November 9, 2022 at 11:56 am #79359AnonJayParticipant
Just quick background. I’m a 34 year old straight male. Very healthy with no underlying conditions. Active and go to gym 5x a week.
On 10/15 I had unprotected sex. It was a one night stand with a female I had just met that day. There was no oral sex involved.
On 10/16 I received oral from a woman that I’ve been sexually involved with for 8 years. It was only oral, no penetration.
On 10/19, while in the shower, I noticed 2 small chancre looking sores near where my penis shaft meets the head. They were not painful nor were they itchy.
On 10/20 I made an appointment at my local sex health clinic and had a full panel done including blood work for HSV. The nurse inspected the sores and reports that these do not look like herpes and was almost hesitant to test me for it but I insisted.
On 10/22 I received the lab report. Everything was negative except for HSV 1 IGG which was at a level of 11.10. Meanwhile the 2 sores on my penis have neither improved or worsened.
On 10/24 the clinic calls me to review my results. A dose of valtrex was sent to the pharmacy for me.
On 11/4 I wake up to a cluster of small liquid filled blisters where the 2 small sores were.
On 11/5 I take my dose of valtrex (2 pills/12 hours apart). Since then the blisters have “popped”. Scabbed over and basically are almost fully healed as of this writing today. At no point did I feel any pain, discomfort or itchiness but I’m assuming initial outbreak due to time thats passed.
1) Is a HSV 1 IGG level of 11.10 considered high especially from, what I think to be, 3-4 days after initial infection? If it’s considered low would that mean this is an old infection or did I just test too early to have higher levels?
2) Would I be wrong to assume that, if this is my initial infection, it most likely came from the oral sex I received on 10/16 despite our long sexual history and not the unprotected sex I had on 10/15 due to how rare genital to genital transmission is?
November 16, 2022 at 7:04 am #79424Terri WarrenKeymaster
Your HSV 1 index value indicates that you’ve had HSV 1 way longer than a few days. This is a longer standing infection.
You would be wrong to assume it is was from a recent encounter, correct.
However, if no swab testing was done of the lesions, it could well be HSV 2, newly acquired from unprotected intercourse that you had on 10/15. The antibody test was done too soon to detect a new infection. I would recommend that you retest with an IgG test in about a month and see what’s happening with the HSV 2 index value.
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