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Low positive HSV-1 results, no symptoms?

Hi,
Hopefully someone with knowledge on this subject can help me more.
On 10/10/12 I was tested for HSV 1&2.  I had both an IgG and an IgM done (though the doctor did not tell me I had an IgM and I learned through my bill for the lab).  
The IgG range for negative is less than .90
The IgG  equivocal range is .90-1.1
The IgG positive range is greater than 1.1

On 10/10/12, my IgM result was negative.  My IgG for HSV 2 was negative.  My IgG for HSV 1 was equivocal at 1.05.  

I retested on 12/04/12, for the same things, and my IgM was negative again, my IgG HSV-2 was negative again, and my IgG HSV-1 was equivocal again, this time at .94.  

Since my result for HSV-1 was equivocal yet again, I retested once more on 02/6/13.   (I didn't do IgM again because it's useless and I didn't want to pay for it again)  
On 02/06/13, my IgG HSV-2 was negative, but my IgG HSV-1 had gone positive at 1.19.

I have never had any symptoms, no cold sores, no genital itchiness/rash. In my entire life, I've only kissed 5 people, and 2 were just quick kisses on the lips, no tongue.  I've only had sexual relations with 3 people, oral sex 4 years ago,  vaginal and oral sex 3 years ago, and I have had vaginal and oral sex in my current relationship (which is completely monogamous) for a year and a half.  None of my partners have had any form of sore.
I live with a family member who gets cold sores, but I never drink or eat after them.  (or kiss them for that matter)
Since I've never had a symptom, I don't know if my infection would be oral or genital.  I've had some leg pain recently, but it could be unrelated.

My questions are the following:

Do my results indicate a recent infection?
Could my low positive be a false positive?
Should I retest with an IgG?
How accurate is the IgG?
Should I look into the Western Blot? (I don't have insurance, can someone tell me the cost?)
Could an oral herpes infection cause pain in the back of my leg? (Just out of curiosity, because I know genital herpes can, but my risk of genital infection is low)

Thank you for any help provided.
3 Responses
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Avatar universal
Hello doc. Help me with this doubt. I took std tests and all came back negative. But on hsv 1 the assistant told me I was negative also but had elevated number at 2.82 H. But she said I was negative??? I dont understand doctor. Ive never had outbreaks, I do get zits in my face often and do get single zits in my mustache area and those canker sores inside the mouth sometimes but no sores. Please help me. Ive read that only 3.5 and above are legitimate positives...I did igg testing. Please can you help me doc.
Helpful - 1
Avatar universal
I never said that I didn't think you knew what you were talking about.  I don't even know you. Are you a doctor? I'm sorry if you took offense to something I did.  I'm just looking for more information.  Every doctor I've gone to seems highly uneducated on herpes and a lot of the information I've found online is conflicting.  I'm just scared because I don't know if it's an oral infection or a genital infection, or if it's a false positive.  Honestly, I wish I hadn't even retested.  It's just led to more questions and fewer answers.  I'm low risk, and to be honest, I can't even think of how I could have become infected.  It's my body and I just want to know what's going on with it. I don't want to infect anyone.
I've read that any result under 3.5 could be a false positive. Mine was 1.19.  Do you think that I should do another IgG in a month to see if the antibody rates increase?
And if they do, does that indicate a recent infection?
Also, why are my IgMs negative if my IgG is showing an infection?  I know IgMs are useless to confirm a positive result, but are the negative results reliable?
Helpful - 0
101028 tn?1419603004
so you didn't think I knew what I was talking about when I advised no further testing at this point?

no easy way to confirm if this is a true positive or not due to the false negative issues with herpes blood testing. you can seek out a herpes WB if you want but really not worth the  money to do so to be honest.

grace
Helpful - 0
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