[Question #10387] HSV Follow Up Testing Needed?
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23 months ago
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HI Terri - Reaching out regarding whether additional follow up testing needed. Back in June, while receiving a massage, I ended up receiving protected oral and vaginal sex from the masseuse. This was a one time encounter and the only time i've been with someone other than my long term partner in the last 10 years.
3 days after the encounter, I ended up taking a 10 panel STD test. The test came back negative other than HSV1 (1.88) and HSV2 (1.06 equivocal). I now realize that testing 3 days after the encounter was too soon and that it appears experts don't recommend HSV testing in the absence of symptoms with a low risk encounter which i believe mine was being that everything was protected.
After receiving the IGG results, I ended up taking the Quest Inhibition test (11 days post encounter) which came back negative/in range thus the inhibition was not able to be performed. To be cautious, I also ended up taking the UW Western Blot through you at 6 weeks post exposure and that came back negative for both HSV1 and HSV2. i've felt comfortable with the Quest/UW results but am seeing conflicting data online regarding conclusiveness with some sites mentioning 2-12 days, others mentioning 4-6 weeks, and others 8-12 weeks. I believe i've validated that the initial IGG test was a false positive based on the subsequent Quest/UW Blot tests. My question is whether additional testing is recommended based on the tests i've had thus far combined with the low risk encounter. i'm not 12 weeks out.
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Terri Warren, RN, Nurse Practitioner
23 months ago
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A test results from something done 11 days post encounter cannot be relied upon. Nor can a blot done at 6 weeks out, and I'm quite sure I would have told you that. It is a good sign that it was negative but not final, I'm afraid. I would think that if you were going to be positive on the blot down the road, that your blot might have been at least indeterminate at 6 weeks, however. And good that the experience was condom protected. We know that at 6 weeks out from a concerning encounter, 70% of those who are going to be positive on the IgG test will be positive. That might be helpful for you?
Terri
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