igg and igm test results interpretation

At 31 weeks pregnant I had 2 small hard bumps form on my inner labia (they dissapeared in 3 days).  My obgyn did a blood test igg and igm.

The results:
Herpes I and II, IgG                22.6 H

HSV IgM Ab Titer                    1:80  H    <1:10


My doctor redid the tests 2 weeks later with the same results except the IgG went up to like 26.3 or something.
My obgyn says these results lead him to think that this was a primary infection.

I have read though that IgM tests can be positive during and after recurrent infections as well and are not an accurate test to prove primary infection.

Please help interpert this results

[gracefromHHP]

Your provider is not properly testing you for herpes. they shouldn't be doing the igm test at all since it's not accurate ( see the herpes health page here for more detail or myjournal has an entry on testing ).  the igg blood test for herpes they are doing on you is not type specific so it's a waste of time too.  If you are in the US, call your clinic and ask what lab they use to send their blood work too. I might be able to get you the exact test number they should be ordering if it's a national lab.  Since you are pregnant, you need to be getting more accurate testing than you've had done so far. Also if you have a regular partner, they need a type specific herpes igg blood test done too.

grace