[Question #1178] herpes detected

84 months ago

Hello Doc


I would like to  get your advice on the  Herpes test which I got done on 3 rd sept .


The test that I took were HIV / VDRL / Herpes


The result for the negatieve and for the HIV1/2 and p24 combo test and VDRL ( RPR) serum test


However the HERPES simplex virus 1+2 Igg came as 26.90

HERPES simplex virus 1+2 Igg came as Below 0.050 and non reactive


I had got  all the above test done  2 years ago and all was in range


My Concerns are as under


1.     I had no Vaginal / anal sex the only oral I had was on 2nd August where this massage parlor lady sucked my Penis for less that 30 seconds and I asked her to stop


I am a regular Reader of your comments on Med Help and it has given me an sight that oral sex is safe for HIV but you can get other STI however will the levels of 26.90 be possible from one small episode of oral .


I have been going to this massage parlor 6-7  where I get a massage and hand job and mutual manstrubation no other sex act is done as I was taking cues from your blogs


On showing the result the doctor put me on MICROVIR 500 mg for 21 days this is an Indian medicine which is  an antiviral used to suppress Herpes it is from the Family of Famiciclovir


I had no blisters or visible symptoms of Herpes but still went to the doctor out of anxiety and fear of the sucking episode .



It would not be out of place to mention that I was very tensed from from 5 th august till 7 h sept as our company had started down sizing and many people were losing there jobs ( I know Stress is a factor inducing HERPES ) luckily I was not asked to resign


Can you please clarify the following -


1.Is it possible that I have got Herpes from Body Contact or do you think that one oral experience could have given it


 2.I am married and how would it affect my wife

 my wife has sarcoidosis and  this makes her immune system weak , would me being HSV2 positive create any other complications for her

2.     Would herpes pass to my child on regular hugging and kiss on the cheek . Many websites say that it passes thru body contact

3.     Can I pass it to my younger child who likes to sleep with us in our bed at some nights


Please help and clarify 

Terri Warren, RN, Nurse Practitioner
84 months ago
You had what looks like a combined HSV 1 and 2 antibody test - or can you see separate results for HSV 1 and HSV 2?  If they are combined, you cannot know if the infection is HSV 1 or HSV 2 or both.  What you need is a test that looks at them separately.  Are you absolutely certain that previous testing was done for herpes?   Can you double check your records on this one?  Have you ever had a cold sore on  your lip or in your nose?  Have you ever had genital sores?
If you have not had any of these symptoms, we cannot know if you have an oral infection or a genital one and since the test didn't separate out HSV 1 from HSV 2, we are even more unable to fill you in on what's going on here. 
1.  Could you have gotten HSV from receiving oral sex?  Yes, you could.  Did you ever have any genital symptoms?
2.  If you have either HSV 1 or HSV 2 your wife could acquire this from you, yes, but  if we don't know if it is oral or genital, we can't really guide you except to say if you do develop an oral or genital sore don't let it come into contact with her. If you have an oral sore, don't kiss your child on the lips when you do - a cheek kiss is likely OK if the skin on the cheek is intact.   It won't be spread by sleeping in the same bed as your child.

Let me know when you have more information
84 months ago
Thank you for the reply Teri 

What test should I ask for separate testing of Hsv1 and Hsv2 please advice , I will get the same done asap 

No I have had no cold sores wither on nose/ lips or genetial areas

Thanks for conforming that my child will not get by a kiss or sleeping in same bed 

What level of body contact will pass it to my child , please advice 
Terri Warren, RN, Nurse Practitioner
84 months ago
If your child comes into contact with an active lesion, they could acquire this from you. Without an active lesion, I am not concerned about your child contracting this from you.
You need a type specific IgG herpes antibody test.

84 months ago
Hi Teri 

I await your reply on what test should I ask for to determine wether it is oral or genital herpes what should I tell the lab as to what test do I need ( I mean the technical test name )  ..... Went to a doc and he is saying that it could genital herpes as I had no cold sore on lip 

  Are the test for genital and oral very complicated he was not encouraging the same .

My wife has sarcodosis and really has a immunity problem and this is very concerning for me . Can I give her Herpes by sleeping next to me when they say it is shedding 

I MADE A TYPING ERROR THE IGm was not reactive by mistake I wrote both the value  as IGg thought will bring this to your notice results detailed as under--

 HERPES simplex virus 1+2 Igg came as 26.90

HERPES simplex virus 1+2 Igm came as Below 0.050 and non reactive

Please help me out as I am quite concerned and confused 

Terri Warren, RN, Nurse Practitioner
84 months ago
You need type specific IgG testing -  type specific means that the test separates out HSV 1 from HSV 2 results - what you have now are combined results.
If you are positive for HSV 1 only, and you have never had a cold sore, we cannot know if your infection is oral or genital, that is correct.  If it is positive for HSV 2, then with 95% certainty, you have genital infection. 
If you do have herpes 1 or 2, it would be good if your wife was also tested to know if she is the same or different than you in terms of results.  If she is not infected, she will not get your herpes by sleeping next to you, no, it takes kissing or intercourse for her to get infected. 

If you have more questions, feel free to renew your subscription.  This is your final post.