[Question #6155] HSV Expertise Needed
68 months ago
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I am a 27 year old healthy female.
In July of 2018, I was diagnosed with genital herpes based on a positive culture from an active lesion. As far as I've been told, this test did not distinguish between HSV 1 and 2. The outbreak occurred after having vaginal and oral sex with someone who I later found out has had oral cold sores. I have not had another outbreak since then. These things considered, my guess was always that it was HSV 1.
I recently became curious enough to get HSV 1 and 2 antibody tests, which were both negative. I repeated the tests and they were negative again, leaving me and my doctors pretty confused.
I read an article written by a woman in a similar predicament that cited some great information from conversations she'd had with Dr. Handsfield and others, including that the HSV 1 antibody test has a 10-15% false negative rate.
The most likely conclusion that I have come to is that I have HSV 1 with antibodies at an undetectable level. My questions are:
Would you agree with this? Are there other possible explanations?
How likely is it that I will transmit the virus to another person genitally to genitally? What about genitally to orally?
Is the transmission rate high enough for either route of transmission that the best practice is to continue disclosing before every sexual encounter?
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Terri Warren, RN, Nurse Practitioner
68 months ago
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68 months ago
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![]() |
Terri Warren, RN, Nurse Practitioner
68 months ago
|
68 months ago
|
![]() |
Terri Warren, RN, Nurse Practitioner
68 months ago
|
68 months ago
|
![]() |
Terri Warren, RN, Nurse Practitioner
68 months ago
|