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Hello,
My last sexual partner is positive for both HSV1 &2. We used protection for the most part. He and I were intimate beginning of 11/2022 without a condom. The next week was thanksgiving and I had a bad stomach ache. My partner voiced his concerns that he may have transmitted to me because he too would feel uneasy before an ob, but hadnt had one recently.I wasnt very worried but noticed a row of painless bumps on my labia upon self examination and scheduled an appointment. I was also constipated during that time. My Gyno ran tests and told me everything came back normal aside a yeast infection. milk of magnesia and the antibotics made me feel better. She looked at the raised skin and said it did not look herpetic but instead like clogged oily pores.
I had my womans annual scheduled 01/27/2023 so figured to retest at that point. I learned the first testing didnt include herpes. She did a vaginal exam again and discouraged testing for herpes so I went to planned parenthood. At this point February 06/2023 Ive started feeling discomfort in my thighs and legs. the clinician there said that the bumps on my vagina werent herpetic but the sensation does indicate herpes since I tested negative syphilis etc. She said she wouldnt normally test me but did and My IGG blood test came back HSV1 >5.0 and HSV2 <.90. I’ve now gotten antiviral Rx through wisp.
I went again 03/13/2023 to the doctor because paranoia had me questioning a painful ingrown hair. The doctor looked at it in a second and said it wasnt herpetic either. It was full of yellow puss and stopped hurting & started bleeding once the pus and stuff drained. She said none of what I described seemed like an initial OB and I may have had HSV1 for years since I never tested. I’m so confused what to expect next. Is 5.0> and my symptoms reasonable for a WB? how long after sex should I wait to retest hsv1&2?
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I don’t think that your symptoms resemble herpes at all, but if you want to get a western blot for greater clarity, you should wait 12 weeks after unprotected sex for the last time before doing the test. I suspect that your HSV one infection is longer standing, and I don’t think that your symptoms are consistent with HSV one either. Your antibodies to HSV one will not protect you against acquiring HSV-2. I would agree that you’ve probably had HSV one for a while and you just found out about it through testing, but I can’t say that for certain.
Terri
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I am not concerned that a few Valtrex pills would impact your results. If you had taken an extended course of Valtrex or any other antiviral right after you thought you acquired herpes, that could impact testing but it would need to be for a longer period of time with many more pills. Lysing and activated charcoal would have no impact on testing. I think years ago, there was confusion about if cold sores were caused by herpes. We certainly know now that they are caused by most commonly HSV one infection.
Terri
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