Hsv2 Blood Test vs. Hsv2 Culture

[healed007]

In 06/09,   hsv 2  igg result was  0.08 igg/hsv 1 results 3.3 or 3.4 igg. I recall having a one-time fever blister OB on my lip when I was in elementary school.  Since childhood, I never had any OB on my lip.  In 10/09,  hsv 2 result was  0.00 igg and my hsv 1 result was between 3.3-3.4 again.  I never had any OB on my lip since childhood.

In 10/12, I started a new relationship. I took another test  0.11 hsv 2 igg and my hsv 1 igg result  4.5 or 4.6. not sure why. Never had any genital OBs or on lip.

07/13/13  3-5 white small bumps on my labia majoria (hair area) after shaving.  Culture was neg.  for hsv 1 and 2. I did get a copy of the report. I was prescribed Amoxicillin which it did not clear the bumps.   However, the bumps will come and go in the same area.   10/13/13 I visited a Dermatologist and  diagnosed with  cysts.  Vaginal culture sent to lab- result was an  over growth of Klebsiella.  10/13, I visited another GYN and I was told the same thing (cysts)- prescribed nystatin and triamcinolone ointment for the bumps which I never used because the small bumps cleared by themselves.  My gyn. prescribed me sulfa meth/trimethoprim for Klebsiella on 11/1.

The week of 10/21/13,   I had intercourse.   A wk.  later, 1  bump on the outside of my vagina near the perineum which I never had before.  The bumps were always on my labia majoria. The  small  white bumps not present on 11/01 or 10/21. 11/01/13 - visited my gyn  culture sent to the lab.  11/05/13 results  hsv2 positive .

Is it possible false neg. blood tests or possibly my boyfriend passed the virus  to me?   He will be tested.   11/06/13, I began taking MEDS. for hsv 2 which 1 bump was gone on 11/4 which it did not scab-my skin is irritated where bump was  located.  Take MEDS.  for my over growth bacteria after I take my hsv 2 MEDS.  Today, I noticed one  small  white bump on my left majoria (hair area) For 1 yr. my urine burned after sex only.  My gyn  said maybe allergic to his semen.

[Terri Warren, RN, Adult Nurse Practitioner]

Hmmmmm. This is very complicated indeed.  I thought you said the bumps wasn't there on 11-01.  Why was a swab test done for herpes at that point?  Your previous results were clearly negative for HSV 2.  Have you actually seen a copy of your culture results that showed HSV 2 positive?  I think you should get one.  I think also your boyfriend definitely needs antibody testing as yes, you could have new infection.  In fact,  that seems to be the most likely thing, I think.  But very difficult to say at this point.  
So the order of things for us, if you were our patient, would be:
1) antibody test for your boyfriend
2) get a copy of your positive culture results
3) you should get another antibody test down the road a few months.  If it is positive then, then it looks like new infection (previous negatives and now positive with a lesion.

Let me know if you have other questions, OK?

Terri

[Terri Warren, RN, Adult Nurse Practitioner]

You're welcome

Terri

[healed007]

Thanks for replying back.

[Terri Warren, RN, Adult Nurse Practitioner]

It sounds like you are having two different kinds of bumps, is that right?  The one that tested positive for herpes is different from the others?
Sorry, I can't help you with the other bumps as I cannot see them.  I'm not aware of Klebsiella causing those kinds of bumps but I think it is possible.  Your gyn would know better.  

Terri

[healed007]

Thanks for answering my question.  I did not have  the small mid-size3-5 white bumps on my labia majora from 10/13/13- 11/05/13.  The three 3-5 white bumps reappeared the first week of October and disappeared without  treatment by 10/13/13.

After finding out my results on 11/05 for the one bump that tested hsv2 positive,  the small white bumps (hair area)  reappeared on 11/06 which I am going use some cream my gyn prescribed for me in 10/2013.

Can herpes been located on the labia majora (the hair)?  Those bumps tested negative in 07/2013 (culture).

Can Klebsiella (an overgrowth of bacteria in the vagina)  be the cause of the reappearing and disappearing  of the bumps? My gyn prescribed some antibiotics  which I take after taking Valtrex.

Thanks again