January 6, 2021 at 10:23 am #72225
I’ve poured over every question and response on this site and still feel compelled to ask a question due to the confusing nature of the blood tests. Apologies if this is redundant.
I was tested last year and was IgM and IgG NEGATIVE. I’ve had one sexual partner since.
I was recently dating someone briefly whose sexual past was concerning, to say the least. I didn’t find that out until after we were having unprotected sex. After we broke up, I ordered an STD panel. Everything negative. Several weeks after we broke up, I noticed two small cuts near my rectum. Since I’m often constipated and have a hemorrhoid, I suspected it was trauma due to hard stools. They were itchy after a bowel movement but relatively painless unless I was wiping. But they lingered for 4-6 weeks and I became concerned it could be something else. Once I began using Tucks pads with Witchhazel, the cuts healed very quickly. By the time I got to the OB-GYN, the cuts had healed altogether so a swab wasn’t going to be effective. We did a swab regardless and blood tests.
Swab was NEGATIVE
IgM was POSITIVE for both HSV1 and HSV2
IgG was NEGATIVE for both HSV1 and HSV2
My doctor did tell me she believed the test results were odd. She couldn’t tell much from the examination but said herpes can present like small papercuts.
My partner did have cold sores. We discussed it at length and were careful to avoid kissing and oral sex when he had one.
First exposure would have been August 22 (~19 weeks)
Last exposure would have been October 9 (~12 weeks)
I understand how inaccurate IgM is.
QUESTION: given that I had *possible* symptoms, how confident should I be with the IgG results?
I do have plans to see another OB-GYN and discuss being retested Friday of this week.
January 7, 2021 at 1:16 pm #72257
The CDC says NEVER to use IgM testing because of the very high rate of false positives. And you know that. How long after the last exposure was the IgG test done? If recently, then you should believe the IgG test and completely ignore the IgM test. Too bad the doctor that ordered it has not read the CDC STD guidelines on herpes antibody testing in recent years.
January 7, 2021 at 5:01 pm #72266
I was tested 12 weeks after the last exposure.
The breakup with this individual was so traumatic. I lost a significant amount of weight, was put on anxiety medication and was a general mess for an entire month. Looking back, I’m surprised that if I had contracted herpes, I would have seen symptoms during that particularly stressful time, not well after. That said, being constipated and having diarrhea from the stress could’ve caused those abrasions/fissures. I just don’t know.
Symptoms were two straight narrow pink (not red) fissures about 1/2 inch long within the folds of skin in my perineum. No pus, no bleeding, never scabbed, no real pain to speak of unless wiping and washing, very itchy after a bowel movement. The itching was relieved with Preparation H. They seemed to respond well to Tucks wipes though it did sting a little. They did take a long while to heal.
QUESTION: does this sound herpetic to you?
The impression I got from my doctor was to move on with life as if the IgG results are accurate and, if I see anything else, have it swabbed. I’m leaning towards not getting another IgG for now.
QUESTION: what are your thoughts with this position?
January 8, 2021 at 11:30 am #72275
That does NOT sound like herpes to me, no, and you did wait long enough from the time of possible exposure to testing with the IgG test. doing another IgG test will simply not be useful this far out, in my opinion.
I agree with what your doctor told you.
January 8, 2021 at 4:43 pm #72297
Thank you Terri for your responses and guidance. It’s greatly appreciated!
Providing a quick follow-up for anyone experiencing similar issues. I saw a different OB-GYN today. I’d taken photos of the abrasions/fissures and showed them to her while also providing background and my recent test results. She agreed that the IgM results were irrelevant. She suspected lichen sclerosus and, after examining me, provided confirmation.
We discussed doing another IgG in six months during my annual just so we can put this to bed.
January 8, 2021 at 8:58 pm #72301
You must register to ask your own question or be logged in to reply to this question.