This topic has 3 replies, 2 voices, and was last updated 4 months, 1 week ago by Terri Warren.
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    • October 30, 2022 at 10:13 am #79260
      Cem1230
      Participant

      Hi Terri,

      I just want to start by saying thank you for creating a safe place for people like me. Idk where to start. Back in 2020 i remember getting a full std panel and speaking with my current provider and they told me everything was fine. Someway some how a year later I ended up stumbling upon my lab results and saw that my hsv2 was out of range. I completely panicked and called the last provider that did the exam to find out that she had been fired. The new provider told me to come in and she told me they don’t normally tell patient about their hsv without symptoms because the test doesn’t determine if you have it just that you’ve been exposed and the only way to know for sure is by having an outbreak and or taking the exam that test for the active virus. She also told me that since it’s well been over a year i more than likely don’t have it since I’ve never had an outbreak . So to bring you up to speed this January I was seen by a different provider my test came back positive for hsv but this time it had no range it just said abnormal for antibodies but negative when it came to the reference range. When I asked her to explain she simply said you have the virus but “you’re not contagious”. I recent did a test last week this time it has a range and it had the hsv2 igg ia and igm results. Do you think I should do a western blot exam or do you think I have it ? If I do what do I do ? The current provider told me she won’t start me on meds because I’ve never had an out break. I know that this was alot so I’ll put all my test data below.

      2020 – igg 2.09
      2021 – igg 2.00
      2022 (jan) – abnormal with negative reference range
      2022 (October) – igm was negative
      – igg 3.07 with ia saying positive

    • November 6, 2022 at 7:15 am #79298
      Terri Warren
      Keymaster

      It sounds like you’ve really been through the ringer with herpes information.
      First, if a test is accurate and positive, it means that you are infected and potentially infectious to others. However, there are false positives on these tests and with your results, you need a better confirmatory test, and the herpes western blot is the best. you can work with your own provider to get this test or you can work with me. But you need to know for sure. You’ve had these low positive index values for years now. Either find out that you are positive, and you can start doing things to reduce transmission or find out that you are negative and stop wondering.

      Terri

    • November 13, 2022 at 6:19 pm #79389
      Cem1230
      Participant

      Okay I will order a wb exam through my provider. In the meantime can you explain what my results mean ? Also what is my transmission rate since I’m asymptomatic and it’s been 2 years and how do I prevent the transmission(I’m a female) to my partner? Also do I disclose this and how do I disclose it if I’m asymptomatic?

    • November 16, 2022 at 7:52 am #79439
      Terri Warren
      Keymaster

      I cannot help you know what these results mean because there is a 50-50 chance that the HSV 2 is a false positive result.
      We do not have transmission rates based on symptomatic or asymptomatic.
      If you are infected, the transmission rate is about 4% per year, half that with antiviral meds, 65% less with them using a condom.
      If indeed you are infected, which I doubt, you just need to tell them that you have genital HSV 2.
      Get a confirmatory blot, then we can talk more if you are positive

      Terri

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