[Question #5304] Question about HSV2 exposure

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75 months ago

I dated a guy who himself tested negative for HSV1 and HSV2 (Igg serology) just before we started dating in October 2018. We were in a monogamous relationship from Nov 2018 to March 2019. He informed me at the beginning of April that he had just tested positive for HSV2 via IGG serology. He has since had a second IGG test to confirm positive result. I immediately went out and had the IgG test done and was negative for both HSV1 and 2. But I’m still living in complete terror. I know it can take months for seroconversion so technically if he was asymptomatically shedding towards the end of our relationship then I could still have HSV2 and just be testing negative because my body hasn’t had long enough to build up antibodies. I also have Obsessive Compulsive Disorder and find myself researching HSV2 non stop. I’m depressed. I feel like I’m in limbo- do I have it? Do I not? Dare I try to date anyone? If I do date someone then what do I tell them? “Hey I may or may not have been exposed to HSV2 but my first test was negative but I can’t test again for another few months.” Because of my OCD I find myself compulsively checking for lesions all the time. Now I understand why the CDC recommends not testing for HSV unless the patient is symptomatic- this not knowing if I have an STD is causing me severe anxiety. Please help- I don’t know what to do.

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Terri Warren, RN, Nurse Practitioner
75 months ago
This is very odd - I answered this question so don't know where the answer went.  it can take up to 12 weeks for antibody to be produced so that's when I would suggest that you retest.  If you've had no symptoms, I don't think you need to live "in terror".  Also, I would be good to look at his index value for the positive HSV 2.  If it is below 3.5, it could certainly be a false positive and he should seek a confirmatory test.  And if he was tested at the beginning of the relationship and was negative (are you sure they included herpes testing?) and you only had sex with each other, how could he have acquired HSV 2?

I would suggest you stop searching for herpes information on the internet and checking so often.  If you want to date again and have sex soon, I would strongly suggest that your partner use a condom. 

Terri
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75 months ago
I spoke with him to clarify and it turns out that they did not test him for HSV when he got tested right before we started dating. He was last tested for HSV in 2017, meaning he acquired it sometime between then and when we started dating, although has been asymptomatic so they only tested him because he asked to be tested for “everything.”  We first had unprotected sex in December and I tested definitively negative (<0.91 IGG) 15 weeks after we started having unprotected sex (in April).
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Terri Warren, RN, Nurse Practitioner
75 months ago
what was his index value on this HSV 2 IgG test?

Terri
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75 months ago
His first one was over 5 and then increased even higher for his second test. So he definitely has it. He’s just not sure when exactly he got it (sometime between 2017 and 2018) since he’s never had any physical symptoms 
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75 months ago
But then I tested negative 15 weeks after we started having unprotected sex (however even when we started having unprotected sex it was rare and we usually used condoms due to me not being on birth control).
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Terri Warren, RN, Nurse Practitioner
75 months ago
Well, he didn't get it from you if you are testing negative (at least with 92% certainty).   You mention that you tested negative 15 weeks after you STARTED having sex with him, how long ago was your last encounter with him?  My recommendation would be to retest with the IgG test or the better western blot when it has been 12 weeks since you last had unprotected intercourse with him.

Terri
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