[Question #5357] Hsv2 equivocal

21 months ago
Today i received results that say I had an equivocal HSV 2 of 1.1, hsv1 neg and all other stds neg. i had Mono in Jan-March, too.  My previous test was negative after a while not being with anyone, right before I had the sexual partner I will tell u next. . (It is an Igg test from labcorp)

I gave oral sex to an untested guy about 8-10 weeks ago, not sure,  and now i am with a guy who hasn’t been tested and has no symptoms but has been active enough to test for every other std (except herpes).he of course claims he wasn’t “it” 

What does this mean? Do I have herpes? Could i have gotten it from the oral from 2 months back? Or can it be a false positive?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
21 months ago
At this value, no, it is not proven that you have herpes. And it I think it is very unlikely that you do.   Even if it was 1.2, there would be greater than an 85% chance that that would be a false positive.  Your value is right on the cutoff of positive.  It is unlikely that you acquired HSV 2 orally.  You may wish to retest when you are 12 weeks out from the encounter.  It could be negative or still equivocal or even in the low positive range.  If it is a low positive then, you should obtain a confirmatory test - either the Biokit of western blot.  Let me know what other questions you may have
Terri
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21 months ago
Thanks Terri! Super helpful to know that oral sex has very low probability of transmission of HSV2

Can the person I am with now, these last two weeks, have transmitted the virus, though? How long after exposure do you generate antibodies?

He has no symptoms (but says he has a sore throat a couple of weeks ago)
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
21 months ago
It is possible that you could have acquired HSV 2 from a partner in the past few weeks and it wouldn't show up on an antibody test yet, yes. By three weeks from infection, 50% of people will be positive (who are going to be positive) and by 6 weeks, 70%.  Some people can take up to 12 weeks, especially if they have taken antiviral medicine.

Terri
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