[Question #9691] Herpes test and timeline

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30 months ago
Hello, I had a sexual relationship starting August 2020 lasting through February 2021. That relationship ended and I entered into another sexual relationship April 2021 Lasting until about June 10, 2022. On August 17, 2022 I had a full panel STI test done and all tests were negative including HSV 1 and HSV 2. Would this test rule out having been exposed to and getting HSV 2 from either of these partners? Before these partners I only had my ex wife of 33 years. 
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Terri Warren, RN, Nurse Practitioner
30 months ago
It would like rule out HSV from either, however, it was a bit too early to be clear about the second person.  However, I doubt that you acquired HSV 2 from either
The IgG test picks up 92% of HSV 2 and 70% of HSV 1 compared to the gold standard herpes western blot.  
Let me know what other questions you may have

Terri
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30 months ago
Thanks for your response! The next part of my question is: My most recent sexual relationship started July 23, 2022 and ended early January 2023. This person told me, August 10, that she had herpes. It came up in a conversation about her children’s births, she said she had a c-section with her 2nd, about 38 years ago because she had herpes. She then said that she didn’t have it any more… my jaw dropped open with both statements. We are smart, well educacted people in our 60’s. I had already been having symptoms and made the herpes connection then. I got a test the next week, the August 17, 2022 test. That test came back completely negative, swab and blood draw. The sores may have been too old for testing. I’m sure I was exposed and positive then. We loved each other and I kept on in the relationship, which was really good. I probably forgot about the herpes scare over time. We broke up January 4, 2023. On January 13, 2023 I noticed another suspicious red spot. I got a test right away, January 17, and it was positive for HSV 2. 
How likely is it that my HSV 2 is from this last partner? She, of course is saying that it must have been from one of the others, That she has not had sores or symptoms for a long time and other excuses. This noticing of my early symptoms, in late July or early August, falls right into the “usual” timeline for symptoms after exposure and I was probably tested too early for the antibodies to have set up.
I’m very upset that she did not tell me she had herpes and now I have it. In the last few years, I have gone through a divorce and was just getting myself mostly reestablished and on my journey to finding a new and better partner. This lady was really great and we loved each other a lot, but for small reasons we had broken up. I should have been smarter in asking before we had sex. She, jokingly asked me that I didn’t have Monkeypox that night and I think I asked something back.
Oh well, life goes on…
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Terri Warren, RN, Nurse Practitioner
30 months ago
Yes, I think it is pretty clear that you got it from her and that she apparently is unaware that it can be transmitted when no symptoms are present.  
I'm sorry that this happened to you - it feels like it was really totally out of your control.  But we older folks are wiser about what matters in life, and I believe that you will find someone wonderful who will accept you with this skin infection, just as you are.  Please let me know what other questions you may have.

Terri
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