[Question #5392] HSV2

22 months ago
Hello 
I am a 39 y/o healthy female with past medical history pos for HSV 1 ( cold sores) not taking any medications.
Recently at a screening test I was diagnosed with pos HSV 2 HSV-2 TYPE SPEC AB, IGG W/RFLX was 6.67.
I have been with only one sexual partner which is my husband. My husband prior meeting me has had few other sexual partners.
This is the first time I have a positive test the other 2 times when I was checked was during my prenatal visits. I have 2 children a 14 y/o and a 10 Y/0. I have been married for 17 years as I said with no other sexual partners 
It it possible for me to come out positive after so many years and test negative during the prenatal visits? I also had a recent genital lesion which I know now it was HSV 2. 
My husband denies any outbreaks of herpes but I know they can go Unnoted. He also denies any new sexual contacts since we got married. Is it possible for me to test negative and then all of the sudden positive? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
22 months ago
Are you certain that you were tested for HSV during your pregnancy?  It is not usual.  However, I am having trouble reading the context of your question - were you positive or negative at your prenatal visits?  I think you are saying you were negative at these prenatal visits. 
If your husband has been your only lifetime partner, then you had to get it from him, right?
So either he's had it all along or had another partner somewhere along the line.  It is most CERTAINLY possible that he has had herpes all this time and just recently infected you.  The transmission rate per year from an infected male to an uninfected female is about 10% per year having sex about twice per year with no condoms and no antiviral medicine. 
You know your husband probably better than anyone - are you concerned that he has had another partner?

Terri
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22 months ago
Unfortunately since it was long time ago since my pregnancy I do not have a copy of my blood work. My question is : is it possible for my husband to be infected all these years and passed it to me but only recently to test positive? Also is it possible to have a first outbreak after 17 years after exposure ?
Is it more likely for him to have had an affair and recently exposed me and thus my genital sore and positive HSV 2 ? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
22 months ago
Yes, that is most certainly possible.  And it is also possible to have a first recurrence 17 years after a first infection. 
There is no reason at all for me to believe that he has had an affair, in our discussion about herpes
If you had an index value of 6.67 at the same time you had an outbreak that was swab tested, then clearly you were infected well before this outbreak.  You would not achieve and index value that high immediately.  Is that how the testing sequence went?
If you were not tested during pregnancy (and I honestly doubt that you were), you could have been infected for many years prior to this.

Terri
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22 months ago
Ok thank you!
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
22 months ago
You're welcome

Terri
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