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Effect of HSV-2 on Cardiomyopathy
Hi, I was tested for Herpes Simplex virus and both was detected. The results were "equivocal".

Now, my boyfriend has Cardiomyopathy. His cardiologist says that if he was to get infected with HSV-2, it would complicate his condition. However, the doctor at the Sexual Health Clinic says that HSV-2 shouldn't affect his heart condition at all.

I need confirmation as to which doctor is correct.

I'm at my wits end now as my being with him may just jeopardise his health. Please help me.
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Oh and I forgot to add that I'm suffering from Psoriasis. I'm currently on Methoblastin and Spiractin.

Will my condition and medications produce a false positive result?
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101028 tn?1419606604
equivocal is negative.

was your partner tested?

how long after you had last had sex with someone besides your partner was your testing done?

grace
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Negative as in I don't have the virus or that it's not active?

I have asked my partner to get tested as soon as possible.

I had sex with Man A. A week later, I got tested. A month later, I had sex with my partner.

=================

I took my Equivocal results to a Sexual Health Clinic and I was informed by the doctor there that I was positive for HSV 1 and 2.
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101028 tn?1419606604
you need to wait and repeat your testing 3 months after the last time you had sex with the other partner.  

negative means you aren't infected.  

feel free to post your results here too - e.g. hsv1 igg 4.9 and hsv2 igg .87 or whatever they are.
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I've booked in to see my GP on Monday to demand a HSV-2 only test.

My test results:
Herpes Simplex Virus Type 1 IgG - Detected
Herpes Simplex Virus Type 2 IgG - Detected
Herpes Simplex Virus Type 1 and 2 IgM - Equivocal

I really need to obtain a definite result as my relationship is doomed. My bf has been advised by his doctor to end the relationship with me for fear of contracting HSV-2.
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101028 tn?1419606604
has it been 3 months since sex with a partner other than your current partner?

the igm test is what came back as equivocal. the herpes igm test is a greatly flawed test and current CDC guidelines are that it not be drawn on adults for the purpose of diagnosing herpes. your provider should stop ordering it in general.

have your provider call the lab they use monday to see if the lab has numeric results for your igg results. if they do, ask for them. If they don't, you''ll need both your hsv1 and hsv2 igg tests repeated at a lab that does provide numeric results.  since you tested + for both of them, at this point we need to see if you need additional testing to confirm your hsv2 status especially or not.

has your bf been tested yet?  You can get his risk for hsv2 down to 1%/year of contracting hsv2 from you if indeed you have it and he doesn't.  It's not exactly a valid reason to end a relationship!
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It has been almost 12 months since I had sex with my ex. I was celibate during the time we broke up and I took the test.

I have booked into another GP tomorrow and I'm going to request to test specifically for HSV2. I will be sure to ask for numerical results too, thanks! :)

What I don't really understand is, if I'm detected with the IgG test, doesn't that mean I'm positive?

My bf has not been tested yet. How do I get his risk down to only 1%?

The Sexual Health doctor advised me that they could prescribe the same medication used when breakouts occur but that would mean I'd have to pay $200 instead of $30 a month! Also, there is no information that the medication would reduce risk of transmission when I have no symptoms.

I agree that it's a terrible reason to end the relationship but he could die! :(

I really appreciate all the advice you've given, thanks so much!
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101028 tn?1419606604
yes,  your positive hsv1 and positive hsv2 igg's do mean you could be infected. knowing the numeric results will  help me see if you need further testing to confirm your status.

if you really do have hsv2 and your bf doesn't, if you avoid sex anytime you have anything going on genitally, use condoms and you take daily suppressive therapy, that's how his risk is lowered to 1%/year on average.

not sure about pricing on medications in your country but generic acyclovir 400mg 2x/day for suppressive therapy should be pretty cheap.  call your pharmacy and ask about pricing.  

honey, hsv2 isn't going to kill your bf. no idea why his provider is telling him otherwise.  He is at far more risk from the flu causing him health problems than he is herpes!
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I've never had any symptoms.

Is there any conclusive studies that suppressive therapy works on someone with no outbreaks? The Sexual Health clinic could not confirm that.

I totally agree that HSV2 should not kill him but it's what his Cardiologist said. He's taking his Cardiologist's word over anyone else's since he's been treated there all this while.

I'm trying to find conclusive evidence that HSV2 will not cause him harm but there doesn't seem to be any. Also, since he has HSV1, shouldn't HSV2 be ok?

:(
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101028 tn?1419606604
we have info that daily suppressive therapy does reduce shedding in folks who have not have obvious symptoms. several shedding studies with that info in it now.

perhaps he should consult with someone else ?

correct, if he already has hsv1, contracting hsv2 isn't an issue.
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Are you able to provide the links to those studies?
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101028 tn?1419606604
you can search pubmed.gov.  Too numerous for me to take the time to look them up and list them for you individually.
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Thank you thank you thank you!

I feel better knowing that if I am definitely positive, I still have an alternate solution!

I hope that all these would be enough to set my bf's mind at ease. :(

I'm now mad at the Sexual Health clinic doctor for not offering medication as an alternative for my situation! She simply said that it's not conclusive that medication can suppress the risk of transmission if I have no symptoms at all!

Thank you so much Grace! I will update along the way!
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I have requested for a western blot test and it takes 6-8 weeks for the results! That's a 6-8 weeks separation from my bf! :(

I've asked the pathology lab for the numerical results for my test and they said that there isn't such a thing. My GP says there isn't any scores as well. He added that it doesn't matter if the scores are 1.0 or 3.0. It still means that I have HSV2!

I guess I just have to hope that the western blot comes back negative. I just don't know what to do until then. I feel so depressed at the moment.
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I've never ever had chickenpox in my life. Would that effect the accuracy of HSV2 testing? If I've had shingles and was never treated, would that be mistaken as HSV2 as well?
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101028 tn?1419606604
no, chicken pox doesn't affect the igg results.

your GP is a wee bit behind on herpes testing and what the results mean :(    There is a decent herpes support group in australia. I'd contact them for help with finding a provider near you who can order testing that returns with quicker results and has numeric results with it. No idea where the WB is sent to in australia to know any more details about the wait time for you.
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I'm really upset with the bedside manner of GPs in my area now. They are no source of information at all! I have read and learnt more from forums than the doctors!

What if I had shingles? Do you know if that would show up on my test as HSV-2?
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Oh wow! I was just reading the forum on ashastd and was thinking to myself that betsyb1976 knows more about HSV than all the doctors, I have seen so far, combined! Then I found out it was you!

I'm really thankful for all the information you've provided. :)
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