[Question #9987] HSV2 - Equivocal
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27 months ago
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Background:
two sexual encounters on 5/4 and 5/5. On both occasions, unprotected oral sex and anal rimming (receiving/giving), unprotected genital rubbing, and protected sex (one encounter was primarily protected until the last 3-5 minutes where condom was off).
Symptoms
- Pain when urinating (4-6/10)
- One Pink eye (yellow discharge)
- Two pea sized swollen lymph nodes on right groin side
- Nausea/loss of appetite
- No sores/lesions anywhere
- General body ache/fatigue
- Headache/vertigo
Question
I have always posited negative on past Igg test and this the first where I turned equivocal (1.04 for HSV2 and HSV1 negative).
Thoughts on test being a false positive? I am doing a confirmation ELISA test today
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27 months ago
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I should add that routine STD panel testing was done on 5/15 where everything but HSV2 came out normal.
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Terri Warren, RN, Nurse Practitioner
27 months ago
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Well, you result is equivocal, not positive, so let's start there. I also believe that any testing done now is too early to be relied upon. Without lesions that are visible, I think herpes is far less likely. Herpes does not cause nausea or pink eye either. I would suggest that if you want to, you can retest in about 6 weeks and see how it goes. Beware that there are many false positives on this test, so if you test below five, consider a good confirmatory test. If you develop any sores on your genitals before then, be sure to have them swabbed right away for greatest accuracy
Terri
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27 months ago
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Terri,
Will follow guidance on retesting 6 weeks.
As of today, no visible sores/lesions. Not sure if relevant but the two encounters were CSW and one minor symptom I had was tenderness in groin area above the penis (bruise like feeling) and random aches/itching inside the urethra and penis head.
I also received my urinalysis and it states the following:
- a high level of WBC was >30 hpf
- No bacteria
- Mucus threads present
- All other traits inline
With the urinalysis data and the additional info, do you still think herpes is far less likely?
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Terri Warren, RN, Nurse Practitioner
26 months ago
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I do think that herpes is very unlikely but you clearly have some sort of urethral or bladder infection going on. Have you been treated?
Terri
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