Low positive IgG, no partners with known history, no symptoms, what now?

[cb040622]

Hey Terri,

I recently took a full panel through Labcorp at the request of my partner. I have had no symptoms whatsoever for any STI in my lifetime and I’d consider myself very low risk (mostly long-term, monogamous parters, only one sexual interaction since my last relationship and we used a condom), but figured it’d be prudent to take the panel anyway.

I received the following results for HSV 2 IgG w/ reflex:

HSV 2 IgG, Type Spec Above High Normal 1.13 0.00-0.90 / index 03
HSV-2 IgG Supplemental Test Abnormal Positive Negative 03

I don’t understand from how the supplemental test result was returned on the official report what the conclusion was there because they just listed “Abnormal Positive Negative” as shown above. The UI online reads “Abnormal” for the result but I’m still not sure what that means.

As of now, I have been in contact with all of my prior partners since my last negative test and even before that test and no one has had HSV 2 flagged in any of their tests. My current partner (we’ve only been sexually active for about a month) has had her results return negative as well.

Im not sure what I should do at this point. I consulted my PCP and she doesn’t really seem concerned, but both myself and my partner are concerned. It seems like, from what I’ve seen on this forum for others, there’s a reasonable chance this could be returned as a negative on the WB but I’m not sure.

I’m hoping for some guidance, I feel pretty lost right now. Im in Colorado, if you know of any clinics that you could refer me to to arrange for a WB test that seems like the logical next step unless there’s not sufficient reason to believe it might be negative.

Thank you in advance for your time.

[Terri Warren]

If the supplemental test reads “abnormal” then it is positive. Your index value is incredibly low and we have more than 60 people who have had positive supplemental tests with negative western blots. I would very strongly recommend that you NOT believe this result at this time but get the western blot now to find out your status. I can help you with this or you and your own provider can work with the University of Washington to get the test. UW will not bill insurance if you don’t live in WA but you can pay cash. Or I can help you online to get this – you can make an appointment to get a western blot with me on this website – just follow the link to “get a western blot” to set up an appointment. I think I have appointments available this Tuesday.

Your index value suggests that there is an 85-90% chance that this is a false positive.

Terri

[cb040622]

Hey Terri,

Thank you for your response, I have been skeptical of this result and it would seem from what you wrote above that my skepticism is warranted.

I had already booked a time with you for this coming week for a video consult, so we can discuss more then.

Thank you!

[Terri Warren]

Absolutely! We’ll figure it out with the blot if you decide to do that.

Terri

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