[Question #6541] Should I get tested?

13 months ago
Hi doctors! 

I have gone back and forth for many years on getting a HSV1 and HSV2 blood test.  I have had normal paps every year since I was 16 and highly aware of what’s going on with my lady parts. I am what my OBGYN would call a hypochondriac. One summer I went to my OBGYN 8 times - LOL! 

A little quick background - I was in a committed relationship with a guy about 5 years ago for about a year and about 6-7 months into our relationship, we were having sex and I remember being pretty dry down there and it was rough (so sorry TMI). I remember vividly saying OUCH and feeling a rip down there. Maybe the next day, near my vaginal opening, I see what looks like an ulcer (not red around the edges) no pain and just 1. I couldn’t go to the doctor at that time and within 3-4 days it was gone completely no scabbing, pain, or anything. I told myself that if it was what I thought it was (herpes) it would show up around the same spot again and this time I will make it to the doctor. Well, it never did. Here we are 5 years later and I’m still anxious. I have been to the OBGYN for every single bump and each time they tell me it’s not herpes. I told them my concerns and they recommended against it with my lack of symptoms. 
I have now been in a domestic monogamous relationship for 4 years (now engaged) and my fiancé knows all my craziness and he said he has not had one bump or symptom of anything. 

My question is, should get tested? 

Thank you! 
13 months ago
Forgot to mention that my OBGYN stated that this incident was probably from being dry. Since it went away very quickly and that it never came back. 

I thought I would come to the experts to finally put this thought to rest. 

Thanks again!
13 months ago
Hi sorry to bother you all again and I am sure you are very busy so I don’t want to be annoying but I see Dr. hook is active on here, could you help me out? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
13 months ago
If you have no lesions to swab test, which you don't apparently, and never had had again, the only option for you to find out if you have HSV 1 and/or 2, is to do an antibody test.  it sounds like this has been on your mind for a very long time now - it might be worth doing.  The best antibody test is a herpes western blot, done only at the University of Washington, but you could start with the IgG test.  The IgG antibody test misses 30% of HSV 1 and 8% of HSV 2.  It would be highly unlikely that if you had HSV 2, it would not have recurred by now but I have seen this happen in the past.  The ulceration could very certainly have been from trauma from having sex when your vagina was dry.  Were you the receiver of oral sex from your previous partner and do you know if they had ever had a cold sore?  I am asking because this presentation is more consistent with HSV 1 than HSV 2 IF , and that's a huge IF, this was herpes.  My guess is that is was not herpes but that's strictly a guess.  The fact that it was not at all painful is significant as is the fact that it has never recurred.  The thing is, all these  years later, you are still worrying.  The risk of getting a false positive, based on our study of 7,000 patients, is about 3%.  That's not high and if you do the IgG test, and get a questionable results, you can always get the more expensive herpes western blot.  Or you could start with the blot.  This is all YOUR call.  Please talk to me and let me know your thoughts about all of this, Ok?

Terri

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13 months ago
Hi Terri!

Thank you so much for your responsive and I appreciate all of the insightful information. It’s been very helpful! 

The ex boyfriend had never had a cold sore before and he performed oral maybe 3 in our relationship so, I was mostly the giver. 

Also my fiancé has never had a cold sore or bump down there either so he isn’t worried about it at all. It’s mostly me not being able to sleep thinking that I could have something I don’t know about. 

You are definitely right that all these years later it’s still on my mind so, I think I’m going to get the igG blood test tomorrow and just hope for the best. 
13 months ago
After the igG, depending on those results, I’ll get the western blot. 

Also, the ex boyfriend is now engaged and said he doesn’t have any STDs. 

A few more questions: 

Do you know how much the western blot test is? 

How long does it take to get the results back? 

Is it possible for a herpes outbreak to only last for a few days?

Thanks again! 


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
13 months ago
The western blot test itself is around $260.  You will need to find a clinician to order the test and a lab to draw and spin your blood.  If you have difficulty with that, I can help you westoverheights.com.  It takes around 1-3 weeks to get the results back.  it would be unusual for an outbreak to last only a few days.

Terri
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13 months ago
Hi Terri,

I got my blood test done Thursday and am hoping to have my results back on Monday. Super anxious for these results. 

I know some people can be asymptomatic but, is it somewhat reassuring that my fiancé in the 4 ish years we have been together, he has not had a cold sore or any bumps down there?

I think if it was HSV2 that like you said, it probably would of showed up again or my fiancé would of gotten either a cold sore or a bump on his penis. 

Thanks again for your help! Have a great weekend! 
13 months ago
Also want to add that he got tested for HSV1 and HSV2 iGg all negative about 4 years ago too 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
13 months ago
if you had HSV 2, you might or might not have infected someone else, that's not a given.  So you had an IgG test, right?
You've gone way beyond the normal number of posts that you've paid for.  I'm going to close this out and if you have more info for me, make a new post and remind me what we talked about, OK?

Terri
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