Reply To: Postive HSV1 IGG and low HSV2 positive

[Mgmg7271]

Hi Terri.

Thanks for your response. I had some things change since posting this originally.
A week ago I started feeling what some would describe as prodome symptoms. This included: lower back pain that went down both sides of my butt and legs and down to my tail bone. Burning like hot water being poured on the back of my thighs/inner thighs and it feels like it goes into my groin. Razor burning feeling on my moms pubis but nowhere else (I had not shaved until 2 days ago but no rash or sores or lesions that I can see) however, it’s been over a week and if it was prodome I read I would see an outbreak within 48 hours?
Do these symptoms sound typical of HSV2 prodome? If so, why haven’t I had an outbreak genitally?

I went back to my OB on 12/14 (a week and one day after my last IGG test) with these concerns. They did a genital exam and said they didn’t see anything but this doctor was insistent that once the IGG is positive that means positive. That there’s no such thing as a low or false positive. But he still drew my labs that day both for HSV1 and HSV2. I got my results yesterday. HSV1 was at 36.2 and HSV2 was lower this time at 1.53 but the supplemental came back POSITIVE. This confused me even more.

My follow up questions are:
1. Why did my IGG go down but my supplemental turned positive? Do I basically accept the fact that I have HSV2 regardless of an outbreak?
2. Can you have the symptoms I described (leg/groin burning/ back pain and some genital burning) but no outbreak for over a week? Is this considered an outbreak?
3. How accurate are positive supplementals by labcorp?
4.Should I take the western blot to confirm once in for all?

Thank you.