I recently received a HSV2 positive diagnosis. Igg test value 1.12.  I have not been sexually active for the past 14 weeks before testing. I had last tested neg for HSV2 in October. I’m a gay male and before that time I’d given and received blow jobs, rubbed penises together, and rubbed my penis on the outside of a guys butt. (I have been HSV1 positive for as long as I can remember with rare cold sores). I don’t remember any HSV2 outbreak.  I recall that my penis skin maybe felt slightly sore for a day or so early winter. So: 1. how did I likely contract this? From receipt of oral or the the rubbing stuff?  2. Will I likely have future outbreaks? Will they be mild? Could I always be asymptotic? 3. And could I give it to someone else if they gave me oral? Or is it jjust from rubbing? 4. Could I be reinfected? 5. Do you recommend I take valtrex, or just if I get symptoms? Thank you! 

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Thanks for this info.  The test was HERPESELECT II AB.,IGG and it says reference range  <0.90.  I’ve had fairly frequent std testing. Previous results for this test were: 1.12 in July 2020; 0.81 in October 2019; 0.79 in May 2019; 0.43 in Nov 2017; and <0.2 in May 2016. They were all done by the same lab. 1. Does this upward trend over the years mean anything relevant to the recent test? I will definitely ask about the Western Blot. 2. Also, in terms of transmission can HSV2 be transmitted from giving or receiving blow jobs between men? Thank you again. 

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