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Hsv or not??????

Last time I had sex was in Aug.  2013
Went to doctor on December 18 because of a quater sized ulcer on the right labia she checked for hsv, chlamydia, and gonorreah.( hope thats spelled right.) And prescription for valtrex 1gram 7 days. Results were released and no results just note. So I call and get the results and im told I have hsv 2. Jan 3rd a follow up was done and she says your results were positive for hsv but the lab stated it couldn't be typed (keep in mind in January ive had this ulcer for 3 months) so at this appointment she swabs the thing again and noticed yeast. Draws blood but not to find the type of hsv I hav instead shes looking for chlamydia and gonorreah again and hiv 1/0/2 and 3 prescription this time for valtrex 1gram and 500 mg, fluconazole 150 mg and metronidazole. So impatiencely a send a email and as what type of hsv do I have and this is what I was sent. Our lab used the ELVIS culture system for identifying your infection. Statement from the lab concerning your specimen:"Culture positive for Herpes simplex virus. Typing of this isolate wasnot possible. The sensitivity of the ELVIS culture system now used inthe primary culture is higher than the sensitivity of the monoclonalantibody reagents used for typing. The specimen was recultured but dueto the low viral titer we were unable to reisolate the virus fortyping..Data from our validation studies indicates that these low titerspecimens represent less than 1% of the Herpes-positive specimens, andthat in many instances THE SPECIMEN WOULD HAVE BEEN NEGATIVE BY THE CONVENTIONAL METHOD." And she states that their wasnt enough virus to grow in the lab. But u can come back in and we can draw blood to determine the type you indeed do have. Ok next thing is all of my sex partners are coming up negitive for hsv.
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Avatar universal
Ok their was a blood test done and the results were posted like  this I/II 48.8
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101028 tn?1419603004
if you've had an ulcer present for 3 months, you need to follow up on this with a dermatologist for further evaluation. a herpes lesion would NEVER stick around that long.  

It is possible to have genital herpes and have this not be due to herpes.  it's not the only thing that can cause issues in the genital area.

certainly confirm your status with a type specific herpes igg blood test at some point too just to err on the side of caution but keep in mind that having herpes most likely has nothing to do with these ongoing symptoms you are having. makes sense?

grace
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Avatar universal
Sorry to confuse things... didn't realize your last sexual contact was in August.  

I wish I could delete my previous post.  

>>> There's a reason that some people have stars by their names and others don't.
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Avatar universal
Doesn't matter. Despite what TiminBoston says, antivirals can only delay seroconversion if they're taken when the infection is first acquired. Since you haven't had sexual contact since August, that is the last realistic time you could have been infected, giving you plenty of time to develop antibodies. Anti-virals won't have an effect on antibodies that your body has already made. It can possibly stop antibodies from being produced at the start, but you are out of that window period already.
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Hi -
I know you probably don't want to do it, but iIt would be a good idea to come off of the Valtrex for the next several weeks and then get tested.

Terri Warren says (and others in her field agree) that daily suppression therapy - taken for longer then a week - will delay seroconversion (which means "turning negative to positive").   I wish I knew how long you have to be off of them to have an accurate test... I don't know anyone who has that info unfortunately.
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Avatar universal
But im on the valtrex for 7 days again which makes it like a 14 day with like a week in between me starting the 2nd 7 day antiviral
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But im on the valtrex for 7 days again which makes it like a 14 day with like a week in between me starting the 2nd 7 day antiviral
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Avatar universal
There are studies that show that people who take suppressive doses of Valtrex (or any antiviral) from their initial outbreak CAN have delayed seroconversion. Terri Warren mentions a few cases she's seen personally where antivirals taken daily have halted seroconversion until the person comes off of them.

If you've taken a limited course -- 7 days -- that shouldn't affect the blood test results, especially since you would have been infected at least 4 months before the antivirals were prescribed. That's plenty of time to develop antibodies that will show on the blood test.
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Waiting for the results of everything else she's done but question can valtrex affect the results of the blood test?
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Are you waiting on more lab results from this doctor? If not, I'd make an appointment to have a blood test done. If you are waiting, getting the rest of your results first couldn't hurt.
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Oh and which test is most recommend before me with my big mouth say ALL OF THEM. LOL

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Avatar universal
To be quiet honest I dont know but this is one thing thats driving me slightly insane and right now im waiting on her to call and let me know if I can just go to the lab and get tested or do I have to make another appointment, cause she wants to wait and pray that I have another out break. But im starting to doubt if I even have hsv now
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Avatar universal
Sorry, just reread -- why didn't she test for herpes in the blood? You should definitely have that done.
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Avatar universal
That does sound strange. Have you had a blood test done? If your last exposure was in August 13, your blood should be positive if you are truly infected.
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