HSV 1 & 2 Index values from high to low.

[Noriko619]

Good morning,

I've been going through some testing and some included the HSV 1 & 2. So far I have ran through 3 different lab works for these two viruses. What I would like to know is what I can determine based on the index values that I have produced during my blood work. From top (most recent test) to bottom (first testing). The first test
I came out right borderline. 2nd test the antibodies dropped to negative, then my recent test dropped another .10 (also negative) I know I Am positive for HSV 1, my concern is the Annotations my physician has posted on my most recent HSV testing.

Annotations : Test for herpes simplex is positive so you are a carrier of either type I or II or possibly both

My potential exposure was on January 15th, 2018. Which means I tested at 91 days to be exact for HSV 1 & 2.
Should I retest again for HSV 2 ? should I by concerned about this?. Sorry for the long post and thank you.



*****Reference Lab Testing*****



  Collected         04/16/2018
                    09:30 PDT

  ____Procedure____            Reference     Units
                                Range
  HSV I/II IgG      >22.40  @                Index
                                              Value
  HSV I/II IgM      0.61  @    [<=0.89]      Index
                                              Value

  04/16/2018 09:30 PDT  HSV I/II IgG:

  Specimen tested positive for Herpes Simplex Virus Type 1 and/or 2
  Antibodies, IgG. ARUP test codes 0050292 and 0050294 will be
  added. Additional charges apply.
  INTERPRETIVE INFORMATION: HSV 1/2 COMBINED Ab SCREEN, IgG
    0.89 IV or less.........Not Detected
    0.90-1.09 IV............Indeterminate- Repeat testing
                            in 10-14 days may be helpful.
    1.10 IV or greater......Detected
  The best evidence for current infection is a significant change on
  two appropriately timed specimens, where both tests are done in
  the same laboratory at the same time.
  Performed by ARUP Laboratories,
  500 Chipeta Way, SLC,UT 84108 800-522-2787
  www.aruplab.com, Julio Delgado, MD - Lab. Director
  04/16/2018 09:30 PDT  HSV I/II IgM:
  INTERPRETIVE INFORMATION: Herpes Simplex Virus Type 1 and/or 2
  Antibodies, IgM by ELISA
    0.89 IV or Less .......... Not Detected
    0.90 - 1.09 IV ........... Indeterminate- Repeat testing in
                               10-14 days may be helpful.
    1.10 IV or Greater ....... Detected-IgM antibody to HSV
                               detected, which may indicate a
                               current or recent infection.
                               However, low levels of IgM
                               antibodies may occasionally
                               persist for more than 12
                               months post-infection.


*****Reference Lab Testing*****



  Collected         03/26/2018
                    08:50 PDT

  ____Procedure____            Reference     Units
                                Range
  HSV Type II IgG   0.82  @    [<=0.90]      Index
                                              Value



*****Reference Lab Testing*****



  Collected         03/12/2018
                    15:58 PDT

  ____Procedure____            Reference     Units
                                Range
  HSV Type II IgG   0.92  H@   [<=0.90]      Index
                                              Value

[Life360_Dave]

Testing negative 3 months post exposure confirms your negative. I hope ive answered your question.

[Noriko619]

Good afternoon,

Thank you for your response. What is your opinion as to why my physician would note that I can be a carrier for one or the other. Or even both. Even though my index values have dropped down to (.61) why would he even consider saying that there's a chance I would even have both HSV 1 & 2