OK, everything sounds good so far!
Terri
Hello ma'am,
I received my results last Friday. I am Negative IGG and IGM for HSV at 90-days from possible exposure. I am fairly certain the last two tests ordered (my 60 and 90 day) were a combination and not a typing. The first test at 2.5 weeks, I remember WAS a type-specific because the HSV-2 results came back much sooner than the HSV-1. I am still haunted by the supposed cold sore that I saw that morning on my inside cheek at the opening of my mouth and the buttock/front/back leg pain that felt like is was in the nerves, but I am 90% close to reassurance by this last test.
I don't know how much of this was geno-anxiety related, but I feel like a weight has been lifted significantly and I want to always do the right thing even when nobody is looking now.
I believe I will test one more time when I get back to the states in mid-October. I have been told I probably won't be allowed to receive any more tests while I am over here and that I am fine and to stop obsessing and researching diseases. I am on anti-anxiety medication as well but coming off of that due to my more accurate testing window results. Will give one final follow-up post on those results in October. Thanks.
You ask a very important question. I would never do an STD screen that didn't include the most prevalent STD in the US today, unless someone specifically declined testing (which some people do) or they know they already have herpes. But not all clinicians feels as I do. Even the CDC STD treatment guidelines are a bit wishy washy on this point saying "some experts feel that herpes should be included in STD screens". I find all of this quite amazing, and don't honestly understand. If nothing else, it seems to me to put clinicians in a challenging legal position, should someone infect someone else after they believed they had been tested for "everything". Patients just don't know what should be included in an STD screen - they leave that to the expertise of the clinician. That's what we are supposed to be - experts.
There are many reasons clinicians don't routinely test - unwillingness to open a difficult and time consuming issue is one, not knowing what to tell the antibody positive person who has no symptoms, cost, time, lots of things, but to me, none of these is a good enough reason not to test.
Terri
Hi Dr. or to whom it may concern,
OK, straight forward question, if people with Herpes are morally obligated to tell their partners, why aren't doctors morally obligated to test Herpes in most STD screens? They don't even tell patients. I thought Nevada law requires all sexworkers to test for STDs, only later find out that STDs isn't even on the panel. What the heck.
Then, I call my doctor and ask if my blood test was too soon, and he said "don't lose sleep over it, it's so common I don't even check for it!!!" Seriously! Of all the STDs, excluding HIV, Herpes is the only one that is incurable! This seems like some hind of health care issue and nothing to do with morals.
Sincerely,
Regretfull person who would've NEVER got to Vegas if he new Herpes was tested.
Herpes and cold sores seems to be more prominent in the West, is this true? Of all the STDs that doctors screen for why not screen the one that is incurable? One doctor told me that he doesn't even screen for Herpes!!! Herpes is way worse than syphilis or gonorrhea! I HATE HERPES!!! ( ; _ ; )
No, I don't think so.
Terri
Hello ma'am,
So far as I remember, I have never had a cold sore. I don't know if I was specific enough, it was actually on the inside of my mouth, close to my lips. It did not hurt at all and I quickly drained the whitish/yellow fluid but had I been more educated, I could have easily walked over to our clinic and gotten it cultured. I didn't notice from the point that I drained it to the point that it healed there was absolutely no pain, and certainly not like a canker sore. I know those hurt. It didn't bother me enough to check when it actually healed up.
One other question I have in the meantime, would exposure in two places simultaneously have any effect on antibody production? Meaning would that have any effect on the immune system's reaction time to produce antibodies and therefore making it take longer to produce? Seems as though one of these tests would have picked up a faint IGM (I know that has more false positives than negatives) and is not reliable. Should exposure in two places make it easier to pick up any antibody?? Thanks.
This sounds nothing at all like herpes with the exception of the large fluid filled cold sore. That does sound like herpes. How long did it take to go away, and have you ever had a cold sore in the past? The antibody test is not as sensitive for HSV 1 as it is for HSV 2, it misses about 1 out of 10 cases, so that could be the case, I don't know for sure, but perhaps this most recent test will shed some light on things.
For the person without any antibody, the first episode infection can be more remarkable, and I don't think you would miss actual genital sores. The diffuse kinds of symptoms that you describe of odd sensations without any apparent breaks in the skin do not worry me.
Let me know how your newest test results come out, OK?
I know you are worried about this, but I think you can let the tests reassure you for now, until you find out anything else.
Terri
Drs,
Just want to add that I had another HSV 1/2 IGG/IGM panel taken 3 September and will receive that the week of 21 September. That will be my 90-day results. Thanks.