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Help me understand my test results
Last month my boyfriend of 2 years got tested ( Urine test) with Chlamydia, we both got tested almost at the same time, my urine test came back negative but his came in positive, the PA (physician assistant) told us that I needed to do a blood test to determine if i am the carrier of the Chlamydia. My blood test came back with these results:
C.trachomatis Ab, IgM 6.0
C.trachomatis Ab, IgA 0.7
C.trachomatis Ab, IgG 22.0 H
The PA told me that I must to have the Chlamydia for several years and not knowing about it. She said that it will never show on my urine test but it will show on my blood test and according to the test she said I was the one carrying the infection for a long time and I infected him.And that i need to contact all sexual partner in the past and let them know that I got possitive for Chlamydia in my blood test.Now, on May of this year I was diagnostic with pneumonia and i was given some antibiotic by the same Doctor (PA) and according to my research you can kill the infection with some antibiotics, can a blood test determine what kind of Chlamydia a person has? Or it only detects the antibodies for Chlamydia-pneumonia. Do I really had this infection for so many years and not knowing about? Did I really infected my boyfriend? Please I need to know. Also, I got so scared with all this Chlamydia case that I went and had me tested for Herpes and other infection and the PA ordered a blood test on my to see if I have herpes and test came back positive for both types and here are the results:
HSV 1 IGG/EIA 5.65
HSV II IGG 1.43
My boyfriend got tested as well and his test came back NEGATIVE for both types, can this be possible after 2 years of unprotected sex with me?. I am so confuse please help me out.
I went to another Doctor just to double check on this and I'm just waiting for results to come back. It is possible that I have a false positive because of the low test result in HSV II?Please help!.
C.trachomatis Ab, IgM 6.0
C.trachomatis Ab, IgA 0.7
C.trachomatis Ab, IgG 22.0 H
The PA told me that I must to have the Chlamydia for several years and not knowing about it. She said that it will never show on my urine test but it will show on my blood test and according to the test she said I was the one carrying the infection for a long time and I infected him.And that i need to contact all sexual partner in the past and let them know that I got possitive for Chlamydia in my blood test.Now, on May of this year I was diagnostic with pneumonia and i was given some antibiotic by the same Doctor (PA) and according to my research you can kill the infection with some antibiotics, can a blood test determine what kind of Chlamydia a person has? Or it only detects the antibodies for Chlamydia-pneumonia. Do I really had this infection for so many years and not knowing about? Did I really infected my boyfriend? Please I need to know. Also, I got so scared with all this Chlamydia case that I went and had me tested for Herpes and other infection and the PA ordered a blood test on my to see if I have herpes and test came back positive for both types and here are the results:
HSV 1 IGG/EIA 5.65
HSV II IGG 1.43
My boyfriend got tested as well and his test came back NEGATIVE for both types, can this be possible after 2 years of unprotected sex with me?. I am so confuse please help me out.
I went to another Doctor just to double check on this and I'm just waiting for results to come back. It is possible that I have a false positive because of the low test result in HSV II?Please help!.
MEDICAL PROFESSIONAL
Welcome to the Forum. Your situation is one in which, in my opinion, the wrong tests were done and have served to cause you concern when that should not be the case. On the Forum we try hard not to disagree with other health care providers but in this situation, I must. Sometimes health care providers put more trust in blood tests than they should.
One of the most common questions we are asked to sort out among persons with STDs is who gave the infection to whom. This is usually an impossible task. Either you or your BF may have brought chlamydia into the relationship and given it to the other. You both need treatment and that your test was negative does not mean that you might not have it. You could have had an incorrect test (although this is unusual) or could have had it in the past and either cleared it yourself or with the help of antibiotics such as the ones you took for your respiratory tract infection. Figuring out who gave what to whom needs to involve discussions between the two of you, not blood tests.
I would ignore your chlamydia blood tests. They were a waste of time and money and do not provide useful information. The blood tests for chlamydia stay positive for years after a person has had chlamydia and should not be used as a reason for treatment. In addition, there is another bacteria called Chlamydia pneumoniae which can cause pneumonia and respiratory tract infection and can cause positive blood tests for Chlamydia trachomatis. Both infections are treated by the same antibiotic. Ignore your blood test results -they provide NO useful information.
As for your blood tests for HSV, your tests show that you have HSV-1, like over 60% of adults. You may not have HSV-2 and given what you tell me, probably don't. Your test results are in the "low positive" range in which over half of so-called positive blood tests are actually falsely positive. There is an ongoing debate in the expert community about what the cut-off for a positive HerpesSelect antibody test should be with most experts arguing that the current cut off is too low and that, in low risk persons (thus this may pertain to you), the cut off should be over 3.5. To find out if you truly have HSV-2, you need a second blood test which is unrelated to your first test, such as the Biokit or Western Blot test. Given your history and the fact that your BF's test was negative, it is quite possible that you do not have HSV-2 and the test result you were told of is falsely positive.
Hope this helps. EWH
One of the most common questions we are asked to sort out among persons with STDs is who gave the infection to whom. This is usually an impossible task. Either you or your BF may have brought chlamydia into the relationship and given it to the other. You both need treatment and that your test was negative does not mean that you might not have it. You could have had an incorrect test (although this is unusual) or could have had it in the past and either cleared it yourself or with the help of antibiotics such as the ones you took for your respiratory tract infection. Figuring out who gave what to whom needs to involve discussions between the two of you, not blood tests.
I would ignore your chlamydia blood tests. They were a waste of time and money and do not provide useful information. The blood tests for chlamydia stay positive for years after a person has had chlamydia and should not be used as a reason for treatment. In addition, there is another bacteria called Chlamydia pneumoniae which can cause pneumonia and respiratory tract infection and can cause positive blood tests for Chlamydia trachomatis. Both infections are treated by the same antibiotic. Ignore your blood test results -they provide NO useful information.
As for your blood tests for HSV, your tests show that you have HSV-1, like over 60% of adults. You may not have HSV-2 and given what you tell me, probably don't. Your test results are in the "low positive" range in which over half of so-called positive blood tests are actually falsely positive. There is an ongoing debate in the expert community about what the cut-off for a positive HerpesSelect antibody test should be with most experts arguing that the current cut off is too low and that, in low risk persons (thus this may pertain to you), the cut off should be over 3.5. To find out if you truly have HSV-2, you need a second blood test which is unrelated to your first test, such as the Biokit or Western Blot test. Given your history and the fact that your BF's test was negative, it is quite possible that you do not have HSV-2 and the test result you were told of is falsely positive.
Hope this helps. EWH
Oh my God Dr H. you are a blessing!!!, thank you very much for your response.
And yes, we both got treated already for the Chlamydia.
Now, I am just waiting for the result back from the second blood test for herpes. I am not sure if the 2nd Doctor order them thru the Biokit or Western Blot test. All I know is that there is only one Lab here in Korea that does those test for people in the Army, the name of the place is SCL/Samkwang Medical Laboratories Dongbingo-****, Yongsan-Gu, Seoul, not sure what kind of method they use.
But, at least I feel a little bit of peace of mind than before, I deeply appreciated your prompt response and your advice. Thanks for all the useful information in this site; I have learned a lot in this couple of day just by reading the questions/answers in the forum.
Hopefully my second test come back negative.
Many blessing to you!
And yes, we both got treated already for the Chlamydia.
Now, I am just waiting for the result back from the second blood test for herpes. I am not sure if the 2nd Doctor order them thru the Biokit or Western Blot test. All I know is that there is only one Lab here in Korea that does those test for people in the Army, the name of the place is SCL/Samkwang Medical Laboratories Dongbingo-****, Yongsan-Gu, Seoul, not sure what kind of method they use.
But, at least I feel a little bit of peace of mind than before, I deeply appreciated your prompt response and your advice. Thanks for all the useful information in this site; I have learned a lot in this couple of day just by reading the questions/answers in the forum.
Hopefully my second test come back negative.
Many blessing to you!
You are reading content posted in the STDs Forum
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