[Question #1505] Is my blood test result a conclusion result?

45 months ago
Dear doctors, 

First of all I would like to thank for this channel. 

I had 2 stupid experience in this year that I was much regretted - I had two massage experiences, which one ended with and handjob and one ended with a massage in scortum. So here is the story and my concern.

In March, I did the first massage with handjob and massage in scortum with massage oil. 3 months later I did a full blood test and everything came negative. My HSV I IgG was 12.28 RU/ML and HSV II IgG was 10.20 RU/ML. 

Then in August 22, I was stupid enough to go to the same place and find the same person again, only this time she did a hand massage with massage oil on scortum and did not have any other sexual contact besides that. The whole time she was with her clothes. So again, I did not have any sexual activity after this and waited till Dec 6 to take another full blood test. Things were negative however for HSV I IgG, it was 51.46 RU/ML. HSV II IgG was 15.32 RI/ML. I understand that most people in the world have HSV I and it is not a big deal, I am more concern about HSV II and gential herpes. By the way, I have not yet discovered any symptoms. The only thing I find it weird is that on my scrotum there are many goose bumps like thing at the end of every hair root. I am not sure what that is but it is no pain and doesn't change the appearance for 2 months since I discovered. 

So here is my question.

1. The test was roughly 15 weeks after the potential risk exposure, is my HSV II IgG result a conclusive one, which concludes I do not have HSV II? Since the first blood test was 10something RU/ML and the second was 15.32 RU/ML, which is so close to the borderline (it said 16 RU/, I worry that if it is not conclusive, it will continue to raise up.

2. Is it positive that I have HSV I? The only person that I kissed was my girlfriend (1.7 years relationship).

3. With the 2 activities that I stupidly did, what is the likelihood that I have HSV I or HSV II? 

4. I do not understand why I tasted HSV I positive
45 months ago
Sorry doctor, it suddenly jumped out the text box and I couldn't type again.

Do I need to take another HSV IgG test to further confirm my result? 

That was about my question. I do want to get a clearer picture as I was quite sad and worry about this situation.

Thanks a lot for your help!



Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
The test results that you are describing are not the traditional values that we normally see so I'm guessing you might not be in the US?  I can't interpret these results without knowing the normal ranges.  
But the thing is, it really doesn't matter what your values are because your encounters presented you with absolutely no risk whatsoever of acquiring genital or oral herpes.  None.  Period.  I don't know if you had herpes before this experience but if you didn't then, you surely don't now because this was a no-risk experience.

Terri
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45 months ago
Thanks Terri,

The range reference (which I saw on some online source is)
<16 RU/ML = negative 
16-22 RU/ML = equivocal
>22 RU/ML = positive 

But for an antibody IgG test, is it I've waited long enough to take the blood test that the result should be accurate? And I should no need to worry about it will raise?  Would you recommend that I take another blood test in the future (of a period that you recommend)? 

And I am not sure that if it is said my encounter has no risk. Is there an explanation on why the value has raised from the first test to the second test? As well as the reason why the HSV I has turned from negative to positive?

Thanks a lot!
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
Again, I don't know the brand of the test but 15.32 and 16 are so very close together, it is completely within the range of variability for this kind of test - I would not give it a second thought.  I don't have a good explanation about why your HSV 1 value became positive except to say that the HSV 1 IgG tests are highly flawed and extremely variable.  The point still is that there was absolutely no risk from the experience that you describe, at all.

Terri
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45 months ago
Thanks Terri,

Understood. Just the last question - 

On the night on Aug 21, I was having dinner with some wine and at the end of the dinner I felt sick and almost fainted, afterwards and the next morning I felt my body was a bit weak (feels like wanting to get a cold). Will this increase the chance of getting genital herpes, or present the reason why HSV 1 came positive? Or this should have nothing to do with it?

To answer your previous question, I had never had Herpes and my only sexual relationship is with my current girlfriend, always protected. I actually felt helpless now and that's why I came to you. Hope that I could get an answer to ease my mind and let things pass. 

Thank you for all your research on this subject and I swear to myself that I will never do this again! 

45 months ago
FYI - Aug 21 was the night before the massage on Scortum. And the massage was about 5-10mins long in that area. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
45 months ago
I don't think the dinner experience that you are describing has anything to do with herpes, no, nor would that be a reason your HSV 1 would be positive. 
It seems that this experience has been very scary for you and that you won't repeat this.  However, let me stress to you once more that it was not risky for acquiring an STI.  However, it appears to have had a large emotional impact.  I hope you can be reassured and move on.
Terri
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