[Question #4765] High, Negative HSV Value

28 months ago
Hi, I have had 5 full STI tests since October 2016.  Each one has shown a HSV 1/2 IGG Type Specific AB result of <0.90 (Explanation says Value of <0.90 = Negative, 0.90-1.10 = Equivocal, etc.) Explanation further states if the results are negative or equivocal, test should be repeated in 4-6 weeks.  I can't tell if these tests just don't distinguish anything other than "less than 0.90" like, can I get a result of 0.40 ? or is my <0.90 close enough to equivocal to be concerning?  Or mean something else like I'm a carrier, but will never show any symptoms?  My mom had visual lip herpes, my husband does as well, but I've never had a sore on my lips or genitals and I have no signs of herpes.  Just an active social life, with condoms for intercourse, but not oral.  I am a female of 46.  THANK YOU!!!
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
28 months ago
Many labs now simply report negatives as negative without an index value.  That's OK.  No worries.  But here's the deal - the Igg test misses 30% of HSV 1 infections compared to the western blot (better for HSV 2 but the regular condom use for intercourse should reduce that risk greatly).  How do you feel about that?

Terri
---