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Herpes Type 2 from sex with girl IgG equivocal 1.02?

Hello,

on the 14h of April (18 days ago) I had condom protected sexual intercourse and unprotected oral sex from both sides with a girl. After that the girl got a complete STD check on the 17th of April (so 15 days ago). All results came out negative except Herpes Type 2 came out "equivocal" with a value of 1.02. Type 1 by the way was negative with a value of 0.63. To be precise the result was stated like this:

                                   RESULT                 UNIT                    REF. RANGE
HSV Type 1 IgG Ab       0.63                       ANTIBODY STATUS
                                                                Negative              :1.09

HSV Type 2 IgG Ab       1.02                       ANTIBODY STATUS
                                                                Negative              :1.09

Four weeks before this test she ended a three weeks relationship with another guy with the same sexual behaviour methods (Though I cannot really be 100% sure about the protections they used.). At the beginning of the year she did a complete STD test in Taiwan which was all negative. Other from this guy and me there were no other sexual activities this year. She and the other guy said that they never showed Herpes symptoms. I also did not see any symptoms on her and the docotor who checked here three days after would probably have said something if he did see something. I got a complete STD test on the 25th of March this year with all negative. Herpes Type 1 IgG Ab 0.63 and Type 2 IgG Ab 0.11. All tests except her one at the beginning of this year in Taiwan were done in Singapore.
After the sexual activities with this girl I discovered the following symptoms on my body:

- During the week after the possible exposure I got two small pimples (with a bit white shining through it) About five centimeters (about 2 inches) above the point my penis "starts". I dry shaved my genitals around that time but I am not really sure whether it was really before they appeared. They vanished after a day I guess. The three doctors I saw after that did not see them but assumed that they are not related to herpes.
- Four days after possible exposure I got a sour throat and a running nose and a bit cough. I still have a bit of a sour throat it goes better if I drink hot tea. I saw three different doctors for that and they said it is not related to Herpes. The last doctor today gave me antibiotics.
- Today I got a lot of tiny red spots on my tongue equally spread. It feel as if I had burned my tongue. Actually I was drinking quite hot tea yesterday, but I do that over the last days. It seems that all my taste buds turned a little red. I saw two different doctors today and both could hardly see them and said it is not related to Herpes. The last doctor today gave me antibiotics.

After the girl got the equivocal result she called her docotor in Taiwan and he said there is nothing to worry about. Though I don't have any explanation for his point of view.
Unfortunately my favourite doctor who is an expert in STDs is on holiday. The three doctors I met instead said that they just cannot say anything it is just "equivocal" and another test should be done in four weeks. They also could not really say anything about the odds of me or her having it. In general I have the feeling they are not really experts on that topic. I checked the internet a lot and found some statements about the odds for getting it, but they vary. Furthermore it was stated that equivocal or even low negative values are most probably negative.

Can an expert please reply on this topic on how are the odds for her and me having it and how we should interpret that value of 1.02? Is there another test we can do from Singapore(!) to get a 100% result. We stopped having any sexual activities of course, but for how long?

Thanks in advance

Fritz
7 Responses
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101028 tn?1419603004
wait and test at the proper time.

also do yourself a favor - turn off the computer and go use your time to keep yourself busy!!
Helpful - 0
Avatar universal
Hello,

I conclude from some searching the internet and reading through posts of this forum that you should wait 3 months after a possible exposure until getting tested for Herpes Type 2. A test should be done to measure the antibodies and results in an IgG value. The official description of this test says that it is negative with a value smaller than 0.9, bigger than 1.09 it is positive and in between it is equivocal. In general this IgG is fluctuating and mostly never 0. I could not find sufficient information why, but I think it is because of a general inaccuracy of the measurement system, which is inherent in all measuring devices and/or "something else" (e.g. another harmless virus or protein) is faultily counted as herpes type 2 antibodies.
If the herpes virus is in the body the body starts producing antibodies. The body then needs time to be able to produce a significant amount of antibodies to reach a level which is enough that this inaccuracy can be neglected. Almost all of the people who get infected show this significant amount of antibodies after these 3 months. That is why this period is chosen to avoid false results. (Some sources on the internet say that even after 4 weeks most tests will show the correct conclusion.)
So my theory is the following: If someone has old test results and he gets tested after a possible exposure and his value increases significantly then he is positive even if his range is still in the above mentioned negative range. If the range is the same, after a "fair" amount of time, it is negative.
Here is an example for my case:
I got tested 2 month ago with an IgG value of 0.11. I had a possible exposure about 4-5 weeks ago. So if I get tested now and the IgG value is still around 0.11, that would basically say that there is no virus which makes the body produce antibodies.
On the other hand if this value rises significantly e.g. eight times to a
value of 0.88, this would mean that I have the virus there was just not enough time for the virus to produce enough antibodies (but the body is still producing). Even though this value is
still below 0.9 and the official description would say negative.

Can somebody please try to understand this theory and give me his opinion?

Best regards
Helpful - 0
Avatar universal
Sorry if I ask, but what exactly do you understand under "partner". I just started dating her and I just get to know her.
Furthermore I would like to know more about the theory behind this disease and the testing procedure especially how to interpret the different IgG values. I read some threads about that in the forum but some of them are quite old and I am not sure whether they still comply to the recent research. (some even seem to contradict each other) E.g. It is said that even a low negative value has a very high chance of being false positive.
I know that you probably do not want to write a summary for me, but do you know of any homepage which is up to date?
Helpful - 0
101028 tn?1419603004
the risk of contracting herpes from a partner is always overall low.
Helpful - 0
Avatar universal
Thanks, for your reply.
I am a bit worried about her relatively high value (compared to mine), if it just rises a bit more she would be positive.
Can you please give me a rough idea how high my "chances" are to got infected during this single interaction?
Helpful - 0
101028 tn?1419603004
your partner was tested far too soon from her previous partner for her testing to be accurate.  at this point she needs to wait and repeat her herpes igg blood testing after 3 months post encounter to have a better idea of what her status is.

could you have contracted herpes if she had recently contracted it, yes you could've.

do any of your symptoms sound like herpes? no they do not as the numerous doctors you have seen have already told you.

grace
Helpful - 0
Avatar universal
Just a correction from my question above:
The last sexual activity with the other guy was actually sex weeks before she did the last test.
Helpful - 0
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