I have had several STD blood tests conducted after an encounter in 2016, several weeks and months after the fact. All negative results. I continue to fear I may be an asymptomatic for herpes 1 or 2. I just took another IGG type specific test 1/3/2019)for both and i continue to be negative <0.90 for both. From everything i have read, this is a very accurate test especially after 6 months post exposure. So am I then negative in your opinion? It has been over two years post exposure. The reason I continue to be concerned, is my wife over the course of the last year has had 4 outbreaks of what appear to be herpes lesions on the corner of her mouth/lip. She has not been tested. We are open with each other and she knows that i have tested, and she has an appointment to speak to her physician about this next month. So if i test negative IGG after this long after the exposure, am I absolutely HSV free both now and in the past? Thank You

The IgG test, compared to the gold standard western blot, misses 30% of HSV 1 infections and 8% of HSV 2 infections.  I wish I could tell you the test is as good as it says it is but our research study looked at the accuracy of the test in a population of people who are requesting screening for HSV 2, not people who already have had a positive swab test, which is how the companies marketing the tests, come up with sensitivity of the test.    Here is the reference for this study: 
---

Thank you. So the western blot is the only definitive way I can find out for sure whether I am asymptotic with HSV, correct? Also from what I read it is only performed at Uof W, so do you have information on how I would go about having this test, or if I would even qualify to have it done. Thanks for your time.

---