[Question #13638] HSV

 
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1 days ago

Hello Terri, I’m a male with a single potential HSV exposure on 8/29 involving protected vaginal sex and protected oral sex, and I have no history of cold sores. I’ve had multiple HSV IgG tests using the Roche (Elecsys) assay that were all negative for HSV-1 and HSV-2 at 31, 42, 52, and 82 days post-exposure. My wife is pregnant and due fairly soon, and at the time I believed I was HSV-negative due to having no symptoms; we had unprotected sex on 10/1 (33 days post-exposure) and 10/17 (49 days post-exposure), and she has had no symptoms. My questions are: (1) how reliable are repeated negative Roche HSV IgG results at these time points in ruling out infection, (2) given protected oral and vaginal sex as a male, how confident can I be that my 8/29 exposure was truly low risk, (3) based on this timeline, does this situation fall outside the typical window of concern for neonatal HSV transmission, and (4) given all of the above, would you consider my risk low enough that no further HSV testing or action is needed?