Igg test

[Flint-austin]

Hello had what I believe to be a primary outbreak for Hsv. 8/24/22 woke up with horrible sore throat and felt unwell, lethargic, but never ran fever. Felt this way until 8/31 went to doctor had full std panel everything negative. Hsv igg test results; hsv1 <0.10 and Hsv2 0.16. On 9/2/22 noticed a single sore on penis by 9/7 it had tuned into full lesion with very small pin head blisters in its immediate area. Returned to doctor on 9/7 she stated it was too healed to swab and prescribed valtrex for 7 days. Repeated igg test on 9/21/22 results; hsv1 0.60 and hsv2 0.24. Do you think it is possible that I have been infected with both Hsv1 and 2 given the fact that my Hsv2 has increased by 0.8 in two weeks? I think it’s safe to say I have and hsv1 infection that will eventually turn positive. I believe I was exposed by a sexual partner on 8/21/22 so this most recent test is only 4 weeks since possible exposure. Any advice would be wonderful!! Thanks in advance

[Flint-austin]

Correction my Hsv2 increase would be 0.08 not 0.8 as stated above

I should mention as well that I had an igg test from same lab during an std test in may of 2022 and my Hsv2 result was a 0.16 then as well. So I know there wasn’t any increase for hsv2 from the time of possible exposure to my first test at 2 weeks. I know these test are far too early but I just really want to know if you think my Hsv1 infection is throwing off the reading for the Hsv2 results? Is that why there is a 0.08 increase in my hsv2 results?. Is that even possible? Or do you think it is possible that I was infected with both 1 and 2 and my antibodies for Hsv 2 are just not developing at the rate of my hsv1 antibodies

[Terri Warren]

I don’t think you can make anything specific of your testing at this point as the testing you had done was only 4 weeks after a potential infection. I do think that you might be jumping the conclusion that this is HSV without enough evidence. The blisters do sound discouraging, I know, but normally people don’t report herpes lesions as pin head blisters – they are normally more remarkable. Do you know the HSV status of the partner with whom you had sex?

Your IgG test for HSV 1 is still well under the cutoff for positive – I’m confused about why you think that is throwing things off?

Terri

[Flint-austin]

1. The tiny pin head blisters (maybe 5 of them) surrounded a large ulcer on my penis when I had my outbreak on 9/7.

2. I am unaware of the individual I had sex with Hsv status

3. Saturday 9/24 I begin feeling unwell again, same feeling as when had the ulcer on my penis. Chills, body aches. That evening while brushing my teeth I spit & it was complete blood. Looked my mouth and cheeks and gums were covered in spots and sores, I had no discomfort that morning and didn’t notice anything in mouth at all so I thought it was weird my mouth could be in such a bad state in a matter of 9 hrs or so. Begin acyclovir that night that I was prescribed in case of another genital outbreak. Woke up the next Morning and mouth had improved drastically assuming because of acyclovir.

4. Tuesday 9/27 was retested for everything std wise including a full hepatitis panel and Hsv igg again. This time my results were; (Hsv1 1.2 positive, Hsv2 0.22 negative) this tests would be 5 weeks out from last sexual encounter I’ve had. (All other stds were negative)

My questions are as follows;

1. Could my original genital symptoms have been an initial hsv1 outbreak and this second time in my mouth could potentially be an oral Hsv2 initial outbreak over a month after a sexual encounter? The only reason I ask is because I have felt terrible with both episodes. Chills, low grade fever, aches.. almost like this past episode with my mouth was an initial outbreak as well.

2.Could I have infected myself in the mouth when I had the genital lesions with hsv1?

3. took valacyclovir for seven days (9/7-9/14/22) after ulcer on my penis and have been on acyclovir for 6 of the 10 days I was prescribed since my mouth broke out. Is this going to have a impact on my igg results when I retest? I have been made aware by your forum that antivirals can affect igg tests? Is this correct?

4. Is it possible my mouth situation is Hsv2 and it’s taken over a month for me to have an outbreak? Or most likely hsv1?

[Terri Warren]

1. Could my original genital symptoms have been an initial hsv1 outbreak and this second time in my mouth could potentially be an oral Hsv2 initial outbreak over a month after a sexual encounter? The only reason I ask is because I have felt terrible with both episodes. Chills, low grade fever, aches.. almost like this past episode with my mouth was an initial outbreak as well.

I doubt that that is what is going on. That would have meant you got both at the same time, which I have yet to see

2.Could I have infected myself in the mouth when I had the genital lesions with hsv1?
I also doubt that

3. took valacyclovir for seven days (9/7-9/14/22) after ulcer on my penis and have been on acyclovir for 6 of the 10 days I was prescribed since my mouth broke out. Is this going to have a impact on my igg results when I retest? I have been made aware by your forum that antivirals can affect igg tests? Is this correct?
It is correct that longer doses of antiviral can impact antibody testing. If it is only about two weeks and you wait until 10-12 weeks to retest, it should not be a factor in the antibody test.

4. Is it possible my mouth situation is Hsv2 and it’s taken over a month for me to have an outbreak? Or most likely hsv1?
No, and I have never seen a mouth full of blood be a symptom of oral herpes either.

Terri

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