[Question #4600] Oral HSV2

27 months ago
Hi!

In mid August, I had very small bumps on my upper and lower lip lines. They never became fluid filled and were so small people couldn’t even see them (unless they were looking very closely) but I could feel them there. They lasted for about 6 days. I would say they itched for about 2 days.

I had attributed this to new creams and exfoliant that I had tried and incorporated the night before. (I also had red itchy skin over my face due to the new products.) I was not able to reach my doctor in time as they healed by the time I was able to go to my appointment.

However, just to be safe, I took HSV-1 tests (IgG) knowing that it’s super common. I tested at 4 weeks, 11 weeks and then 13.5 weeks later.    

I tested negative at all times for HSV-1, however, at the last time, I also tested for HSV-2 knowing that while uncommon, it’s not impossible. My results at 13.5 weeks with a level of 2.04 for HSV-2.

This came to a bit of a shock to me, and I’m unsure whether I should re-test. Do you recommend I take the Western-Blot? And if so, how would I go about getting it? 
27 months ago
**sorry, i forgot to clarify that the exfoliant section and facial products were *nights before. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
27 months ago
The Centers for Disease Control recommends that everyone who tests positive for HSV 2 with an index value between 1.1 and 3.5 obtain confirmatory testing as there are some false positives in this range. At an index value of 2.0, there is probably about a 60% chance that this is a false positive. You can work with your own provider to obtain this test from the University of Washington or I can help you obtain the test. If you want me to help you, you need to sign up for a videoconference with me and you can do this at my website. www.westoverheights.com,.  It's good that you have waited this long after any concerning encounters to do this test. I understand that this result is disconcerting and hopefully, you can obtain some clarity with the Western blot. Please let me know what else I can do to help you clarify your situation

Terri
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27 months ago
Thank you for your response Terri!

I am also worried because my supplemental test from LabCorp came out positive for the 2.04 result. 

I have been in a monogamous relationship with my partner for 3 years, and I have also asked him to get tested as well. However, I'm confused, being that if he (or I) were infected with HSV-2, wouldn't my anti-body count be higher way than 3.5 by now? 

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
27 months ago
Not necessarily.  I have certainly seen people with true positives at this level.  But you need the western blot.  I am unconvinced that the confirmatory tests offered by the commercial labs are terrific.  I am glad you have asked your partner to be tested - that will help guide you when you get your western blot results back.  Please do it.

Terri
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