January 8, 2021 at 9:46 am #72272
I recently got a full std panel ( I requested it from my doctor)
I got the hsv 1&2 Igm test Dec 18th ( useless test I know both negative)
I then proceeded to get the HSV 1&2 IGG Jan 4th
My doctor told me anything over 1 is certainly positive for HSV2 & prescribed me valtrex. I have never had any symptoms of HSV ever. Prior to testing, I had been abstaining from sex for almost 1.5 years and recently had sex with an old partner about a week before the IGG test. To my knowledge he doesn’t have it & if he did im sure it would take longer than a few days for antibodies to be present in my blood stream. I told my dr this and she said the antibodies are present from a past infection and my low index score doesn’t mean anything. Mind you again, prior to this testing I was not sexually active. Given my low index score and low risk sex life, do you suggest I take the WB test?
January 8, 2021 at 11:43 am #72282
Your doctor is uninformed about herpes and seems to be unable to read the lab result correctly. That is also clear since they drew an IgM test and the CDC says never to use them. If you are in the US and used one of the other normal IgG tests, the cutoff for positive is 1.1. Your value is below that and is indeterminate. If you have not had sex in 1.5 years until this recent partner, infection is extremely unlikely. Was the contact with the new partner condom protected? How long after the contact with the new partner did you do the IgG test? Has the new partner actually been tested to know if they are infected with HSV 1 or 2?
January 8, 2021 at 12:05 pm #72285
Yes I am located in the US. The sex with the new partner was not condom protected but a partner I have had sexual intercourse with prior to the 1.5 years of abstinence. To my knowledge they have been std tested but idk if hsv 1 or 2 was included in that. Neither of us have ever had any symptoms or outbreaks. I got the hgg test about 6-7 days after we had sex. My dr told me this “positive” result was from a past infection and thats why I have the antibodies at 1.02.
January 8, 2021 at 3:17 pm #72291
You should ask to get a copy of your results. I believe that you will see that you are NOT positive but rather equivocal. In order to interpret this most accurately, you should see if your partner would be willing to get an IgG test. If he is negative, don’t worry about this result. In 35 years, I have had only one person who had an equivocal IGG test who subsequently had a positive western blot and I’ve probably tested thousands of people with equivocal IgG tests with the western blot
January 8, 2021 at 3:51 pm #72294
I have my results from quest diagnostics. My results do say I am equivocal at 1.02. I am not sure why she insisted I was positive and even prescribed me medication. Whats the odds that this is actually negative?
F HSV 1 IGG, TYPE SPECIFIC AB <0.90 (index) IG
F HSV 2 IGG, TYPE SPECIFIC AB 1.02 (index) H IG
January 8, 2021 at 8:54 pm #72299
The odds are extremely high that this does not reflect a herpes infection with HSV 2. However, without your new partner’s results, it is difficult to say with great certainty.
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