Hello, I had an unprotected one night stand  (oral/vaginal) 11 months ago.  About 4 weeks after my encounter I started experiencing low back pain and shooting nerve pain from my buttocks into my  legs and feet. Mainly my left leg. This pain continues everyday to this day. Almost 1 year now. I have never had any form of lesions or outbreak. I had  type specific HSV tests at 5,14,25 and 30 weeks post possible exposure. My lab told me it was the Western Blot test. I still have the nerve pain in my legs but I decided to trust the testing and move on with my life.  Recently, 9 months post possible exposure, my partner took an IgG test and it came up positive. It wasn't type specific.  She doesn't want to know the type.  Almost 2 weeks after her positive result, she got a cold sore on her lip. She says she has never had one before. I have been with her over 10 years and I have never seen her have one. It has taken almost 1 month to heal.

First of all, most symptoms of infection appear within 2-10 days.  You've had no genital sores and also herpes does not provide symptoms daily, such as the ones that you are describing here. 

I am completely unclear about what test you actually had one due to very confusing descriptions on that web page.  I am not aware of any place in Canada that actually doe the western blot.  Could you please get an actual copy of the test results and post them here, word for word?  Were all of your tests negative for both HSV 1 and HSV 2?  If this was an IgG test, it misses 30% of HSV 1 so you could have HSV 1 and passed it to her.  It misses HSV 2 far less frequently. 

You could actually obtain the western blot if you could find someone to draw a single serum separator tube and have a clinician order it for you or I can place the order for you if you cannot find someone to do that for you.  You'll need a lab requisition from UW for that.  I think there are still many unanswered questions here.

Terri
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Here are the results copy and pasted:

Is this what the Western Blot test results look like? I notice it says IgG but doesn't give any values.

No, this is an IgG test, not a western blot, they are completely different tests.  Not all IgG tests give index values. 
HSV 1 can be transmitted from the genitals to the mouth but that happens rarely as HSV 1 genital infection is shed infrequently so picking it up by giving oral sex is quite uncommon - I don't think I've personally seen that.  The reverse is quite common.  HSV 2 orally is rare because HSV 2 has a strong site preference for the genital area - there is something about the virus that strongly prefers to live in the genital tissue.  It can live orally but it's far less common.

Terri
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So considering all the information Ive provided, my continued negative IgG results, If I did transmit it to her orally, what type is it most likely to be? And how should I proceed? Based on your personal opinion. 

Well, by IgG you are negative for both but the test does miss 30% of HSV 1 and 8% of HSV 2.  So I'm a little confused about your transmitting to her?  but if you did, the test is more likely to miss HSV 1 than HSV 2. 

Terri
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