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Herpes Test

I recently had four bumps on my labia majora.  It has been ten days since they appeared and they have not changed in appearance.  they looked as bug bites, no blister, no pus, no pain, perhaps sensitive with clothing. I went to my ob, and she had some testing done.  The results of the blood tests showed: HSV IgG <0.91 (Negative); HSV, IgM I/II combination 2.14 High; HSV Type 1 Specific Ab, IgG, HSV 1 IgG, 2.39 High.  They also did a skin culture of the bumps, but that came back negative.  My doctor said that if it was genital herpes, it was not the tipical lessions that she has seen for herpes.  I have been taking Valtrex 1gm and Dicloxacillin 500 mg for about ten days, and the bumps look the same. Nothing ever came out of these lessions.  Can you explain to me what all this means?
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55646 tn?1263660809
My interpretation of these results is that you don't have genital HSV 2 (or any HSV 2), but somewhere in your body, you do have HSV 1 infection.  You may have it genitally or orally - a blood antibody test can only tell that you are infected, not where on your body you have herpes infection.  If you had told me that you recall a history of cold sores, then I could tell you that your HSV 1 antibody is coming from an oral infection, but you can't (the symptoms you list don't sound herpetic though you could still have oral infection), and you do have genital lesions that are suggestive, to your clinician, of herpes.  However, if the bumps are still staying the same, this is not how herpes usually presents itself - the lesions come and go rather than sticking around, unchanged.  If you still have them, and they are still not changing, first, don't pick at them so that you change how they look.  Seek out another opinion, preferably from a dermatologist.

In summary, without someone getting a positive swab test from an oral or a genital lesion, there is no way to know where your HSV 1 infection is.  However, if another health care provider tells you these bumps are not herpetic but rather something else (like warts, molluscum, something else), then that would be a relief, though it still could not tell you for certain that you don't have genital HSV 1.  

Does that help at all?

Terri
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Avatar universal
I do not remember having a cold sore, sometimes I may feel my lips very dry and I have to put vaseline on them.  Sometimes I feel my lips burning.  I hope this helps. Thank you.
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Avatar universal
Hi Terri:  The HSV 2 IgG was negative for herpes 2 < 0.91 (Negative).  I would appreciate your response to this question.  Thank you in advance.
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55646 tn?1263660809
So where is the HSV 2 test result?    I can't tell you much more until I see the HSV 2 IgG result - I think you just forgot to post it maybe?
The IgM is meaningless and should not have been drawn.
Have you ever in your life had a cold sore on you lip, in your nose or on your chin (not canker sores in your mouth)/
Terri
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