Thank you Grace! I have also shared my test results with someone from the American Society of Clinical Laboratory Science - my questions and her response are below - does this make sense to you? Anything else you think I should consider?
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from me:
Attached are my two test results. The first was taken on April 8th which you have already commented on. The second was taken on April 19th. The first test was an IgM test - do you agree with this Doctor (
http://www.medhelp.org/posts/HIV-Prevention/Risk-assessment-and-testing/show/1222628)? He repeatedly writes that IgM tests are "meaningless". If I am positive for HSV, I need to know which type and so that is why I had the IgG tests done to identify Type I or Type II. I don't really see where my results are indicated on this 2nd report - it appears that for both Type I and Type II results my score was <0.90.
Is it possible that I do not have herpes at all?
from Cheryl Caskey:
The interpretative information on your first report indicated there could be crossreactivity with EBV, CMV, and Varicella zoster and that is why the test was repeated; the repeat tests were also specific for HSV 1 and 2. IgM antibodies would indicate an active or recent infection so those results can be meaningful. Significantly increasing levels of IgG antibodies would indicate a current or recent infection as well.
Looking at your most recent test results, they are both in the negative range. Negative HSV antibody results mean that it is unlikely that the person has been exposed to HSV or that the body has not had time to begin producing HSV antibodies.