Well your index value is quite high for HSV-2, I have seen false positives at this level. I would say there is probably a 90 to 95% chance that you will confirm as positive by Western blot if you decide to do it. I think that sometimes clinicians under estimate the value of certainty with this diagnosis. Once you know for certain whether you are infected or not, you can move on with your life, knowing the Sure direction you should take regarding this infection. Are you with the same partner? If you are, there is no reason for you to be taking antiviral therapy at this time. But if you have a different partner, and are trying to reduce the risk of transmission, then daily antiviral therapy is appropriate. If you are not sexually active, there is no reason you should be on daily therapy if you have no symptoms. The reason people take daily therapies is either to reduce the frequency of recurrences or to reduce the risk of transmission to a partner
. It sounds like you are having some emotional struggles with this diagnosis and you may wish to explore a website called herpes opportunity. Many people find this website to be helpful in making the adjustment to having herpes
. If you wish to pursue a Western blot, you can either do that through your normal healthcare provider or I can help you obtain the test. If you want me to help you, you can sign up for a video consult on this website and I can order the test for you as part of a research study we are conducting. The cost of the test and the consult is $314 and there will be additional charges for you to have your blood drawn where you live and for shipping your sample back to the University of Washington. These charges vary depending on location. If I can be of help, please let me know.