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Test results

My boyfriend's doctor told him that he tested positive for herpes. He's never had any symptoms and neither have I. The doctor did not give him any test numbers or anything and I don't know what kind of test he had. We would like to have a child. What do you recommend that we do? Thanks
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101028 tn?1419603004
the actual numeric result when you are infected, is meaningless as far as how contagious you are to others. It's all the same whether you have a hsv2 igg 2.2 or 20.2.  
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Avatar universal
Thanks. Is the risk of contraction lower with a low positive?
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101028 tn?1419603004
how to get a herpes WB drawn in the US is listed in our read before posting post on the forum for more info. he should have it done.
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Avatar universal
He has had no symptoms. None!  I had a urinary tract infection and was given antibiotics.
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101028 tn?1419603004
his hsv2 igg is a low positive and will need confirmed with further testing. we recommend seeking out the herpes WB to confirm his status.   no reason for antivirals at this point until you've confirmed that indeed he does have hsv2.  

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Avatar universal
I tested negative fir hsv 1 and 2. He tested negative for 1 and positive for 2 with an Igg number of 2.2. How do you recommend that we decrease the risk of me contracting it. I don't want to end the relationship and we want a child. Thanks.
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Avatar universal
I have painful urination and pain in my pelvis area but no other symptoms. Is this indicative of herpes?
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101028 tn?1419603004
if it's been at least 3 months since either of you had sex with anyone else, it's ok to test now.
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Avatar universal
How long should I wait to be tested. I've read 3 months. Do I really need to wait that long? I've had no bumps or sores. Just some slight pain in my pelvis area. He has asked for the type specific test also.
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Avatar universal
Will do. Thanks.  I'm hoping its not hsv 2.
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101028 tn?1419603004
they don't provide any helpful info if positive - you don't know if you have hsv1, hsv2 or neither so they aren't worth drawing since 60% of adults will automatically test + on them due to hsv1 oral infections.

get the right testing for you both so you can get the information you need to make educated decisions about what precautions to take from this point forward.
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Avatar universal
So are the non type specific tests bogus? It seems from what you're saying that they are not reliable and that he may not have herpes as that test states
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Avatar universal
What information are you referring to, grace?
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Avatar universal
That's been his primary care physician for years but now at my recommendation he is getting another doctor and getting type specific testing. This is important to me. I don't want to get herpes but I love him and we want a child. Thanks for your help.
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101028 tn?1419603004
I'm not sure where castello came up with some of that info - it's incorrect.

the combined test could be reflecting a hsv1 infection, a hsv2 infection, both or even neither. It often picks up on other viral infections too which is also part of why we don't recommend its use.   why is it still offered? it's a money maker for the lab more than anything and many providers aren't up to date on herpes testing, like your partner's provider and still order it.  your partners provider giving him suppressive therapy based on that test is actually malpractice :(  

yes indeed you too should seek out type specific herpes igg blood testing. you two can't make decisions about what precautions to take until you know who has what.  

should you end this relationship? herpes is NEVER a reason to end a relationship!! At this point since this can of worms was opened, you have to both follow up through and get better answers.  why did a cardiologist order up this testing anyways?
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Avatar universal
Thanks. He is going to get the type specific test but since the doctor recommended valcor and since it says "high" my sinking feeling is that he has hsv 2, which I was hoping he didn't.  His doctor is a cardiologist with not much herpes experience. I'm so afraid that I've contracted it especially because his diagnosis is high, but I don't want to end the relationship. He's started taking the suppressive medication to protect me.
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Avatar universal
It is unlikely that he is negative given that his result's numerical value was high. However, HSV tests are incorrect a tenth of the time, so this could be applicable here. The test was administered due simply to the notion that some doctors are not thoroughly educated on STDs especially herpes. Another reason could have been that this was the only test they had available to administer. Has your boyfriend been a patient of this particular physician for a long time or is the doctor relatively new?

The test is not 100% bogus, but it only gives you half of the answer (tells you that he has herpes, but does not specify which type). Whenever you are able to, I strongly suggest getting the type specific Igg to arrive at a conclusion and what precautions need to be taken. HSV-1 has a shedding rate of about 3%/year while HSV-2 has a shedding rate of over 15-30%/year. If he does have HSV-1 then he probably won't need to take any medication because asymptomatic shedding of genital HSV-1 is rare.

If the type specific test shows that he's positive for HSV-1, but not HSV-2 then it would be reasonable to conclude that his HSV-1 infection is oral due to his lack of symptoms. If it is HSV-2, it is almost always genitally.

Here's a great ebook that's free by herpes expert Terri Warren, which provides you with loads of information including pregnancy.

http://westoverheights.com/handbook.html
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Avatar universal
You guys are awesome. Thanks so much. A few questions -- is it possible that he is hsv negative even if this test says 22.8 high?? The designation of "high" kind of scares me. If this test that he got is totally unreliable why was it administered? It was an Igg test from labcorp.  Is it totally bogus? Should we disregard it??
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101028 tn?1419603004
The testing had had done was non-type specific herpes igg blood testing. it was the wrong testing to have done :(  You really at this point don't know anything about his herpes status and there certainly isn't any reason for him to  be on medication at this point.  
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Avatar universal
He needs to get a type specific Igg test to know if he has HSV-1 or HSV-2. Around a quarter of the adult population carries HSV-2 while 50-80% carries HSV-1.

Even if he does have HSV-2, it really shouldn't be much to worry about. You have an extremely, extremely rare chance of infecting your baby (stats are in my first post), and like I said, approximately 20-25% of pregnant women have genital herpes.

There is no guarantee that you won't become infected while conceiving, but if it happens it shouldn't be much of a big deal. Herpes has a stigma to it which is ridiculous and the bark is much worse than the bite. This is the least harmful STD out of them all by far, and is merely a skin condition that is manageable.

No need to get ahead of ourselves as I seem to be, but I wanted to reassure you that regardless of the situation, you will be ok, and this will be a minor inconvenience to you in comparison to other things in life (finances, trust, respect) if it happens.

When you get the test results, feel free to post them in this thread, and grace will be able to interpret them. Until then, feel free to ask any other questions, and I'd be happy to answer them and alleviate your concerns.
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Avatar universal
He had an Igg test for hsv 1and/or 2. It reads "22.8 high". I don't know whether it is hsv 1 or 2 that he has. He is going to get retested. His results seemed unclear to me but the doctor prescribed valcor. He has had no symptoms and neither have I. We really want to have a child and he doesnt want to infect me.
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Avatar universal
Since neither you nor your boyfriend has had any obvious symptoms, as stated in your original post and reiterated in your second post, you both should be tested if you haven't been tested for herpes prior to this relationship. He could have given this to you, you could have given this to him, or it could be from a completely different source.
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101028 tn?1419603004
did he have obvious symptoms that he was seen for or did he have routine blood testing that showed a herpes infection?

if he had a blood test done, ask him to call the clinic monday, get the actual numeric results and post them here - e.g. hsv1 igg 4.4 and hsv2 igg 3.4 or whatever they are.

grace
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Avatar universal
The last time we had unprotected sex was a few days ago. He just got the results. Should I get tested now? We are waiting for his doctor to give us the particulars of his test. I don't know what kind of test he had or the results yet. The doctor only told him that he has hsv and recommended suppressive medication to prevent shedding. Neither of us have had symptoms. Any help or guidance you can provide would be great. Thx
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