[Question #5276] HELP

22 months ago
I had unprotected sex . I was  worried afterwards and went to an urgent care because I felt like I had a yeast infection. The doctor examined me and said she saw yeast. It was 2 days after the event. She prescribed Fluconzole150 mg 1 dose. I had no sores or blisters. Since I was concerned she did a  full STD
test . Everything came back normal except the Herpes test.
The results were for HSV1/2  Type Specific.
The HSV 1 IGG  was <90
The HSV2 was 6.62 H. They told me to see my family doctor. I have not gone in because I do not have symptoms, blisters etc. I finished the Flyconzole and feel fine. 
What do I do? I only remember having a blister on my lip years ago. My parents get cold sores as well after illness. 
I have had chicken pot, been exposed to shingles and mono. I also have has the Chicken pox vaccine. 
Do have truly have Herpes? I am confused as to what I need to do.
Thanks for your guidance.

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
22 months ago
your 6.62 almost certainly indicates that you are infected with HSV 2. 
What do you mean that you were exposed to shingles?  Shingles and HSV 2 are often confused with each other.
Even if you have had no symptoms that you recognize you are potentially infectious to sex partners and may wish to consider taking daily antiviral medicine to reduce (not eliminate) the chance of infecting another person. 
The Igg for HSV 1 misses 30% of HSV 1 infections so the fact that you have had a blister on your lip suggested that this may be the case for you.  A herpes western blot would clarify your HSV  1 situation and that might be useful to know as you approach sex partners with your now known HSV 2.
Please let me know what other questions you might have.

Terri
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22 months ago
My brother in law and sister both had Shingles . I was around them during that time. 
Is it possible the HSV 2 at 6.62 is the Shingles antibody?

I really haven't had many sexual partners. I don't know where or who I gave me this .
Your suggestion is to go to the doctor and obtain the western blot test? 
What treatment would you suggest I begin for the HSV 2? 

I am so upset and don't really know how this is going to effect my life. 

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
22 months ago
No.  The test is specifically for herpes antibody.
You don't HAVE to ask your physician for the western blot (and it is only done at the University of Washington through a special kit) but that would be a confirmatory test if you feel it's possible that this is a false positive result.  I honestly doubt that thoug.
If you've had no outbreaks, you don't need medicine unless you would be using it to try to reduce transmission to future partners (cuts it almost in half).  the most commonly used medicines are acyclovir 400 mg twice a day or valacyclovir 500 mg once a day - both prescription medicines.
I would suggest that you start by doing some reading - we have a free handbook to download at westoverheights.com.  Then if you have more questions, you can come back and post them here.

Terri
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