[Question #3512] HSV1 & 2

37 months ago
I just got out of a 15 Year monogamous relationship where she had genital herpes from a previous relationship.  Im not sure if it was HSV1 or HSV2.  In addition, she never had a breakout during our relationship and wasn’t on medicine for it.  I felt I should get tested before having any new relationships so I got a 10 panel test performed which came back negative for all of the STD’s it tested for including HSV1 and HSV2. However, I feel in the past few years that I potentialy  have  HSV1 orally because of tingling small pimple that happens on my upper lip periodically. Then one of your experts said that the test I took I is only 30 % effective for HSV1, so I still might indeed have it.  My question is, since the test I took said I’m negativel for HSV1 and HSV2, can I still have HSV1 genitaly?   And if so can I give this to someone else?  Is this a risk like HSV2? Should I protect against potentially giving this to someone else?  I thought HSV2 would be the one to worry about.   Thanks 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
37 months ago
The IgG test misses 30% of HSV 1 infections compared to the gold standard herpes western blot done at the University of Washington so it is not a total surprise that you would have a test that missed your suspected HSV 1 history.  And you note this in your response to me.  So when it misses an infection, it misses it at any location.  The test is only looking for antibody, and if present, it does not indicate the location of the infection - it only tells you that you have it or you don't have it. 

Most of the US population has HSV 1 infection so it would not be surprising if you ended up having a sexual relationship with someone with HSV 1.  The problem is, unless they report a history of cold sores, it is difficult to know if they have HSV 1 or not, even if they test with IgG, given its poor sensitivity. 

If you want to know for sure if you have HSV 1 you can get the western blot done through the University of Washington and your provider or if you are unable to do that, I can help you with that.

Terri
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37 months ago
I think I would like to get the western blot test done.  Let me know how you can help me get this done.  Thanks. 


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
37 months ago
I can help you with this order, yes.  You will need to sign up for a video consult with me first to discuss the testing and the study we are conducting in regards to this test.  The website is westoverheights.com, there is a big box you can click on the home page to start this process that says "video conferences".

Terri
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