[Question #6394] Herpes 2

16 months ago
I had STD test back in March of 2019 everything came back negative expect HSV1 (I get cold sores). I was in a monogamous relationship I thought until I found his tinder profile, he breaks out into all sores/ blisters. The hospital did NOT do a viral culture even though he had active lesions and  instead did an antibody test and he comes back negative. 
I get tested and I come back equivocal at 0.95 I did the repeat testing and I get a 1.68. My question would be should I get a confirmatory test? And also being that my hsv 1 each time keeps going up could that be affecting my hsv 2 numbers? 
Hsv 1 numbers went from 24 then to 30 then to 38. I really feel horrible about this whole situation. 
16 months ago
Also if he is negative on IGG and out of nowhere I am positive when I only had sex with him. My IGG is  1.68, does that mean I gave it to him?  Could it be possible to have HSV2 orally since I gave him oral right before the first outbreak. I also had unprotected sex a few times with another person before I knew of this problem, what are the chances I transmitted it to him? Would you say I have herpes and it’s unnecessary to doWestern. His symptoms included back ache, fever, chills, then the blisters appeared but the hospital only did  a blood test and no swab which doesn’t help me and his IGG came back negative.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
16 months ago
Are you certain that you get cold sores and not canker sores?  They are different.  If he only has HSV 1, then that means you both do and it's highly unlikely that either of you will get it in a new place.  I'm a little confused about where he got sores and blisters - was it orally or genitally?  It was a HUGE error not to swab the lesions but are you saying he was negative for both HSV 1 and 2 and then his numbers went up to 38 for one or the other?
If you have had cold sores in the past, you have HSV even if your test was negative.  The IgG test for HSV 1 misses 30% of infections so all of this is possible.  Are you saying that his Tinder profile shows he is having other partners?  At some point, an HSV 2 antibody test should be repeated for you.When you say your test was equivocal then 1.68, are you talking about HSV 1 or HSV 2?  I'm unclear

Terri
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16 months ago
Hi Terri thanks for the response. 
I was tested for both hsv 1 and hsv 2 in August 2018 and March of 2019,  hsv 1 came back as positive I used to get cold sores as a kid. (24 to be exact)
We have been together since August of 2018 “monogamous” 
Around September of 2019 I found out he was on tinder while we were still in a relationship, I am assuming to have sex with others therefore I texted him and requested my stuff back in October.
He explained that he was in the hospital with sores/ blisters around his scrotum. The urologist looked at it and said it’s not herpes while another specialist said it’s herpes but both failed to swab it. I found out they only did an IGG blood test on him which came back negative for both hsv 1 and 2.
I get a blood test and it came back equivocal at 0.95, I do the repeat testing and it came back 1.68 for HSV 2, Should I get the western blot? 
My question was since my hsv 1 numbers kept going up from each blood test could that be affecting my hsv 2 numbers? my hsv 1 went from 24 to 30 to 38 could those numbers be causing the hsv 2 to go to a low positive? And also if I gave him oral 2 days before the break out could hsv 2 be found in my mouth? I have yet to see any symptoms, the whole situation is making me panic. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
16 months ago
OMG what a disappointment for you!  I would encourage you to repeat the HSV 2 IgG when 6 weeks have passed since your last sexual encounter with him.  If the result is greater than 3.5, you should consider yourself infected.  If the number continues to be below 3.5, I think you should obtain the herpes western blot.  It is possible that your HSV 1 is impacting your HSV 2 index values, yes, or he could have newly infected you with HSV 2 after having a new partner.  Very sorry you are going through this confusion.

Terri
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16 months ago
Thank you Terri, I really appreciate it. 
One last question I know it is unlikely but is it still possible to have hsv 2 in your mouth? Or impossible for me since I’ve already been infected with hsv 1 there? I gave oral right before his primary outbreak. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
16 months ago
It is possible, yes and your oral infection with HSV 1 would like not prevent that entirely.  But oral HSV 2 is rarely shed from the mouth but it's not zero days.  And since you' ve not had any outbreaks subsequent to that, it seems less likely.  Let's see what your index value is 6 weeks out.

Terri
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