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Hi Terri, I am really happy that a platform like this is available to get your advice. I am 33 Y uncircumcised unmarried Male.
Exactly last Friday morning, noticed a red rash and slight discomfort while urination with visible red dots on only the right side of the shaft. Used Tylenol for relief but out of anxiety, rushed to Zoomcare (urgent care) by 4 PM the same day. By evening at Zoomcare, there is not much redness, and the clinic diagnosed the absence of any nitrites or Leuks in my urine sample. Clinic found 2 red papules, with no scaling, no vesicles, no pustules, no pain, no oozing or warmth nor any penile discharge and diagnosed my condition as Balanitis, and gave me an anti-fungal cream. Applied it overnight and there are no signs of any aberrations the next morning. But I am still using the cream till today.
I had an unprotected encounter couple of times in the last 3 months, but I wanted to clarify my doubt by giving STD panel test @ Labcorp. All other STD tests came normal, except HSV 2.
03/31/2023 – HSV-2 Type Spec Ab, IgG w/Rflx – Index value of 1.20 marked as Low positive/ abnormal
Retested for supplemental test @ Quest for HSV 2 on 04/04/2023, Index value of 1.29 marked as Abnormal
Now I am waiting for HSV 2 IGG INHIBITION, IA confirmation test from Quest.
Usually, I get STD tested every 6 months. So my routine test on 01/05/2023, Herpes II came negative, but 03/31/2023 came abnormal/ low positive.My present situation: Waiting for HSV 2 Inhibition result, with no visible signs of pain or discoloration. But I’m depressed,anxious, stressed with this waiting how the results may come out. Given my situation,test results, & symptoms,please advise if there is anything worrisome or to be concerned about. Also, if the inhibition assay comes negative, does it mean I will not have HSV2? Does low positive mean I may not have HSV2?
I will be getting married late this year and I would be devastated if the results would come otherwise. Please advise Terri
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So you do have a low positive for certain. The LabCorp test – no supplemental test was done? They seem to be out test kits right now. If the inhibition assay is negative, that is good news. If positive, I wouldn’t believe it as we have seen several false positives on that test as compared to the gold standard western blot. If you test positive on the IA, get a western blot to be certain.
You mentioned that you had had unprotected encounters in the past three months – was that with your fiance or someone else? If someone else, did they get tested?
Terri
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The only reason to take an additional test is if you have had a recent sexual encounter and tested too soon for antibodies to have a chance to be developed.
So I don’t fully know the timing of the other sexual encounter but we can talk about that more when we meet on Tuesday to try to nail down the appropriate date for Western blot testing. I think it’s very good news that you’ve got a negative inhibition assay. We have seen positive ones that are false compared to Western blotTerri
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