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STDs After 6 months , Dr.Hunter

Dear Dr.Hunter
I will print our conversation and preview it to my doctor as I believe that he has some dissimilarity between his opinion and your, especially in HSV IGG & IGM issue .
I am 26 yo(Male) ,my exposure was before 6 months ago with a CSW (Protected vaginal intercourse and unprotected oral , with a French kissing).
1)After 6 months from the above sexual exposure my doctor asked the following test in regards of HSV2:
Herpes simplex 1&2 Igg combined: Positive (21.3)
Herpes simplex 1&2 Igm combined: Negative       Ref.Range: Neg 1.1
My doctor told me that the positive result in IGG is an old exposed while childhood and not related to HSV2 , While I understood from your explanation and answers that there is no exposed without Infection and HSV IGM is useless Therefore, I went to a private lab and did the separated HSV1 Igg & HSV2 Igg and the result came back as the following:
Herpes Virus (HSV) 1IgG : Positive 22.7 EU/ml
Herpes Virus (HSV) 2 IgG : Negative 4.4 EU/ml   Reference Rang:  9.0 Positive
Is the following considered a conclusive Neg. for HSV2 after 6 months from the said exposure and No need to repeat the test ?
2)The second issue is HIV which my doctor confirmed me that no need to more tests.
My test was COMPO HIV 1&2 (AB, AG): Negative did after 6 months.
Is the above test can give us a conclusive Negative result after 6 months from the said Exposure and no need to any more test. and have you ever seen any registered case taked more than 6 months to test positive for HIV with disregard the natural of exposure since the 20 years ago up to date or any reason can let my 6 months test is a false negative.
4)Are the following STDs tests which done after 6 months from the said exposure  considered conclusive and No need to retest after that :
Syphilis (VDRL,PRP, ART):NONREACT , Hepatitis B surface AG (HBSAG): NONREACT
Hepatitis C virus AB HCV: NONREAC , Anti Gonococcal Abs (BM) : NEG
6 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome; thanks for your question.

First, acomment about the numerical results of HSV blood tests.  Themportant thing in an automated ELISA test result is not the absolute value, but the difference between the positive-negative cut-off (in this case, 9.0) and the patient's result.

For reasons that have been described repeatedly on this forum, you can ignore the IgM antibody test results.  See the threads linked below.  Although apositive result may be accurate, when the result disagrees with IgG testing, IgG rules.

http://www.medhelp.org/posts/show/248394
http://www.medhelp.org/posts/show/1225383

You also seem concerned or confused by the combination test results.  That test is not type-specific.  The result is positiuve if EITHER HSV-1 or HSV-2 antibody is present, and does not distinguish between them.

For those reasons, the only HSV test you had that matters is the last you report, in the follow-up comment below:  positive for HSV-1 and unequivocally negative for HSV-2.  I agree with your doctor that the most likle explantion in achildhood HSV-1 infection; and that you don't have HSV-2 or genital herpes.

That covers question 1.  As for (2), a negative HIV combo test is 100% reliableany time more than 4weeks after the last exposure, and of course your negative result at 6 months is equally valid.  Finally (3) all those other testsalso are valid, proving you caught none of those infections.

Based on the exposure you describe, your risk wastoo low to need testing for any of these infections.  But what's done is done, and the results show you weren't infected.

Best regrds--  HHH, MD
















combo test
Helpful - 0
Avatar universal
Herpes Virus (HSV) 1IgG : Positive 22.7 EU/ml
Herpes Virus (HSV) 2 IgG : Negative 4.4 EU/ml  
Reference Rang: Negative  11
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Avatar universal
i am trying to post the right reference range for the last HSV test but i cant !
Negative less than 9 , Equ 9-11 ,positive more than 11
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
See above.
Helpful - 0
Avatar universal
Dear Dr.HHH

This is to thank you for your answers and explanation in the above .
I have the last question here :
Sex over full clothes with Ejaculation due to rubbing but without any touch for the genital area and without intercourse and without oral or kissing, can transmit any STDs or HIV.  

Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
No STD can be transmitted through clothing.  If that was your only exposure 6 months ago, all your testing was a waste of money.  In any case, the risk level is now irrelevant; whether the events were high risk or low, your multiple test results prove you were not infected.

That should end this thread. Take care and stay safe.
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