Hi Terry! Thank you so much for what you do! This is such a roller coaster ride and having someone there with real answers is a God send!
At the end of February, I had what seemed to be an OB. They weren’t sure, but they thought I should get tested. They didn’t do any swabs, just a blood test. My first test (taken 8 weeks post exposure) for HSV1 and HSV2 IGG was negative. 6 weeks later my HSV2 was still negative, but my HSV1 was positive with an index value of 1.8. Is it possible that it’s a false positive?
1. Assuming that I am a true positive, what is the shedding rate of GHSV1? Is it monthly, or yearly?
2. Are there any studies that I could participate in to find out what days I shed the virus?
3. What are the risks of spreading it genital to genital between females? (assuming we both carry the virus)
4. Would it be at all beneficial for me to take antivirals?
Thanks again for your help!
A few things are possible. One, the test could have missed an HSV one infection the first time or two, you could have new type one infection genitally as you suspect. I am completely confused about why no swab testing and was done as that is the protocol directed by the Center for disease control when a herpes outbreak is suspected. It is also possible that you have HSV one infection orally coming not genitally. It is also possible that this is a false positive. At this number, the CDC recommends a confirmatory antibody test like the herpes Western blot.
Genital HSV one is shed on about 5% of days so about 18 days out of the year. I know of no studies looking at viral shedding from the genital tract in people who have HSV one. You would not qualify anyway because we do not know the location of your genital infection.
If both people carry the same virus, it is highly unlikely that someone would get this virus in a new location on their body.
We do not have transmission data about type one infection at all, much less in same-sex couples I am afraid. If you have sex with someone who is negative for type I and you have confirmed that you do indeed have it, antiviral therapy is a method of risk reduction for transmission
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