[Question #4952] HSV-1 and HSV-2 IgG Testing Positive with no history ever of outbreaks of HSV 2

27 months ago

I am a healthy 64 yo single male recently, and past tested positive on HSV 1&2 with the following numbers most recent,  HSV 1 Glycoprotein G AB, IGG Results 34.70 <=0.90 Index, HSV 2 IgG, Type Spec Results 2.11 <=0.90 Index.

I was tested 12 years ago and told HSV 1&2 both tested pos but got no number results or even test type. I was married about 22 years ago briefly (<2 months) and was informed after exposure with unprotected sex that my wife then had HSV 2 pos with outbreaks and had an outbreak occur two days after sex. I was assuming that's when i was infected, here again, I've never had an outbreak of any kind but had 2 pos tests, I dont even know what the first test was 12 years ago. Assumed and was told by my Dr. I definitely had HSV 1&2. Now reading the testing accuracies, and the fact that I've never had an outbreak I seriously question their accuracy. My HSV 2 IgG number of 2.11 seems low and I read on a website that these tests should never be considered fully conclusive if there are no history of outbreaks because of false positives.

This is about to ruin a relationship I'm in where my 59 yo girlfriend is freaking out because she cant accept that risk and loves unprotected sex and has never had but limited sex partners, maybe 2or3, where I have had maybe 12 partners in my life.

My question: is there anything I can do to get better, more conclusive results since I've never had an outbreak of any kind that I'm aware of.

Also I was involved in a 3.5 yr relationship with an HSV 2 pos female 5 years ago (becaus) which we had unprotected sex, but she never had but one episode in the 3.5 years and we didn't have sex within a week of that minor rash on her buttocks.

This is really causing both myself and my girlfriend terrible emotional stress over an invisible disease. Please help with advise on proof positive results that i can put her mind at ease, or if pos conclusive, move on with my life, which I don't want to but am being forced to if tests are pos conclusively.

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
27 months ago
Your index value of 2.11 falls into the low positive range and absolutely needs confirmation with the western blot.  There is about a 50-50 chance that this is a false positive.  You can work with your own provider to get this test from the University of Washington or you can work with me at westoverheights.com.  I would urge your to do it soon so you can be clearer about your status with this new partner.

As she actually been tested for HSV 2 as well?

Terri
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27 months ago

Yes I informed her up front. One night we got excited and did some mutual masterbation of each other. Keeping in mind she hadnt done anything like that in 12 years, meaning she was very sensitive and my hands are just a little rough, long story short she got some blisters, no itching but she freaked out and insisted she was infected three days after skin contact only. I think it was just skin irritation blistering from the excessive masterbation at a sensitive area that her tender hands had only been in contact with for 12 years, we did get a little rough. So she went and got tested but the blisters were gone by then, it was less than 10 days after the occurance and I dont know what test it was but her GP administered it and it was blood so Im guessing IgG, I dont know. It came back negative but I dont think it was a long enough incubation period that she waited before testing and the blisters had cleared up so they couldnt test them, in any case the tests were neg. She's clean and I'm tainted in her mind, you see the dilemna.

I'm on Long Island so I am having trouble finding a Dr that specializes enough in STDs to know where to go, they have just confused me with more of the same tests recommendations. No-one has mentioned the WB test to me, I didnt know about it till I read it on here.

Can I order the test through you and find a Dr here to administer it, or have you reccommend a Dr here that can? I dont know how it works or what is required to be compenent with it. Please advise!

I might add I was married 10 years in a monogomous relationship after my short marriage encounter with the HSV 2 wife, I did not have an STD test before that marriage, I thought that's what blood tests were for getting married and we did have blood tests. Could you clarify on that?

In that 10 year marriage I nor my wife ever had any outbreaks or problems but neither of us knew there was a risk nor did I suspect, ignorance is bliss I suppose. Since this pos test results 12 years ago, I have had ED problems in the bedroom, no problems alone, just with a partner. I think because of this public ridicule and opinion of HSV 2 POS test results praying on my mind that Im going to pass on this horrible curse to someone I really care about, I dont sleep around, with me it's not sex, it's love, that's my problem.

Easing my mind would be life changing either way, I could move on hopefully knowing. I love this lady now but this ruining (if not already ruined) our relationship. I need to know conclusively if this is real or a false pos.

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
26 months ago
I do see the dilemma. 
You can definitely order the western blot through me, yes.  We will have a consult via videoconferencing and I will then email you complete instructions about the process and the lab requisition that you need to get the test.  I will refer you to a laboratory that I work with to get your blood drawn.  You will need to contact the University of Washington to get the western blot kit sent to your house. It is not a complicated process.  I do the consults on Tuesdays and I think there are still a few openings for this coming Tuesday if you are interested in making an appointment, westoverheights.com. 
Let's get this sorted out so you can live clearly, one way or the other.

Terri


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