Completely ignore the IgM test - it has, in my experience, about 85-90% false positives and the CDC says never to use it to try to diagnose herpes.  It is a shame it was done at all. 

Your symptoms do sound like herpes BUT if you have been taking daily antiviral treatment since your visual diagnosis, it will most definitely impact the IgG test.  Was no swab testing done of the sores? 

Has your partner been IgG tested for HSV?  If not, he should be and I'm glad the other person is doing it.

You may wish to consider going off the antiviral medicine and waiting a few months and doing the testing again.

Have you ever in your life had a cold sore on your lip?

Do NOT assume you have HSV 1 genitally at this point - not enough information for that.

Terri

I am no longer on Valtrex. I only took anti virals from 2/17-2/25

(Blood tests were done on the 25th )

On 2/17 When I went to Urgent Care , I didn’t have insurance, was in Hawaii at the time, they didn’t swab the sores 

And on 2/25 when I came back to Maryland my regular Gynecologist didn’t see any sores outside the vagina or inside. They healed completely in a week with no crusting or anything.

I haven’t had any cold sores that I remember maybe a tiny painful cut on the outer corner of mouth.

5 years ago when I was married I saw a urologist who claimed the small cut on my  outer labia lips was a sore and put me on Valtrex.  My ex husband always had canker sores inside mouth. 

She did an IGG which was negative so I was told probably not herpes. I haven’t had sores only feels like cuts around perineum after sexual intercourse  and a burning feeling during sex sometimes. I also have burning inside Urethra sometimes but I told maybe Interstitial Cystitis. 

However this particular outbreak  was  like the classic herpes with fever , chills and very painful blisters. 

Do you think maybe I have Type2 genitally and also type1 orally? 

Should I get retested in 3 months time? 

Well, you did have something and the trick is to find out what.

Yes, I would suggest that you repeat the test when 12 weeks have passed since the encounter (you could test at 6 weeks with 70% sensitivity on the test).  The western blot is the best test but a positive IgG result at greater than 3.5 would be diagnostic.  The IgG test misses 30% of HSV 1 infections and 8% of HSV 2 infections compared to the western blot

Terri

Perfect plan, good job. 

Terri