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Anti hsv 2
Dear doctors,
Recently i had a patient who are planning with her pregnancy, i ordered her to check the TORCH lab, the thing that a bit confusing is while the anti HSV 2 IgG ws marked reactive 2,2 and the IgM was also reactive 1,1.
I checked there wasn't any clinical manifestations, and from what she and husband tell me that their have not been in their sexual activity for about 10 months, and they both never feel any sign nor symptomps at all.
By saying that, i need your opinions, does this kind of case should be treated as a genital herpetic patient? And if it's yes, what should be the better option for those couple, should she still have the pregnancy and laboring through c section?
Thank you soo much
Recently i had a patient who are planning with her pregnancy, i ordered her to check the TORCH lab, the thing that a bit confusing is while the anti HSV 2 IgG ws marked reactive 2,2 and the IgM was also reactive 1,1.
I checked there wasn't any clinical manifestations, and from what she and husband tell me that their have not been in their sexual activity for about 10 months, and they both never feel any sign nor symptomps at all.
By saying that, i need your opinions, does this kind of case should be treated as a genital herpetic patient? And if it's yes, what should be the better option for those couple, should she still have the pregnancy and laboring through c section?
Thank you soo much
Best Answer
Hi, the test falls into the false positive range if the values are based on any thing below 1.2 is negative and would need retesting to confirm. Any value below 3.5 would infer a false positive. Maybe have the Western Blot as is the gold standard in testing since shes pregnant.
Grace could please read my messages I sent you, I really need your advice also I have a post under Help Please that I still answer to. Please Thanks
First, retesting would be required to confirm but its very possible to have hsv for many years and never have an outbreak. Why? It layes in the base of the ganglions avoiding antibodies. If they are not having outbreaks it most likely will continue this way. But certain things like body trama can cause outbreaks it just not really known why.
Dear colleagues,
Does it might be happened if someone had the hsv2 positive for years let say 5 years , but he / she could never experience any single outbreaks? And why is that so? Is there any medications to keep it that way?
Thanks
Does it might be happened if someone had the hsv2 positive for years let say 5 years , but he / she could never experience any single outbreaks? And why is that so? Is there any medications to keep it that way?
Thanks
Since you are not in the US, hard for us to comment on the accuracy of the test you used. It is also doubtful that you have access to a herpes western blot blood test in your country to confirm low positives too.
In general, herpes igm testing in adults is not very accurate. we don't recommend its use for routine herpes testing. Unless you are in research, limiting the use of the igm to newborns is best.
Can patients with herpes become pregnant? Of course they can! Can they deliver vaginally in the absence of symptoms? yes they can.
At this point, I'd consult with a professional in your country for advice on what testing to pursue next. You should test both the mother and the father so they are aware of each others status too prior to pregnancy.
grace
In general, herpes igm testing in adults is not very accurate. we don't recommend its use for routine herpes testing. Unless you are in research, limiting the use of the igm to newborns is best.
Can patients with herpes become pregnant? Of course they can! Can they deliver vaginally in the absence of symptoms? yes they can.
At this point, I'd consult with a professional in your country for advice on what testing to pursue next. You should test both the mother and the father so they are aware of each others status too prior to pregnancy.
grace
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You are reading content posted in the Herpes Community
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
