[Question #6195] Should i be tested?

16 months ago
Hello,

I accidentally ordered two questions so figured i might as well ask another.

What is your opinion on hsv testing? I have shown no obvious outbreak symptoms, but google tends to think any possible yeast or irritation is herpes. Do i get tested? I know it is not usually recommended unless symptoms show but i keep going back and fourth. What are your thoughts on getting tested without obvious symptoms? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
16 months ago
It depends upon what you mean about no obvious symptoms.  If you have recurrent symptoms such as itching or breaks in the genital skin, I think that testing is warranted.  The risk with testing for herpes via antibody is that a false positive will occur.  We kept track of patients who were tested for herpes by IgG in our clinic for seven years.  Every patient who presented for STD screening was also offered herpes antibody testing.  of all of those patients, only 6% fell into the low positive range, 1.1 to 3.5, which is where we see the vast majority of our false positives.  Clearly, people who aren't sexually active or who have no concerns about STD's don't need herpes testing.  But if you have partner change or  symptoms that concern you, IgG antibody test may well be appropriate for you.

Terri

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16 months ago
What do you mean by “a false positive will occur”? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
16 months ago
oh.  I should clarify, of course.  Sometimes people will get a test result that says they are positive (and, thus, infected with herpes) but it is really not true.  That is the definition of a false positive.

Terri
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16 months ago
I understand what a false positive means. I was confused on how you phrased the certainty of it. You said it “will” occur but did you mean it “could” occur? I have seen here that you talk about igg tests as an option and i received one just incase.  Now i’m not sure if that was a mistake as you seem sure it will be a false positive. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
16 months ago
the RISK is that a false positive will happen - not that it must happen - that it is the risk of doing the test.
Perhaps it would be clearer to say a false positive is a risk of taking the test.  I tried to explain that it happens quite rarely in my description above.

Terri
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16 months ago
The good news is my test came back negative. 

One last question. I used to get cold sores as a teenager but haven’t had one in so long. I do take L-lysine supplement mostly everyday which is supposed to help with the reoccurances. would this mess with the test or alter the  hsv2 negative result?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
16 months ago
Nope, this would not mess with the test results at all.  Glad to hear your test is negative

Terri
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