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Confused on the results. Please clarify

I went to the lab to get tested for HSV2 to find out if I was positive or negative.

HSV 1 and 2- Spec AB, IgG w/Rfx
HSV1 IgG, Type Spec
The results  came back 37.80 and the flag level was high.  

The index was 0.00-0.90
Negative 1.09

HSV 2 IgG, Type Spec          <0.91

Note: Negative indicates no antibodies detected to HSV-2. Equivocal may suggest early infection. If clinically appropriate, retest at a later date. Positive indicates antibodies detected to HSV-2.

any help here, much appreciated!
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Avatar universal
Hey there need some help tested for hsv1 result of 8.81 and hsv2 2.40 separately but together the score on a separate result sheet hsv1/2 igg  says 8.26 taking blood test . It’s the first time taking this test,  not sure what it means or when I’ve actually been exposed to this been feeling really weird not sure how to explain it some days I’m great some days I be cramping badly. Does this mean I’m positive or negative and how long after should I go take another test and what other tests should I take to confirm?
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You need to ignore the one that has the combined score, and only look at the separate ones. I'm not even sure why they ran the combined one if they ran the type-specific one, but no matter.

You definitely have hsv1. So do millions of other people. Statistically, that's an oral infection.

Your hsv2 result falls into the range that could be a false positive. Anything below a 3.5 could be a false positive and needs to be confirmed, preferably with a Western Blot test, though since it's your first IgG test, you could take another IgG test.

When was your last possible exposure? When was the last time you've had sex?

Herpes doesn't generally cause cramping, so definitely continue to work with your doctor to find the cause of that. Have you had other STD testing? Chlamydia and gonorrhea can cause cramping.
207091 tn?1337709493
So you're results for hsv2 were 1.09? Am I reading that correctly?

That's considered equivocal, or indeterminate. It means we don't know if you have it, technically. The official cutoff for positive is 1.10, though the CDC and experts in the field believe that's too low, and results under 3.5 need to be confirmed.

Why were you testing? Have you had symptoms? A known exposure? How long ago was your last possible exposure (when was the last time you had sex)?

It can take up to 12 weeks to show positive on this test. It could mean that your antibodies are developing, if you tested soon after an exposure, or it could be that you are one of the people who just test higher even though you're negative. Some people just get low false positives (that's not exactly you, but the theory is the same).

So you can test again at 12 weeks past exposure, if you haven't already reached 12 weeks. If you have, you can test again with an IgG or get a Western Blot. Your doctor can order that, or you can go through Terri Warren on her site (she's one of the world's leading experts on herpes), but you'll have to self-pay.

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