February 21, 2020 at 12:58 pm #69357
Two weeks ago, I had unprotected sex during a one night stand (I was intoxicated at the time and did not notice when the other person took the condom off until she told me after I left). A few days later, I noticed some discomfort urinating and discharge. Suspecting an STD, I visited my PCP and had STD tests done. When I got my results back, I was positive for gonorrhea (expected that) but my PCP also said I was positive for HSV-2. I was prescribed generic Valtrex and told to take it daily. I’m a bit frustrated though that my PCP did not tell me any more about my diagnosis or offer to explain more about it.
My test results were the following:
HSV-1 IgG, Type Spec: <0.91
HSV-2 IgG, Type Spec: 1.17 (High)
HSV-2 IgG Supplemental Test: Positive/ Abnormal
After doing some research online, I read that readings below a 3.0 for the IgG test could potentially be a false positive. I’ve never heard an outbreak or any other symptoms associated with Herpes.
My question is this: should I accept the diagnosis now or be tested again in a few months? I’ve also read about the Western Blot test and am curious in getting that done, though I’m not exactly sure what the process for that is.
February 29, 2020 at 4:35 pm #69419
You should be retested. You can do it in 6 weeks for another result and if less than 3.5, repeat at 12 weeks. If still less than 3.5, you need a herpes western blot confirmatory test. Between now and then, having only protected intercourse and do NOT continue to use antiviral medicine if you would like the most accurate result. I can help you with the blot at westoverheights.com
April 17, 2020 at 2:32 pm #69926
Following up here…
I was tested again this week and received my results.
I was negative for everything except for HSV-2. The test result was reported as 0.92 HIGH for the “HERPES SIMPLEX VIRUS 2 IgG, TYPE SPECIFIC ANTIBODY (HerpeSelect)” test. The report says this is in the equivocal range. One difference with this test versus my previous test is Quest processed my lab for the second test, the first test was processed by LabCorp.
I plan on being tested again in another month.
April 19, 2020 at 12:23 pm #69962
I would guess, from this, that you are uninfected. The IgG is not the best test for herpes, the wesern blot is, but if you continue to use the IgG, you are looking for values above 3.5 for a true positive. Keep me posted
May 15, 2020 at 8:14 am #70222
I was tested again yesterday and received my results today.
For “HSV 2 IGG, TYPE SPECIFIC AB”, it is reported as “0.94 HIGH”. So, it is still in the lower end of the equivocal range.
May 15, 2020 at 11:26 am #70243
YOu are remaining in the equivocal range. I think an infection is very unlikely but we can do the blot if you want to. Your call. But I have only had one person ever who had an equivocal result come back positive on the western blot.
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