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Very confused about testi types and accuracy!

Very confused about testi types and accuracy!

In January I received negative results for HSV 2, but I don't know what type of test it was.  About 3 weeks ago I went to an STD testing office and had an ELISA test that showed positive for HSV 2, with a titer count (?) of 1.832.  I dug through all the forums and posts and saw that there is a high likelihood of a false positive, especially since I am positive for HSV 1.  I went to a different/new doctor (new health insurance plan just kicked in), and I told him about my research and asked for a Western Blot or Biokit test, for accuracy.  They spoke to the lab and confirmed they could/would do this test.  I got my results today and they're negative for HSV 2!  I confirmed with the Dr. verbally that this was a Western Blot test (for some reason I just don't think he knows what he's talking about).  They've emailed me my test results and it just says "Immunoblot", not Western Blot... Maybe it's all the reading and researching, but I'm a little confused at this point.  The Dr. says that's the same thing... is it?  What is the accuracy of this Immunoblot test?  Should I trust the negative result?
From what I've read, i feel pretty good about it, but with all the confusion I thought I should post just to make sure.
Thank you!
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101028_tn?1331600857
no they are not the same thing at all.

how long prior to your testing had you last had sex?

grace
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Avatar_m_tn
recently... just before the previous elisa test that came out positive (1.832).
i'm frustrated because i was very clear with my doctor about wanting the western blot test, and then today he said it's the same when i saw the results and asked why it says immunoblot... when i got home and looked it up, it was clear they're not the same (though i don't know the accuracy of the immunoblot).  I left a message for the dr to discuss, but we've played phone tag this afternoon... i have to call again tomorrow.  
not sure what i should do, or what the conflicting results mean.
please advise what to say to my doctor, to be clear about what test i need.  not sure why he doesn't understand.
thanks grace.
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Avatar_m_tn
also, just to be clear, the positive elisa test was igg.
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101028_tn?1331600857
the accuracy of the immunoblot is the same as the herpeselect elisa if it's the product by focus.  has the same false positive issues as well as the same false negative issues if not enough time has passed.

you need to wait 4 months after the last time you had sex for the Wb to be done.

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Avatar_m_tn
i was unaware that there were false negatives too.  
noted regarding the 4 months to ensure wb accuracy.  is that the only test you recommend?  do you have any advice for communicating with the doctor to make sure i get the right test?  i don't know how much more clear i can be about the wb vs immunoblot, but he doesn't seem to get it.  i'll speak to him about it tomorrow, but when i first discussed it, the dr office called the lab to make sure they could provide the test and they had the right test # and everything!
frustrating.
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101028_tn?1331600857
the WB or the biokit hsv2 igg are both considered good for confirming low positives.  you have to wait 4 months post encounter for both.

if your provider uses quest labs, it's test #34534. It's a send out through quest which can sometimes be confusing to your local quest lab.
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Avatar_m_tn
thank you.  i'll talk to my dr and get retested, with the proper test, after the 4 months.  i'll keep you informed.
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