[Question #9511] When was I infected
31 months ago
|
I had a negative herpes test in 2009 and a positive test in 2021. Is it possible that I was positive in 2009 and the test missed it because I did not have symptoms? I have been with one partner since 2003. The first test was done as part of a work up for a liver transplant. The second in 2021 because I had a lesion. Thank in advance for your help.
![]() |
Terri Warren, RN, Nurse Practitioner
31 months ago
|
What was the number associated with your positive test results? There are many false positives on these tests. You mention that you had a lesion - was the lesion swab test positive for was a blood test positive? Thanks for that info and I can help you more.
Terri
---
31 months ago
|
It was a swab test followed by a blood test a few months later. Since the first lesion, I have had about 4 more outbreaks. Each time just one lesion in the same area.
![]() |
Terri Warren, RN, Nurse Practitioner
31 months ago
|
OK, so you don't say if the swab test was positive for HSV 1 or HSV 2.
When you say that you had a negative test in 2009, was that an IgG test, a swab test, and were you negative for both HSV 1 and 2?
The igG test for HSV 1 misses 30% of infections compared to the western blot so that could be the reason. And it misses 8% of HSV 2.
Are you concerned that your partner has had any other partners?
Terri
---
31 months ago
|
The test in 2009 was a positive hsv 1 blood test and negative for hsv 2. I tested positive for both hsv 1 and 2 in 2021 via blood test. I am just trying to figure out how the disease was missed and I didn't have symptoms until 2021. My husband says he hasn't been with anyone else and I don't see any signs of it. I guess I just need to know that it is possible to not have symptoms show up for 18 years. Would menopause and a lack of estrogen pave the way for symptoms? Thanks by the way for working with me on this. I was so shocked and embarrassed to get the diagnosis.
![]() |
Terri Warren, RN, Nurse Practitioner
31 months ago
|
I still need clarification, please. You stated that you had a swab test that was positive. For which type was the swab test positive?
Terri
---
31 months ago
|
It was positive for hsv 2
![]() |
Terri Warren, RN, Nurse Practitioner
31 months ago
|
So there are a few ideas about what happened here
1) the blood test in 2009 missed your HSV 2 infection
2) your husband already had HSV 2 and infected your at some point between the negative test and the positive swab. That is the most reasonable explanation. You don't say that he was tested - only that he didn't have symptoms, but 80% of those infected would report not having symptoms.
Terri
---