HerpesSelect test results: for Grace

[Shunt]

Hi Grace,

I had asked the Dr. about my risk of transmission after 20 years and very few outbreaks.

Got my blood test back and these are the results:

Herpes Simplex 1  -  >5.00  it's under the "Out of range box"

Herpes Simplex 2  -  0.02   it's under the "In Range box"

So, if I'm as smart as I think I am it means I have HSV2 correct?

So, question remains my likelyhood of transmission and should I go on Valtrex to decrease the risk. My PCP alsi said I shouldn't as did Dr.HH.  Not sure what to do.

Any opinions out there?

Thanks

[Tommy420]

Actually, that means you have HSV-1, not HSV-2. In range means that you're result is in the normal range, which would equate a negative result. Out of range means that your test result is not within the normal range, and hence out of the normal range, so you'd be positive.

Isn't that correct Grace?

[Shunt]

I was just looking at the results and figured that out too!

I was misunderstanding the out/in range box.

Thanks for your input.

[gracefromHHP]

That's correct  - if you were diagnosed as having herpes thru a + lesion culture all those years ago then it's due to hsv1, not hsv2.  Your hsv2 results are negative.  

Most folks who have hsv1 genitally don't get a lot of benefit from daily suppressive therapy.  Hsv1 genitally on average doesn't reoccur very often and it only sheds about 3% of days on average.  If your partner has hsv1 orally, which many adults do even if they don't get obvious cold sores to know it, then you have very little worry. Even if your partner is hsv1 negative - you still aren't likely to transmit your hsv1 to their genitals as long as you avoid sex during obvious symptoms.

Also always be sure to get your potential partners tested for herpes to know their full status. You can still contract hsv2 genitally which would most likely result in more frequent recurrences.

grace

[Shunt]

Thanks.
I am very relieved with the results. I suspected I had the HSV1 where I never have outbreaks but wasn't sure. I always thought I was just one of the lucky ones that didn't get outbreaks. Never knew there was a difference between 1 & 2. 20 years ago it wasn't really talked about like it is now.
Glad I had the test even though my PCP recommended against it (he said it's all the same which we all know it isn't).
Great forum.
Thanks for your input.