Not sure what to do

[crazyanxiety322]

Hello Terri.

In 2019, I tested positive for HSV1 around 30. March 2022, I tested positive for HSV1 at 6.7 and HSV2 at 2.0. I took a PCR blood test for both HSV1 & 2 which came out negative and another IGG test in September 2022 which was still positive for HSV1, but not HSV2. Can you please help me figure this out? Thank you.

[crazyanxiety322]

ALSO, I FORGOT TO MAKE YOU AWARE, I NEVER EXPERIENCED AN ORAL OUTBREAK OR GENITAL OUTBREAK THAT I AM AWARE OF. I HAVE HAD INGROWN HAIRS AND POSSIBLE BOILS. BUT THE WAY OUTBREAKS ARE EXPLAINED, NEVER EXPERIENCED CLUSTER OF BUMPS, CRUSING, ETC. WHEN I WAS FIRST DIAGNOSED WITH HSV2 IN MARCH, I FEEL LIKE I STARTED FEELING A WEIRD SENSATION DOWN THERE SOMETIMES, BUT NOT SURE IF THIS WAS MY ANXIETY.

[Terri Warren]

A PCR from blood should never be done – whoever ordered that was very confused about when to do PCR – only from swabs, never blood for adults. The only time it is appropriate is to determine if a baby has a disseminated infection. Your first low positive for HSV 2 could have been a false positive and the second test was the correct one. Without a Western blot we can’t really be certain about that.

Terri

[crazyanxiety322]

Thank you so much for that information, Terri. However, is it common for an IGG test to be positive and then negative a few months down the line? I spoke with my obgyn who informed me that she has never seen that before.

[crazyanxiety322]

Also, do you recommend that the Western Blot is needed?

[Terri Warren]

I have seen that many times, actually. And most often when that happens, the western blot is negative. I’m not promising anything, but if someone has a new infection,normally the numbers would go up, not down into the negative range. If you want more certainty, you can do the blot

Terri

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