I was diagnosed in Jan of this year with HSV 1+2. I have had only three partners total, and most sex has been oral. I was experiencing discomfort in my genitals so went to the doctor and what I hoped was razor burn or general irritation was swabbed and  then I had blood work.The results came back positive for HSV1 and 2.Horrified, I began to read everything I could find from reputable sources (CDC, etc) and learned that the testing I had from Quest may have been unreliable. 7 months later I requested new tests for comparison.The numbers don’t make sense to me and I really want to know what I have. Jan 2019: rapid culture ISOLATED/HSV1 IGG 26.8/HSV2 IGM 1.32, IGG <.90. July 2019:HSV1 IGM 1.20, IGG 10.0/HSV2 IGM 1.20, IGG <.90) I don’ see evidence of HSV2 in either IGG test,only the IGM,and that is said to be unreliable. Can you please clarify. My doctor seems to be focused on the IGM results. 

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Thank you SO MUCH for your reply. I have several more questions please. 1) Is it the word ISOLATED that mean the virus was found in the swab?  2) You said high IGG numbers mean it isn’t a new infection. What kind of timespan do you mean by NEW?  Months, years, since childhood? 3) What does it mean that the IGG went from 28 to 10 in seven months?  4) Should  I accept the HSV1 positive result and  HSV2 negative result based on the IGG, or is there any reason to retest at some point? 5) What sexual precautions should I take going forward with genital HSV1? I can’t thank you enough for sharing your expertise. Such a scary time for me. 

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