#1. Does the accuracy of the hsv1 result reflect the accuracy of the negative hsv2? I understand the false negative rate for hsv2 is 8% but is it less likely to be a false negative because the test correctly caught the hsv2? I guess my question is, if it caught one that has a higher false negative rate, wouldn’t it have caught the one with the lower false negative rate?
No, the tests are separate. You cannot make that connection.
#2. As I do not have any genital symptoms and tested negative well after 3 months (More like 6) is it safe to assume I don’t have hsv2?
It is safe with 92% certainty.
#3. Have you ever seen someone who has a negative hsv2 at 6 months post exposure, no symptoms, and then tested positive on the Western Blot? Or is that mainly for people with positive swab results and negative Elisa?
Yes, I have seen this – that’s how we know the test misses 8% of HSV 2 infection.
#4. In your opinion, is it very likely I have both oral and genital hsv1?
I think is more likely that you only have HSV 1 orally but cannot be certain.
#5. I am also concerned about possibly asymptomsticslly infecting someone and that resulting in neonatal herpes in the future for their partners. Is this something I should dwell on?
I think I answered all your question, but let me know what is left. I’m still only seeing $20 in payment but will look into it further.