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1) Do you think this has the possibility of being a false positive
Absolutely, a very high chance of a false positive!
2) Do you think that my HSV-1 result could have “spilled over” into the HSV-2 results, since HSV-1 was so much higher
Yes!
3) Do you think I need the Western Blot Test
Definitely
For a little more information, I have not had sex in over 3 months but before that I was with my long term ex-girlfriend, where we had unprotected sex about once a month for around a year. She is negative for HSV-1 and HSV-2. In the past 8 years, I have had a mix of protected and unprotected sex as well as unprotected oral. Knowing all of this, do you think that this still might be a false positive?
Yes, but you should wait 12 weeks from any concerning encounter to do the western blot for greatest clarity and accuracy.
Terri