[Question #3023] Newly diagnosed herpes via STD screen

40 months ago
I am a 49 year old woman that discovered that I have herpes. IgG HSV Type I: 40 IgG HSV Type II: 23.  I am devastated and confused. I was in a monogamous relationship from 2008 through 2015. Prior to that, I had been abstinent for 4 years. I contacted my ex-boyfriend so that he could get tested. He claimed that he tested negative. My ARNP said I could have had this since college or six months ago.  I have definitely never had a cold sore or a 'classic' breakout. However, in the past two years, I have possibly had some issues that could possibly be related to herpes including severe vaginal itching accompanied with dryness that I initially attributed to diabetes( I was diagnosed about 3 years ago, non-insulin dependent), and a linear  painless tear down the length of my butt crack.  My  itching was very responsive to  Vagisil. Could you please describe some common (and not common) milder symptoms of herpes so that I can have some since of awareness going forward. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
40 months ago
May I ask where you were tested and are you sure there are no decimal points in there?  If your posting is correct, and anything over 1.1 is positive, you are certainly positive.  but please check all of that.  Do you have the actual results?
Severe vaginal itching with dryness really doesn't fit with herpes but does fit far better with diabetes. 
Many people with herpes don't recognize symptoms, but you might experience lesions or sores anywhere in the boxer shorts area.  That includes the buttocks, thighs, belly.  The sores most often start out as blisters but then break and ulcerate and depending upon the location, scab over.  Facial herpes can appear on the lip or chin or in the nose. Does any of this sound familiar?

Terri
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40 months ago

Ms. Warren,  thank you for your prompt response. I had my STD screening at my doctor’s office.  I was dating someone and wanted to be tested before I took our relationship to the next level. I do indeed have the results, as they have an electronic portal and they called me in to discuss the results.  There is no decimal before the 2 or the 4. It is written as Type I , 40.00 (High) and Type II , 23.00(High). My records say the labs were completed by Quest Diagnostics.   None of the symptoms you described sound familiar.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
40 months ago
well, then, you can rely upon these results as being accurate.  It is likely that at some point in the next 6 months, statistically, you will be able to identify an outbreak.

Terri
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40 months ago
Ms. Warren, may I ask for further clarification re: statistical possibility of outbreak in the last 6 months? Do my IgG levels suggest this possibility? I have not had intercourse since 07/2015.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
40 months ago
No, I was referring to the next 6 months - not the past 6 months.  So very often when one learns that they have genital herpes, they can recognize symptoms of herpes within the next 6 months.  Does that make sense?

Terri
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40 months ago
Yes, I do get it. You are saying that now that I am aware of my diagnosis, I will be more cognizant of symptoms and/or outbreaks. Thank you for your help. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
40 months ago
Yes, that's exactly what I'm saying.  Observe the area covered by a pair of boxer shorts very carefully for changes in the skin, as well as the area around the lips, nose and chin.  It's certainly possible that you will have no symptoms at all but in our research on this topic, most people actually do, they have just not been recognized.  If you do develop a concerning symptom, please have it swab tested right away.  The best swab test is called PCR, and you should ask for that if possible.  You can always renew your questions here if need be.

Terri
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