June 14, 2019 at 12:05 am #38267
Hi Terri, first of all thank you for the great service you provide. Here’s some background.
I had two unprotected encounters in early July 2018 with two different people who’s status is both unknown. Prior to these two encounters, I had been with one other person who’s test results I had seen were positive for type 1 and negative for type 2. I have had cold sores going back to atleast 2016.
On 7/16/18, 8 days after the second unprotected encounter, I decided to get an STD panel which came back with a 2.08igg for hsv2, no symptoms present, nothing to swab, just decided to get a test. Was surprised at the result and led me to your forum.
I have not had any further sexual activity since the last encounter in July as I try to determine my status.
On 1/30/19, I tested 1.29igg for hsv2 and 5+ for hsv1. Still no genital symptoms.
On 6/10/19, tested 1.16igg for hsv2.
A couple things I’d like to get your thoughts on…
1) Given that the igg figures for hsv2 have been decreasing / steady and under 2.08 for roughly 11months, what do you think this means in terms of likelihood of this being a false positive?
2) Given the amount of time that has been given for antibodies to increase, would you have expected the antibodies to increase above 3.5igg if I was positive or below 1.09 if I was negative?
3) Given that I previously had hsv1, how would you think the appearance of symptoms or igg values might be impacted if at all versus someone who doesn’t already have hsv1 antibodies?
What do you recommend for next steps? Should I do the western blot given my testing history / lack of “typical” symptoms?
June 20, 2019 at 7:19 am #38683
I think a false positive is statistically likely here but I have seen people whose index values are as low as 1.2 confirm by western blot who have no symptoms. So I am hesitant to say just move on and ignore this. My recommendation in this situation is always the western blot for clarity. It is expensive, I know, but you need to know where to go with this result for the rest of your life. If you do a blot and it is negative, you should expect low positives when testing for herpes, if you do it again.
You can work with your own provider and UW to get this test or I can help you if that doesn’t work out for you.
June 20, 2019 at 1:30 pm #38713
Thank you Terri.
How do I go about obtaining the western blot through you?
Also, is the biokit a good confirmatory test? Would you recommend this? Where can it be obtained?
June 24, 2019 at 8:14 am #38967
The Biokit is also a good confirmatory test, only slightly less good than western blot but I don’t know how you would find out where it is offered. I have asked the manufacturer for a list of places they sell to but they won’t provide that to me.
If you want to work with me to get the blot, go to the link on the home page of this website and click on the box that says videoconference and it will walk you through the process. The cost is now $345 for the consult and the test itself – you would still need to pay for shipping and the blood draw process.
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