[Question #6856] HSV2 Transmission Questions

10 months ago
Hello Doctor's:

December 31, 2019 went to Salon that offered waxing services and I did not think it much and got my first full Brazilian wax service front vaginal area and back anal area. 

I have been very worried since this due to the fact that before being waxed I did not get enough information about waxing.
I also did not see or ask if everything was sanitized properly, or did I see if the person that applied the wax wore gloves. (Dumb mistake on my side). The wax she applied was a sugar hot wax and I did see that she placed it in a microwave to heat before applying. 

1. What are my chances of catching Herpes HSV2 from this waxing place?

2. If exposed how many days after would I show outbreak? 

3. Is HSV2 only sexually transmitted?

I have had no outbreak of anything since I received the wax but I am just worried, should I be? I did talk to my Obgyn and he told me not to worry and he said "HSV does not last for a long time in surfaces so it’s unlikely you got it from any objects. "  

4. How true is this? 

5. How long can HSV2 live on objects?

6.  Can you catch HSV2 thru a medical procedure like a biopsy in your vagina? Or by blood work? Sorry, but I am just so worried. 

Please advise, this would be the only way of being exposed. 

Thank you in advance. 

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
10 months ago
1.  Zero
2.  This is not a method of transmission.  The heat of the wax will kill the virus
3.  yes
4.  Your doctor is absolutely correct
5.  It depends upon the object, but again, the heated wax would kill any virus and hands are not a method of transmission
6.  Not if the instruments are properly sterilized, which I'm certain the would be.  And certainly not from blood work.

HSV 2 is a sexually transmitted infection and is not spread by this means.  You are safe and should NOT be worried.   I will say that if someone has HSV 2 already and doesn't know it, the trauma of waxing could precipitate an outbreak.  The nerves of the genital area don't like to be ripped as waxing does.  But if you have no other HSV 2 risks, you don't need to worry about this experience.

Terri
---
10 months ago
First I want to say Thank you so much Terri, thank you so much for everything you do to help everyone out. 


I am concerned, went to doctor office because I had been concerned about this was always in my head since I waxed. I just got back results for 4.15.2020

HSV2 IgG positive 2.90


We have been in a Monogamous relationship over 10 years. I am 35 years. 


Previous Exams all NEGATIVE:

06/09/2011- 11/14/2019

HSV-2 TYPE SPEC AB, IGG W/RFLX  

NEGATIVE 0.91


Husband Previous Exams same all  

NEGATIVE: 06/09/2011- 4/15/2020

HSV-2 TYPE SPEC AB, IGG W/RFLX  

NEGATIVE 0.10


BOTH POSITIVE TO HSV1 my

HSV1 60 IgG H


I only had (1) previous partner who I dated for half a year and always wore condom when intimate (4 times only was intimate) no oral or anal sex. Both tested full STD panel before including HSV1 we both had but HSV2 negative in all.  My ex also had testing before we both got tested and it was 4 months prior before dating me I still have a copy of that in a email it reada also HSV2 negative  IgG 0.29. Relationship ended and after 5 months I went ahead and did full STD HSV2 negative IgG 0.90 I was sexually inactive for 2 years until I married my husband. 


1. The only different thing I have done is received a Brazilian wax 12-31-19 that I hate myself now for. But which is out of question for risk transmission per your answer "zero ".  Even not knowing condition of the place including bed where you lay down to get waxed, supplies used to wax and you said it can't be spread by hand contact since I did not check if they wore gloves Correct? 


2. The likely this is a false positive is good because I have had no other sexual contact other than with my husband correct?


3. Have you had patients with a 2.90 who in IGG testing reflected positive but then negative in Western Bolt test?


4. My doctor said Immune Bolt and Western Bolt are the same they go thru Lab Corp but I have read and  they are not the same from my understanding? 


5. He also stated you can get HSV2 by a french kiss, how true is this?


6. If both me and my husband had always been tested negative for HSV2 there is no way that I could have gotten HSV2 from our relationship correct? 


7. We have had HSV1 since childhood my number says it 60H and he also has had it since childhood how likely is it for me to contact HSV2 genital if I gave him oral sex?  I don't receive oral sex, I only give. With no outbreaks in the mouth of course we have not had in a long time. What is the risk here?


8. Can HSV1 oral cause HSV 2 oral or genital? Really confused about this? 


9. Is the transmission for HSV2 oral or genital transmitted only if you are with a HSV2 positive? 


10. I have not had sexual intercourse with my husband since March. What can I do meanwhile if I do decide to be sexually active with my husband and wait until get clarification with Western Bolt? 


11. If I go get IgG testing same lab and number does go down is this a good sign? I have seen in some post where people's antibody number goes down they track them then the Western Bolt comes back negative. 

12. When is the best time for Western Bolt? Since I had no risk of any sexual encounter?

13. How does  having Hypothyroidism/Hashimoto autoimmune disease affect my blood work? And does it have any effect in Western Bolt? Has there been studies about this?

Final I can't think of any other possible exposure since I have not had any symptoms or lesions, etc. I regret getting that test so much. 

Please help me Terri!!!! Thank you so much Terri. Blessings. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
10 months ago
1. The only different thing I have done is received a Brazilian wax 12-31-19 that I hate myself now for. But which is out of question for risk transmission per your answer "zero ".  Even not knowing condition of the place including bed where you lay down to get waxed, supplies used to wax and you said it can't be spread by hand contact since I did not check if they wore gloves Correct?

Correct


2. The likely this is a false positive is good because I have had no other sexual contact other than with my husband correct?

Definitely correct


3. Have you had patients with a 2.90 who in IGG testing reflected positive but then negative in Western Bolt test?

All the time!


4. My doctor said Immune Bolt and Western Bolt are the same they go thru Lab Corp but I have read and  they are not the same from my understanding?

They are completely different test.  The immunoblot is an IgG test and the western blot is not an IgG test


5. He also stated you can get HSV2 by a french kiss, how true is this?

While this is conceptually possible, people rarely have HSV 2 oral infection and when they do, they rarely shed virus from the mouth


6. If both me and my husband had always been tested negative for HSV2 there is no way that I could have gotten HSV2 from our relationship correct?

That is true unless one of you has had another partner OR the IgG test is one of you missed an old infection when you got tested


7. We have had HSV1 since childhood my number says it 60H and he also has had it since childhood how likely is it for me to contact HSV2 genital if I gave him oral sex?  I don't receive oral sex, I only give. With no outbreaks in the mouth of course we have not had in a long time. What is the risk here?

you would not acquire HSV 2 by giving someone oral sex.


8. Can HSV1 oral cause HSV 2 oral or genital? Really confused about this?

No, HSV 1 stays HSV 1 regardless of the virus location


9. Is the transmission for HSV2 oral or genital transmitted only if you are with a HSV2 positive?

Yes


10. I have not had sexual intercourse with my husband since March. What can I do meanwhile if I do decide to be sexually active with my husband and wait until get clarification with Western Bolt?

If you and your husband have only sex with each other, you do not need to worry about herpes, even with this test result.  How would either of you get it?

11. If I go get IgG testing same lab and number does go down is this a good sign? I have seen in some post where people's antibody number goes down they track them then the Western Bolt comes back negative.

If you are going to do the western blot, I see no point in doing another IgG test at all

12. When is the best time for Western Bolt? Since I had no risk of any sexual encounter?

You should do it now!

13. How does  having Hypothyroidism/Hashimoto autoimmune disease affect my blood work? And does it have any effect in Western Bolt? Has there been studies about this?

There should be no impact on your herpes western blot by these conditions.

Terri
---
10 months ago
Terri: 

Thank you so much for replying back. 

After reading your answers, I feel confident to know that this is likely a False Positive. 

I looked at my test results again and just now noticed the below. 

HSV-2 TYPE SPEC AB, IGG W/RFLX  
2.90

HSV2 IgG Supplemental Test: Positive 
Abnormal 

My doctor has a person from LabCorp that draws blood so I believe he used that lab not sure. 

1. Does this change the way you think about my false Positive results? Hopefully not. 

2. In your many years of expertise have you had cases with Positive IgG 2.90 with a Positive Abnormal Supplemental Test and then NEGATIVE in Western Bolt? 

If I am not mistaken, I read a post back from October 6, 2019  and replied with a 
"Yes definitely".


3. Have you continued to see cases like this with a Negative result? 

4. Knowing my background on my post, from your professional opinion should I even take the Western Bolt this has been very emotional and has caused me so much depression Do you believe I should just leave this behind? 

Per your precious answer: " If you and your husband have only sex with each other, you do not need to worry about herpes, even with this test result.  How would either of you get it?

You are 100% correct Terri we can't. 

Thank you so much. 


10 months ago
Sorry Terri, I forgot to add the reference result and I do believe it is important. 

HSV-1   60 H

HSV-2 TYPE SPEC AB, IGG W/RFLX  
2.90

HSV2 IgG Supplemental Test: Positive 
Abnormal 
Reference Range: NEGATIVE 
Unable to confirm antibodies to herpes retest in 2-4 weeks. 

I hope this Negative in here makes a big difference and more in my favor. 

What is your professional opinion?


Thank you Terri. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
10 months ago
My doctor has a person from LabCorp that draws blood so I believe he used that lab not sure. 

1. Does this change the way you think about my false Positive results? Hopefully not.

Honestly, I have never seen the supplemental test come back as abnormal, only negative or positive.  The reference range is negative - that has nothing to do with your result - that is just the range that they consider normal - negative.

2. In your many years of expertise have you had cases with Positive IgG 2.90 with a Positive Abnormal Supplemental Test and then NEGATIVE in Western Bolt? 

If I am not mistaken, I read a post back from October 6, 2019  and replied with a 
"Yes definitely".

I have definitely seen people test positive on the supplemental test and negative on the western blot, that is correct.  Are you sure the supplemental test doesnt' say positive?


3. Have you continued to see cases like this with a Negative result?

Yes

4. Knowing my background on my post, from your professional opinion should I even take the Western Bolt this has been very emotional and has caused me so much depression Do you believe I should just leave this behind?



Per your previous answer: " If you and your husband have only sex with each other, you do not need to worry about herpes, even with this test result.  How would either of you get it?

So I know that you are NOW only having sex with each other - I guess the other question I should ask is have either of you EVER had sex with anyone else?  As I mentioned in #6 above, the only way this 2.9 could be real is if the IgG test missed infection in one of you when you had previous negative results OR one of you had sex with someone else.

I honestly think you are fine and I also think that given all of this weirdness, your blot might be indeterminate if you had it done, which would add to your confusion, I think.  But if the blot was indeterminate, and you've only had sex with someone who tests negative within a one year period, you should consider the blot to be negative. 

You are 100% correct Terri we can't.

I need to close this down now.  We've gone way beyond the limit here.  If you want to do the western blot, you can work with your own provider OR I can order it for you at westoverheights.com

Terri


---