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HSV 1/2 test results

HSV 1/2 test results

I recently had a panel of STD tests done.  Some background info.  I am going through a divorce after 10+ years of marriage and recently found out that my husband had been having an affair which might have been going on before we separated.  I'm unsure of exactly how long he had been sleeping with her so don't know for sure if there was any overlap in sexual encounters.  At that point I SHOULD have gotten myself tested, but I didn't unfortunately.

Now we have been separated for a year, and I have started dating.  During this time of separation, I have had a few partners, 3 whom I used condoms with, but 2 who I didn't (shame on me), both of which were in the past 3 months.  I have shown no symptoms but a few weeks ago after having a bit rougher than usual sex, I experienced what I'd consider some abnormal bleeding (I had JUST finished my period, but it seemed like different bleeding than regular period bleeding.  And afterwards, it felt fairly painful and irritated, like I had never quite experienced.). So I made an appt with my dr and asked for her to run all the STD test and perform a pap smear.  

Many tests were negative (HIV, chlamydia, ghonoria, etc).  But my pap showed mildly abnormal cells, and I tested positive for HPV.  I am going back in on Monday for a Colposcopy and and biopsy to rule out early cervical cancer.

The HSV1 and HSV2 IgG tests BOTH came back negative.  But I tested positive for having HSV1-2 IgM antibodies, determined from a blood draw, with a value of 1.4 (normal range listed as 0.0-0.9).  This test doesn't determine between HSV1 and 2, so I don't know which 'might' be the culprit.  

My dr says I should get retested in 4-6 weeks to see if my body takes care of this on it's own,  But I'm not sure I can wait that long to determine if I'm positive for herpes and which type I have, if any.  It should be noted that about 4 years ago I came down with Shingles, and I've read that sometimes the IgM test can cross react with other viruses in the same family duch as varicella zoster virus, meaning the positive results could be misleading.

Is it possible that my previous outbreak of shingles has caused an elevated level of IgM antibodies?  Or is that impossible since IgM antibodies are temporary and go away once an infection takes over, I.e. They are not permanent antibodies like IgG antibodies are?  

I've never had any cold sores that I remember (I'm nearly 40), and I've never had any symptoms that I am aware of relative to what I've read about herpes.  

Anyone have any advice?  I told my current partner (this is a new relationship, and we've be sexually active together for 1 month now), and he's not sure he wants to get himself tested, not sure he wants to know.  I can understand his reluctance, what you don't know doesn't hurt you, right???  But I don't think this is something to mess around with.  What happens if he doesn't get tested?  I'd obviously like to know if he has it to determine if I possibly got it from him or vice versa.  Not sure if we'll ever really be able to know though for sure.  It doesn't change my feelings about him, but I'm of the opinion that the more you know about your health the better.  I wouldn't want to knowingly or unknowingly pass this on to others and I will have the conversation with him about the responsibility associated with it.... I think he's just initially shocked and scared since I'm only his 2nd partner in 20-ish years (he was married for 18-ish years and dated someone else for 1 year following that).



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the herpes igm test is a very flawed test. Your provider should read the 2010 cdc herpes guidelines to update their herpes testing info so they can better serve their patients as well as protect themselves from lawsuits.  we haven't recommended that the herpes igm test be used on adults for many years now.

A + igm for herpes is pretty much meaningless to be honest.

it's being sexually responsible for you and your partner to get full std testing done. protect yourself!

best of luck monday with your colposcopy too!  

grace

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