HSV and oral

[madatmyself]

I know you have done this question alot but i need this for myself. I cant believe I did this to myself but I need to ask my questions… A bit of my history: I have never had intercourse yet and never went as far as kissing.

On Aug 1st, 2015 I was highly intoxicated and gave unprotected oral sex to a guy. (I have no idea what his history is and probably will never know). I did it for less than one minute and realized what I was doing and stopped. Out of paranoia I made an appointment with the doctor to get tested on August 31st, 2015. I tested all negative in STDs (syphillis, gno. etc) but the herpes test came up as this:

HSV I Ab IgG Negative 0.107
HSV II IGG Ab Negative 0.125
HSV IgM Equivocal 1.03

My doctor told me I may or may not have been exposed to HSV II and I should come back in two weeks to get retested
I got retested on 9/16/15
HSV I Ab IgG Negative 0.132
HSV II IgG Ab Negative 0.176
HSV IgM Postive 1.33

doc just emailed me saying I had a recent infection but cant determine if I have HSV 1 or 2 and that I should come back in a month to get retested.

My question is: since my IgM is positive AND both my HSV numbers have gone up, is it likely I have been infected? I have not had any symptoms physically (no lesions in my mouth, no tingly or stinging during urinating). Other than my usual fatigue from a long days work or PMS right before starting my period I havent felt or seen anything different. Though whenever I feel the slighted twitch around my groin I think its herpes and start freaking out)

Also… Since it was oral sex, does HSV II travel to to the genital tract or will it be around the mouth area?

Should I avoid sharing ANYTHING with anyone and not touch babies?

[madatmyself]

I also want to point out that my doc did a CBC w/ auto differential and said my blood counts were normal – no evidence of infection or anemia

I was thinking she did this test to rule out any other infection occurring other than a HSV infection confirming the possible exposure. Which could possibly mean the IgM is not a false positive.

Please and Thank you Terri for this forum. Any words of advice and consolation would be helpful. I am absolutely freaking out right now because I don’t know how i ended up doing this to myself. I realize too that I may have taken the blood test too early since my incident (about 1 month). Just seeing the trend of the numbers going up is making me think if I take the test again in 3 months it will def confirm i have HSV. Do you recommend I retake the blood test in a month or a couple months?

[Terri Warren]

How unfortunate that your doctor chose to do an IgM antibody test – it is a really poor test with many many false positives – we see it ALL THE TIME! The likelihood that you got HSV 2 by giving one minute of oral sex is slim to none – really. The numbers have not changed in any significant way at all. Those are completely normal variations and tiny at that. I’ve seen WAY bigger variations – your numbers are in the very low range and I would bet money they will stay that way. Unfortunately, you are now burdened with this horrible IgM test result and probably won’t rest until you retest – that should be done at 12 weeks. You should point out to your doctor that the CDC in it’s 2015 STD Treatment Guidelines recommend against going the IgM test, in the herpes section. You should find it, copy it and send it to him/her in the mail. Perhaps they won’t make the mistake of doing this test with another poor patient.

Terri

[Terri Warren]

How unfortunate that your doctor chose to do an IgM antibody test – it is a really poor test with many many false positives – we see it ALL THE TIME! The likelihood that you got HSV 2 by giving one minute of oral sex is slim to none – really. The numbers have not changed in any significant way at all. Those are completely normal variations and tiny at that. I’ve seen WAY bigger variations – your numbers are in the very low range and I would bet money they will stay that way. Unfortunately, you are now burdened with this horrible IgM test result and probably won’t rest until you retest – that should be done at 12 weeks. You should point out to your doctor that the CDC in it’s 2015 STD Treatment Guidelines recommend against going the IgM test, in the herpes section. You should find it, copy it and send it to him/her in the mail. Perhaps they won’t make the mistake of doing this test with another poor patient.

Terri

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