[Question #9886] F/u question 9803

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28 months ago
I went back through my lab results and realized that I was retested in Feb 2020 and that test the supplemental test was positive and the hsv2 igg was 3.39

1. Do you still think I should pursue a western blot test since the supplemental was positive and the value for hsv2 igg has consistently increased?

2. Should I tell partners prior to kissing/making out/French kissing etc I likely have oral hsv2?
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Terri Warren, RN, Nurse Practitioner
28 months ago
1.  I have certainly seen many false positives at that level, but I've also seen western blots confirm as positive at the level as well.
Unless you have a positive HSV 2 swab from the mouth, I don't think you need to tell anyone that you have oral HSV 2 as you don't know that you do.  At least 95% of those who test positive for HSV 2 accurately have this genitally - oral HSV 2 is rare.

TErri
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28 months ago
Okay thank you. Up to this point ive avoided kissing anyone until  I told them prior to kissing them but it's always been an awkward conversation since I'm not 100% sure where I have it so I appreciate your perspective. 


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28 months ago
should i still disclose this information prior to sex?
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Terri Warren, RN, Nurse Practitioner
28 months ago
HSV 2 oral infection is rare, so I'm not so worried about kissing but I definitely think, until you get results saying otherwise, that you should disclose that you tested positive for HSV 2 to future sex partners, yes.  More reason to find out for sure if this is correct, in my opinion.

Terri
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28 months ago
Final question: should a dental dam be used if oral is performed on me? Trying to figure out the risk of transmission orally to a partner 
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27 months ago
Also what about manual masturbation from a partner? Is it really necessary for them to wear a glove or finger condom
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Terri Warren, RN, Nurse Practitioner
27 months ago
If someone gives you oral sex, there is a small risk of transmission to a partner's mouth, yes.  There are some terrific little panties for women who have HSV 2 genitally who want to receive oral sex safely.  Google it.  Mutual masturbation presents no risk if the skin on the hands of a partner is intact - gloves and finger condoms are not necessary.

Terri
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