February 4, 2019 at 8:37 am #30241
Hey Terri, i recently visited an std clinic for a check up because i was getting into a new relationship. The NP ended up doing a full panel and my results were all negative. However, i was positive for BV and HSV 1 igg (44.30) with labcorp. My pcp had never had me tested for HSV so i have no baseline to compare with. I understand HSV 1 is very common in the US and most people are asymptomatic.
I’ve only lived in the US for about 5 yrs. I have never had a cold sore in my life!Nobody in my family has ever had them either! The few people i have dated or kissed didn’t have any visible cold sores.
As a child i had a severe case of chickenpox and i also have had a few boils as an adult!..one which was drained by a doctor.
Since my diagnosis, i have done a lot of research on HSV. What i don’t seem to understand is the index value. How come most people with chronic hsv 1 have a much lower index value than mine? I have even read about people with active breakouts and still have a very low index value. How reliable is the index value if it can identify someone with an active breakout as less positive and someone who has never had one as more positive (if that makes sense)
would the chickenpox or boils history spike up the hsv 1 antibodies?
Also should i retest with a different lab? was thinking of doing the WB but realized my numbers were pretty high. Has there been a case in your practice where an index value this high came out negative on WB?
Thank you Terri for your work on this highly stigmatized subject.
February 6, 2019 at 2:37 pm #30322
Different labs use different brands of tests – some have a much higher range than others. It is NOT a function of you, it is a function of the test brand that is used. Your result is completely normal for someone infected with HSV 1.
Have you received oral sex in your lifetime? If not, then you can be certain your infection is oral. If you have received oral sex, it is not possible to know for sure if your infection is oral or genital, but statistically more likely to be oral.
Have you ever had a sore in your nostril? It can also show up there.
February 6, 2019 at 3:52 pm #30336
Hey Terri, thanks for answering the first part of my question.
Yes, i have received and given oral sex to 3 of my exes and I’ve never had a sore in my nostril or anywhere else. No symptoms at all.
Also what is the highest index value that turned negative on WB in all your years of practice? I’m very disturbed mentally and maybe in denial.
February 7, 2019 at 7:56 am #30356
The highest I have seen that did NOT confirm by western blot for HSV 1 was a 3.0
I think you need to try to separate societal stigma of HSV 2 with your HSV 1 infection, which is far more common. Even the societal stigma of HSV 2 makes no sense but I think there is overlap in your head if you are very disturbed by this diagnosis. I have HSV 1, two of my three daugthers do, two of my four grandchildren do, my husband does. So we are all in the same boat!
- This reply was modified 2 months, 1 week ago by Terri Warren.
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