September 9, 2014 at 11:32 pm #1341
About 4 months ago I was randomly tested by my OB/GYN for herpes. The test came back positive for HSV-1 and HSV-2 but with a level .01 higher than the upper limit of normal. So, we figured it was a false positive. Then, 2 months ago I had a genital outbreak. I took another blood test and it came back negative for HSV-2 and positive for HSV-1. My question is whether I should get another test just to be sure it’s only HSV-1 (genitally) and not 1 and 2. Does it really matter? Should I get the standard test again or a western blot? Also, I’ve never had an oral herpes outbreak.
- This topic was modified 7 years, 1 month ago by jgeorgiad. Reason: grammar
September 10, 2014 at 7:00 am #1343
Hi, we figure it out! Sorry for the small delay
A few questions for you: when you had the genital outbreak, did you have it swab tested to determine that it was actually herpes? And if you did have it swab tested, was it typed? What was the outbreak like?
So you are pretty clear that you’ve never had a cold sore on your lip or in your nose?
Have you been the receiver of oral sex in your lifetime?
When you say that your value was .01 over the upper limit of normal, you mean over the cutoff for negative? Can you post for me your actually lab values? And can I assume that these were IgG values, not IgM?
If you do have HSV 1, then another genital outbreak is unlikely to occur soon. It is ironic that you would have a genital outbreak 2 months after that that was herpes.
When was your last sexual contact with anyone? How long after the first antibody test did you do the second one?
Sorry for so many questions, I just want to be certain that we are covering all the bases.
September 10, 2014 at 1:32 pm #1344
Ok so I will answer your questions in order. Yes I did have a swab test and it was positive for herpes and no it was not typed with the swab. The outbreak was pretty classic as far as pictures I found on the internet. Very painful, swollen inguinal nodes, flu like symptoms etc. And I am positive I’ve never had a cold sore on my lips or nose. Yes I have been the receiver of oral sex and the outbreak happened 3 days after I received oral sex from a new partner. The lab values are as follows: In January 2014 my IgM test came back positive but my IgG was <0.90 for types 1 and 2. I had a repeat IgG test in July ’14 and it came back with HSV-1 postive value of 15. The July test for HSV-2 had a value of <0.91
I hope I answered all the questions. Thanks!
September 10, 2014 at 2:02 pm #1345
So then all of this does seem consistent with new genital HSV 1 infection. The negative (.01 over the cutoff is basically negative), then the lesion that was positive followed by a strongly positive HSV 1 antibody test suggests seroconversion during that time period. Just for my own information: The IgM in January that was positive. When was that in relationship to anything? You mentioned that you did a random test for herpes. I’m thinking it was not in relationship to the outbreak which you described was culture positive but untyped. When was the outbreak again?
The IgM tests are so difficult because they really freak people out when they are positive, even if the situation doesn’t fit with new infection. To me, for you, it sounds like the positive IgM, negative IgG tests were done not in relationship to the outbreak at all. One more question: did the person who gave you oral sex have an oral outbreak at the time?
Here is how I”m reading your timeline:
January: random testing. IgM positive, IgG negative for both
some other time: received oral sex, culture positive for HSV 1
July: positive IgG for HSV 1 at 15.
Is all of that correct?
I do not think you need to do any further testing at all. In the future, it will likely NOT be a risk to a partner who has a cold sore history to have intercourse as this person already has HSV 1 and is very unlikely to get it at a new location. You should also have few recurrences, if any, statistically. Be sure, when speaking about this, that partners in the future know the difference between a cold sore and a canker sore- canker sores are not caused by herpes but people often get them mixed up.
I hope this has been helpful for you.
September 10, 2014 at 4:29 pm #1346
The positive test in January was done because went to my physician to be tested for any STD’s when I found out my spouse had been unfaithful. I had no symptoms at that time, they were just tested me for everything. The outbreak was in June. The person whom I had oral sex with in June did not have an outbreak that he knew of at the time but I don’t know if he has in the past (unfortunately I don’t know much about his sexual history).
Thank you for your help with this, it’s all so confusing. I’m sorry I didn’t mention this sooner but I also had a lesion on my nipple at the same time as the genital outbreak. Very painful and I figured it was because there was also contact between his mouth and my nipple. So to be clear, I could pass on HSV-1 to a person who has never been exposed but if it is someone who has HSV-1 orally, they are unlikely to get it genitally?
September 10, 2014 at 6:00 pm #1347
Yes, it is possible to pass the HSV 1 on to a person who does not already have HSV 1. But if someone has HSV 1 orally already, or is not symptomatic but has HSV 1 antibody (they are infected), they will not get a new infection from you.
The lesion on your nipple was, unfortunately, probably herpes as well since the person who gave you oral sex also put his mouth on your nipple. That one may recur, difficult to say, but the nipple is NOT infectious without some kind of symptoms. With the genital infection, it is possible to transmit it without any symptoms to an uninfected person.
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