› Forums › Herpes Questions › Recommended testing after exposure to part with a HSV2 diagnosis? › Reply To: Recommended testing after exposure to part with a HSV2 diagnosis?
1) How common is a genuinely asymptomatic HSV2 infection? I understand that many cases of genital herpes are not diagnosed. However, I’m interested to know whether that is because there are no symptoms whatsoever, or whether the symptoms are mild and/or for various reasons never presented to a doctor for diagnosis. Put simply, if I am relatively thorough in examining myself over the next couple of weeks and notice nothing out of the ordinary, is there much likelihood I may have contracted HSV2?
It’s a combination of both – some people confuse herpes symptoms for something else, for others symptoms are very mild and yet for others they really have no symptoms. A person who already HSV 1 is not protected from getting HSV 2 but if they do acquire infection, it is more likely to be without symptoms or with very mild symptoms.
2) Most importantly, if no symptoms are noticed, would any testing be recommended in this situation? I ask the question at this early stage, because I understand IgM testing may be useful within a relatively small window following exposure (perhaps in the 10 – 17 day period). Would that be appropriate following a known exposure even if there are no symptoms?
IgM testing is NOT useful as IgM and IgG show up around the same time with herpes. I would very very strongly recommend not doing an IgM testing (some big labs now refuse to offer it) due to very high rates of false positives. The CDC says never to use it. Have you been tested in the past to know that you were not previously infected with HSV 2? You can test with IgG if you are worried, but I would wait at least 8 weeks and preferably 12 weeks for a final answer on this