UTI like symptoms, confusing tests

[whattodo7]

34 Male, been with my wife since high school. There was a brief period in College we were separated and during that time I received oral sex from someone. Other than that one time I have had no other sexual encounters aside from my wife. I have no reason to think she has been unfaithful. We have been having unprotected sex regularly for more than 10 years. I had a cold sore on my lip when I was about 10 years old. My parents reacted like it was no big deal so I’m guessing it was transferred from them to me as a child. I have not had any sort of outbreak or sore since then (about 24 years ago) and haven’t really given it much thought since then. Recently having UTI like symptoms (frequent urination, some very mild discomfort when urinating, general very mild discomfort in the region, and lower back pain). 2 different cultures came back negative for UTI so the doctor ordered STD tests. While waiting for STD tests I was on antibiotics. During this time while on the antibiotics the UTI symptoms went away but have since returned (after antibiotics stopped). Everything was negative except for HSV-1 (no surprise) and HSV-2 (big surprise).
Two different Labcorp IGG tests:
Test 1 (Results from March 11)
HSV 1 IgG, Type Spec: 44.10
HSV 2 IgG, Type Spec: 1.96
HSV-2 IgG Supplemental Test: Negative

The doctor presented these results to me as positive for both HSV-1 and HSV-2 and said this was likely the cause of my UTI like symptoms (even though I’ve never had any sort of outbreak in the genital region) When I asked a few days later what the Negative supplemental test meant, I didn’t really get an answer and was told to take the test again.

Test 2 (Results from March 29)
HSV 1 IgG, Type Spec: 43.90
HSV 2 IgG, Type Spec: 1.98
HSV-2 IgG Supplemental Test: Positive

Given my sexual history I think its a false positive. It seems very unlikely I would have caught it. Should I pursue a western blot or assume its negative and seek treatment for UTI-like problem with a new doctor?

[Terri Warren]

I think it is extremely likely that this is a false positive, and in my opinion, a herpes test should not have been done if the thought was a UTI. UTI infections in men are uncommon. Ignore the damn supplemental positive, but if you want greater certainty, get the western blot.

Has anyone done a prostate exam for you? If not, I would strongly suggest that.

Terri

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