[Question #5980] Can you help me understand my test results?

19 months ago
I recently got tested for Herpes because my (now ex) husband of 30 years had been seeing prostitutes. It was really just for my peace of mind as I had not had sex with him or anyone in the last 8 years and have never had any symptoms. The dr office MA called and said it only showed I had the "cold sore" type and all was well.  But when I logged into the portal to view my results, The below is what it showed.  Which is the opposite of what the girl said.  I called back and she gave me an answer that didn't make sense then offered to call in a script for Valacyclovir. She said they had no way of knowing for sure if I really have Genital herpes unless I have an outbreak and that I cannot give it to anyone if I am not having an outbreak. (I believe this is false)  As of the time of my pregnancy 22 yrs ago, I was clear.  Is it possible to have genital herpes with zero symptoms for many, many years?  Are the below results conclusive and should I consider myself contagious?
HSV 1 IGG, TYPE SPECIFIC AB <0.90 index Normal Final IG
HSV 2 IGG, TYPE SPECIFIC AB 9.21 index High Final IG
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
19 months ago
First, the way your situation was handled by your doctor's office and the information they gave you is very disappointing and incorrect.  We know with 95% certainty that people who test positive for HSV 2 antibody, have genital infection.  And the CDC says that anyone who tests positive for HSV 2 should assume they are genitally infected.  Your "cold sore virus" is negative, though the test used misses 30% of HSV 1 so we can't really be certain about that one.  I seriously doubt that you were tested for herpes at your pregnancy 22 years ago.  Not all doctors do it even now, much less back then. 
There are some false positives on this test but with your index value, that seems unlikely though it is also unlikely that you would have HSV 2 all these years and not have a single recurrence.  The areas of recurrence would be anywhere in the boxer shorts area.  Does that ring any bells?
You could obtain a herpes western blot, considered the gold standard antibody test, just to be sure.  I did have someone with an index value of 12 on the IgG test who did NOT confirm by western blot so it does happen.

Terri
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19 months ago
"The areas of recurrence would be anywhere in the boxer shorts area.  Does that ring any bells?"   No, the only thing I have had is a little blister from time to time and it is  ALWAYS after wearing a tight fitting Spanx or bike shorts in hot weather. I have been to see the  Dr. for it a couple of times  and was never asked to do an STD test or questioned about it in that way.  How would I go about getting the Western Blot test?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
19 months ago
You can work with your own provider and the University of Washington (206-685-6066) to obtain this or if your own provider declines, I can get this ordered for you. You can sign up for a video conference at westoverheights.com. 

Terri
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