[Question #6836] Question 6817 Continuation

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
10 months ago
I'm here to answer this post!

Terri
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10 months ago
Test
10 months ago
Hi Terri please ignore test message. Was having trouble posting! This is continued from my question 6817. It seems there is a glitch if you copy and paste text.

That put it in a new perspective for me. Three of the four possibilities are kind of ruled out for me when I think over it... HSV2 would have more than likely been picked up by the multiple IgG tests so that's all OHSV2 and GHSV2 out. GHSV1 one is very rare to transmit from genital to genital, as you confirmed.

That just leaves me with OHSV1, the only real possibility. The guy definitely didn't have a cold sore at the time, in fact he said he never had a cold sore (I asked recently, just to ease my worry a bit more) I know people can have it and never show symptoms but they're less likely to transmit anything without an open sore, right? So that would drop the chance even more?

I had the two rapid test which only showed either positive or negative result. But the online ones give me back these indexes:

First Test (5 Months After Possible Exposure)
H.S.V.I (IgG) 0.0932 Index
H.S.V.II (IgG) <0.500 Index

Second Test (7 Months After Possible Exposure)
H.S.V.I (IgG) 0.0584 Index
H.S.V.II (IgG) <0.500 Index

Surely with these extremely low index results (looking especially at HSV1), I should be okay? I'm not sure how the antibody test works, but hardly anything at all seems to be picked up here.

And as you said, if there was a possibility of me having something, it would be GHSV1, which again is a challenge to transmit in itself! I plan on using condoms after this scare until the day I die, so that's perfectly fine with me!!

I know I said I couldn't get the blot right now, but I feel more like I don't even need one exploring all of this information rationally, would you feel the same?

And am I okay to say I don't need to disclose to anyone at the moment, as I don't really have anything to disclose? That was my biggest worry, that supposedly I had something all along and found out in the future and haven't said it to anyone. I might feel like I was lying or something, but I guess if everyone thought like that... we might go bit mad!

If something occurs in time to come, I'll deal with it and get it swapped, but if no outbreak ever occurring again, then hopefully I'll forget about this with the assurance of how rare it is to transmit anyway, especially when so many are already immune to HSV1 cause of OHSV1.  Hopefully you'll agree with this plan of action because it's the best one I have now to rest my mind a bit more! :) 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
10 months ago
well, if the test is missing anything it is far more likely to be HSV 1 than HSV 2.  And that HSV 1 could be in either location but statistically more likely to be oral HSV 1 if you have it at all.  I don't feel that you are under any obligation to disclose anything since the testing that you've done is negative for both types. 
 I completely agree with your plan, yes! 

Terri
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10 months ago
Thanks Terri for that. And for confirming that my plan was a good one. :) This is my final post I believe but just a couple more questions.

I know it's hard to say for sure but do you think with the index numbers so low, it's possibly nothing? Especially with doctors' reassurance it isn't anything either. And definitely not in need of a blot, unless I have something else happening? 

And is it true if the guy never got cold sores himself, he's less likely to pass anything on?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
10 months ago
I think with the low index values and no specific herpes lesions, it is probably nothing.  I don't think you need a blot at this point UNLESS you just can't put this aside. 
It is surely true that a person who is infected but gets no symptoms are less infectious than those who do get symptoms.  I surely hope that you can move on, one way or another here.  I know it's been a real struggle for you but I sense in your posts that you are starting to move forward, is that correct?

Terri
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10 months ago
I am Terri, thank you again. I believe I can move past it now without needing more tests, exploring it more rationally and talking it out helped the paranoia! Also thinking of my own friends who get cold sores makes it feel more real and normal to me, would get bogged down looking stuff up online. 

Thanks a million again for helping me!
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
10 months ago
You are so welcome, all the best to you.

Terri
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