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Asymptomatic Herpes or False Positive?
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Asymptomatic Herpes or False Positive?

In early February, I tested positive for HSV-2 via an Herpeselect ELISA iGg test. Before the test, my last sexual partner was in mid December. Also, I had 4 sexual partners since my last STD test and at all points had some form of unprotected sex with them.  I was not tested for HSV 2 in my previous STD test 3 years ago.

I have never had any noticeable symptoms of herpes so obviously this came as a shock to me.  My doctor tested only for HSV-2 and also gave me an iGm test.  The iGm test came back negative.  My iGg result was 1.7.  My doctor basically told me I was positive and should deal with it by looking at the CDC website. I contacted my last two partners and they got tested.  Both claimed they were negative for the virus.  

After reading this forum and posts about low iGg, asymptomatic results possibly indicate a false positive, I sought out a new doctor who would discuss my diagnosis/retest.  In mid-March, I took the same Herpeselect test.  Once again, iGm negative.  My iGg result was 2.7.  After asking my doctor about getting a confirmatory Western Blot test, he told me that it was not necessary as iGg results indicate I was exposed a while back and Western Blot is only for recent infections.  

Although I have never had any sort of noticeable symptoms, I am under the assumption I have asymptomatic herpes and can shed the virus.  What should I do?  Should I try to get a retest with Western Blot?  Do you think I was exposed by my last partner (assuming they haven't been honest with me about testing negative) and the viral prevalence of infection will become clearer over time?
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7 Comments Post a Comment
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1174003_tn?1308164419
The timeline you have is within a 3 month period can you give us a time line as for what day in Decemeber was your last sexual encounter and when you took the test in march?

Let grace reivew your results so she can advise you as your next steps.  The IGM test though is a waste of time and money.  It shouldn't be used for herpes.  
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Avatar_n_tn
My last sexual contact was on December 19.  The first time I was tested was 8 weeks later. The last time I was tested was on March 22 -- almost 13.5 weeks from last sexual contact.

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101028_tn?1348750963
you do indeed need to seek out a herpes WB test at this point to confirm your low positive igg results.  A biokit hsv2 igg would also be acceptable too.

grace
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101028_tn?1348750963
encourage the provider to read the 2010 CDC herpes guidelines to update their info on herpes igg blood testing.
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Avatar_n_tn
Thank you for your help.  I will post my results upon confirmation.  
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Avatar_n_tn
I just took a confirmatory BioKit test and the result was NEGATIVE.  Relieved to say the least.  

The Dr. advised me that a Herpeselect test should never be taken unless there are symptoms.  Considering my experience, I would follow this advice if I were you.  However, I am no doctor so please take what I say with a grain of salt.  Best of luck.
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101028_tn?1348750963
you don't need symptoms to get tested for herpes with the herpeselect. It's 98% accurate, it's just that folks who have no reason to doubt their test results, don't come to the boards for help so the boards get unfairly balanced with folks with false positives.

congrats on the negative testing!
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