Hsv2

[Lme2022]

Hello.

On April 2 or 3, 2022 I had a one time encounter with a new partner, vaginally & orally. Mid May around the 16th he notified me that he had an OB & tested positive for syphilis; days before this conversation I had just received STD testing in which I tested negative for syphilis. I decided to go back to the doctor & get more testing completed. This time it was a full panel. I received my results which came back -hsv1 (herpeselect) & +hsv2 4.51. (Igg dna). The next day I decided to go to my OBGYN to have a retest. She stated the same thing however didn’t give me an index. Just said yeah you’re positive & the numbers don’t matter. I also don’t know what type of test was given.

I have never had any type of symptoms. No OB, burning nor itching…NOTHING! I do have recurring ingrown hairs which I have previously had to get cut & drained to remove the hair. But other than that nothing…i informed my OBGYN the same thing about not have OB nor symptoms & she said I just may be asymptomatic. & told me she would only give me Antivirals if I have an OB. what are the chances of having a false positive?

In between that 1 encounter & May 3 I got into a monogamous relationship. & informed him of everything so they he would get tested. We both performed oral on each other & didn’t use protected on multiple occasions. He tested negative & have not had any symptoms.

What are the chances of spreading to a new partner? How do you proceed with sexual relations with positive results but no symptoms ever. Are you able to give/receive oral. Do you suggest using protection. I just need some advice. The results I received put me in a dark hole & im mentally losing this battle. Do you suggest the WB or are my results truly positive?

Thank you for your help.

[Terri Warren]

If you’ve not had symptoms, you may want to confirm that IgG test result with the western blot. Did you have a combined IgG test or were those numbers separate? If combined, it is completely unreliable. Check those results and please post exactly what you see on the paper with the results.

Terri

[Lme2022]

separate numbers:
From my PCP
Hsv1 <.90
Hsv2 4.51

from my OBGYN:
I wasn’t given the indexes because she said they didn’t matter. She just said negative for hsv1 & positive for hsv2.

Have you ever had people test positive & never show any symptoms? what are the chances of a false positive. Also what are the chances of me spreading it, both orally & vaginally.

[Terri Warren]

I have had people test positive on the IgG test at 17 and did not confirm on the western blot. The IgG tests are deeply flawed. I think you need a herpes western blot and you can work with your own provider or with me to get that test. I simply do not agree with your doctor on this one. And neither does the CDC. It’s clear that there can be false positives on the IgG test, even at numbers far higher than the cutoff for Low positives.

If you are infected and it is well established, that is you’ve had it for more than four months, you are very unlikely to get it at a new location on your body.

Terri

[Lme2022]

When do you suggest a WB test? Now or should I wait the 12 weeks. My retest with my OBGYN was May 19, 2022. If I should take it now how do I obtain the test.

[Lme2022]

Also what are the difference between IGG IGM PCR test.

[Terri Warren]

You should take the blot when 12 weeks have passed since your last sexual encounter in April.
So sounds like now would be fine. You can work with your own OB or you can work with me – if with me, you can make an appointment on this website by following the link to “get a western blot”

IgG is the test you want, and it is OK but not terrific
IgM has lots of false positives and the CDC says never to use it
PCR should be done as a swab test from a concerning lesion, never from blood.

Terri

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