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Positive herpes test followed by a negative

I was concerned about a type 1 herpes exposure  to my genitals back in April. I consulted a doctor about it and at the time my doctor said I had nothing to worry about. My doctor blood tested me however for syphilis and herpes type ii which i was negative for. But told me I could get tested in 3 months for piece of mind. I was blood tested last Monday and was neg for type 2 but positive for type 1 at a 1.18. I was tested again this past Monday and came up negative for both. How should I interpret these results? Am i positive for type 1? Should I get tested again?
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101028 tn?1419603004
yes, you can test at 4 months and it's considered a definite result.
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Avatar universal
I'm sorry to be annoying but I'm very confused and I just want to make sure that I'm understanding correctly. When you say that it is fine---does this mean that a negative result at the 4 month mark will be definitive?
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101028 tn?1419603004
getting the WB at the 4 month mark is fine. if your provider just wants to wait 1 more month to order it for you, save the money from doctor shopping and just wait and get it done then.
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Avatar universal
i know that waiting a month may yield more accurate results but how much more accurate? It's been four months since the possible exposure. Is four months enough time for an accurate western blot?
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101028 tn?1419603004
waiting a month is just fine.
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Avatar universal
My doctor told me to wait a month to get the western blot done. My doctor believes that I'm still seroconverting since my tests have fluctuated and will not submit a western blot for me. I'm in the NY area so there is a cap on the number my doc can submit. However its been 4 months post exposure and I'd really like to get this done. Should I seek a western blot from another doctor now or wait?
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Avatar universal
Thank you for the response. I'm still working on the western blot. I've had several tests for hsv1 in the past and they've all been negative. Does the fact that I've never had a false positive have any impact on the chances of this being a false positive?
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897535 tn?1295206435
IgG numerical results will always fluctuate. You can take it every day and still have a low positive range that is different (even positive results fluctuate, it's the nature of the test).

Your doc wasted your time and money though, that's for sure!

As Grace stated, the WB would be he next step.
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Avatar universal
I'm in the process of arranging a western blot. But I was wondering what your impression of these recent results were. The 1.87 and 2.13 were from the same day. (They weren't my idea---my doctors insisted on it)
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Avatar universal
The two doctors that I saw suggested I get tested again.
The results are 1.86 and 2.14 for Herpes Type I.

So at this point--within the past two weeks I've had four results in the following order.

1.18
Negative
1.87
2.13

Should I take this to be a definitive positive result or should I get a Western Blot.
Helpful - 0
101028 tn?1419603004
they should. if your local quest lab is having trouble finding the test, let them know it's a send out to the U of washington.
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Avatar universal
My doctor was unfamiliar with the test but he wrote 34534 on the quest diagnostics request and sent it to quest. Will quest take care of the rest?
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101028 tn?1419603004
your doctor has to order it.

you can order to have the kit sent to your house but your provider will need to order your local lab to draw the blood and send it out for you.
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Avatar universal
Can I order it online?
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Avatar universal
Can I order it myself or does my doctor have to? Thank you for being so helpful
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101028 tn?1419603004
it's typically test #34534 at quest. it's a send out for all quest labs.
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Avatar universal
I googled without any luck. Could you point me towards a link for a western blot at quest? Thank you very much
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101028 tn?1419603004
unfortunately just repeating the same test again doesn't always get you the answers you need.  Each test looks at specific parts of the immune response to infection to herpes and if it's not being picked up on one test, getting a different one is better. we consider the herpes wB the good standard of herpes blood testing so we prefer using that one to confirm status.

you can still get a herpes WB blood test done in NY. it's easiest to get it through quest labs though you can cal the U of washington, get the kit sent to you and have your provider order your local lab to draw the blood and send it out to the U of washington for you.
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Avatar universal
Would a third igg test be definitive or at least clear things up? Also I should mention that I was tested for type 1 and 2 in march and they were both negative
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Avatar universal
How do I go about getting a western blot? Ask my doctor? It doesn't seem like I can get that in new York
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101028 tn?1419603004
even the best blood tests we have still miss 1 out of every 10 hsv1 infections. hard to tell at this point if you truly do have hsv1 or not.  Odds are you don't but if you really need the peace of mind you can consider seeking out a herpes WB blood test to see what your status is.

grace
Helpful - 0
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