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8 weeks post exposure

Hi doctor,
    I been negative fr HSV 1 and HSV2 since my last test 12 months ago. However,8 weeks ago I had unprotected sex one time with a woman later told me that she has HSV1 and HSV2. I will tested positive for HSV1 49.90 IGG type specific. and negative for HSV2 <.90. can my new HSV1 diagnosis be genital? And what can u tell me from these early results. I plan to get rested in a few weeks, which will be my 12 week mark. I don't have any genital herpes symptoms so far.Thanks in advance doctor
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207091 tn?1337709493
COMMUNITY LEADER
How long after your exposure did you test? It's possible that it was a pre-exisiting infection since the test misses 30% of hsv1 infections. Without genital symptoms, you can assume it's oral.

Getting hsv2 from a one-time encounter is unlikely, but it's good to test.
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i tested 4 weeks after exposure. I think since IGG antibodies were detected for HSV1, its probably and old infection. I don't think IGG antibodies would be present after only 4 weeks of exposure. but I could be wrong. And if it is a new infection, I would assume that HSV2 antibodies would also be present as well, if I have HSV1 and HSV2 from that one encounter? and not just the HSV1 antibodies. And any feedback is truly appreciated.
Yes, 4 weeks would be on the early side, for sure. It's possible that it's a new infection, but far more likely to be an older infection.

If it were a new infection, it's hard to say if hsv2 antibodies would develop at the same rate. One may slow the other down. I'd wait until 16 weeks and test again since you have a known exposure, but since you don't have any symptoms, I wouldn't overly worry about it.

One thing to consider, if you still talk to your partner, is that her test may have been a combo test, where it gives a result like "HSV 1/2 IgG" with a number, or just a positive. Many doctors read that as positive for 1 AND 2, and not as 1 OR 2, or both. The test doesn't differentiate between the types. That might help you in your testing process, and in her future treatment decisions.
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