I don't have actual stats but it would be rather low. The herpeselect is really good at picking up on hsv2 infections - 98% of them in fact.
grace
What are the chances of testing negative on a Herpeselect test but positive on a WB test 6 months after an encounter?
Thanks grace.
I'll follow up with my doctor on the acyclovir discontinuation.
I really appreciate your quick response.
Another reason to stop therapy and wait for an ob is because if this is hsv1 genitally, even the best blood tests we have still don't always pick up on that and it sheds less often and isn't as likely to be transmitted to a partner. The only accurate way to confirm it is thru a lesion culture of active symptoms. If you have hsv1 genitally, you can still contract hsv2 so knowing your type is important.
grace
Dr Wald I believe it is has been following patients for 20+ years who still yearly test + for hsv2 on the WB. There is some info out there on seroreversion but from what we know, it's not something that is an issue for a very large group of people. Some info that suppressive therapy will lower your igg result too but only by 10% if I"m recalling properly - not enough to turn a clear positive into a clear negative by no means.
I totally agree with your provider - stop your acyclovir and the next time you get symptoms, go be seen within 24-48 hours of the appearance of symptoms for a lesion culture and typing. Even in the best providers who see herpes all the time, one study showed that 1/3 of the time they were wrong with their visual diagnosis. Would be a darn shame if all this time you thought you had herpes, spent your hard earned money on treating it as well as worried about transmission needlessly. It's time to confirm this for once and for all!
grace