March 28, 2020 at 9:49 am #69736
I was diagnosed with ghsv1 9 years agai after contracting it from oral sex. I have had one confirmed recurrent episode about 6 months ago which was mainly one spot which was swabbed and tested positive for hsv1, negative for hsv2. I always have my partner wear a condominium during sex, no exceptions. In the last five days I experienced some itching followed by a cluster of bumps in the vaginal area. It isn’t anywhere near as painful as my first hsv1 outbreak, only really hurts when pressure is directly applied. It also doesn’t really have blisters that looked like fluid, more like just bumpy and isn’t really red. What is concerning me that it is ghsv2 is that it is not just a single spot but a cluster. I have a sex with a new partner, again protected. I had the area swabbed for hsv1 and hsv2 yesterday and they also took blood for igG for both hsv1 and 2. In the meantime I am just worried because I know condoms don’t provide total protection from hsv2. When there are recurrent episodes from ghsv1, do they usually look similar every time? My previous recurrence was a localized spot rather than a cluster. Though this occurrence has been much less painful than my primary ghsv1 episode. Does this mean it is probably a new infection?
March 28, 2020 at 12:51 pm #69748
Recurrences can be singular or in groups and it can vary within the same person. What did the clinician think that swab tested you?
Condoms reduce transmission from males to females by 96% so it’s really so unlikely that you got HSV 2 from a new partner. But if you did get HSV 2, it would likely be quite mild due to already having HSV 1 genital infection.
If you’ve only had one recurrence of HSV 1 in 9 years, I doubt that you are now having another but it’s possible I guess. I’m glad you went in to have it evaluated. I’m eager to hear the results when you get them, please.
March 28, 2020 at 1:39 pm #69755
It’s possible I have had reoccurrences earlier than that if they were mild. I’ve had symptoms I wondered about before but figured were probably just an ingrown hair or I had nicked myself slightly shaving.
The doctor didn’t say anything really about hsv1 vs 2 based on the symptoms, I did tell her I have type 1.
I’m just very concerned because it is multiple bumps, though not overly painful it seems different than last time. I feel like I’ve been careful about not catching something else and insisting on condoms.
Is there anything specific I should ask for in terms of numbers for the cultures and blood tests?
I understand there are some issues with accuracy that not all clinicians seem to understand so I’d like to know what information I should make sure I need to get.
Also in the case there may be some inaccuracy based on the results, would you recommend I try to get blood tests or cultures repeated? Or try to request a different test?
March 29, 2020 at 4:08 pm #69760
What I meant was did the doctor that did the exam think that these bumps looked like herpes? Could it be HPV? Was that mentioned?
The most sensitive swab test for herpes is the PCR (or NAAT) test. The absolute best blood antibody test is the herpes western blot, done only at the University of Washington, but the IgG test for HSV 2 is pretty good, not as good is the HSV 1 IgG test – it misses 30% of HSV 1 infections compared to the gold standard western blot. Anyone can have their blood drawn and shipped to the UW lab with a clinician order, BTW if you want the best test for HSV 1 and 2.
I have to say I laughed out loud when I re-read your first post where you said you had your partners all use condominiums with sex. Isn’t autocorrect great?
March 30, 2020 at 9:04 am #69770
She thought it looked like herpes or maybe an irregular yeast infection. She did not mention HPV.
She left me a message saying I was negative for both HSV1 and HSV2 for the IgM (which I know is not a good test) and POSITIVE for both HSV1 and HSV2 on the IgG test. The cultures from the swabs do not have results back yet. So now I’m very freaked out, waiting for her to call back.
I’m going to ask about the index values because again I have never tested positive for HSV2 and never had unprotected sex. What do you think the likelihood is of a false positive?
Is there anything else I should ask about the test that was done? Should I see if it can be repeated? And would I need to have her permission to get a western blot?
March 30, 2020 at 10:53 am #69772
Update: all the results are back. Based on the swab from the area, it was positive for HSV1 and negative for HSV2. Negative for yeast infection and the other standard STD tests. Mostly likely then just all a reoccurrence of the gHSV1. I asked about the values for the IgG test and she didn’t have them and didn’t know what kind of test it was because it’s not an in-house lab.
I tried to explain to her it was important to know whether it was a legitimate result and what the cut off values for positive were. I also asked about redoing the test. She is going to try to find out what the values were from the lab. Any recommendations for trying to find out whether I am actually HSV2 positive?
April 9, 2020 at 2:15 pm #69813
Well, maybe by now, she has that index value. The best antibody test for HSV 2 diagnosis is the herpes western blot from the University of Washington. You can work with your own provider and UW to get this or I can help you at this website to work this out. You need a test with more information than what you already have.
- This reply was modified 1 month, 2 weeks ago by Terri Warren.
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