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Did I get genital herpes?

Exactly 3 months ago, I have sex with a female prostitute(I am male). Here is what happened. First there is a oral activity with a condom, and I took off and took on a new condom and I just insect her vagina a few times and pull out(I didn't shoot).
I had a Captia test in the 3 week, 4 week, 5 week and they all turned out negative(HSV I and II igm and igg).
Then in the 6 week, I had a roche test and they all turned out negative and  the HSV II igg index value is 0.06.
However in the 3 month, I had a test and the HSV II igg turned out to be positive(Maybe using Captia, I changed to a lab in a small town to do the experiment).
For 3 month, I checked my genital part everyday, there aren't any symptoms.
Did I get genital herpes?
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Hey, Jessi. It has been a while.  A few months ago, you help me a lot, I can't be more grateful.
But I got some new situation here. Last night, I found 2 round scab on the right side of my butt. And then it occurs to me that 2 months ago I have found the same scab on the same place. At that time, I thought it was Folliculitis as I often receive Folliculitis in that area. I use my hand to click the scab, and I found some liquid with blood coming out of it. Really not worried about whether it was herpes or not. But I can't get a scab test, every hospital in my city doesn't offer it, I have to go to another city. And I don't sure whether it's too late or not.
1. In some threads, I read lesions caused by herpes can be very superficial, and don't bleed. Can we say it was not herpes because it bleed?
2. In the 9 day, I have several cut-like sore on the right side of my groin. I show the picture of them to 2 online doctor(because of the pandemic), and they both said" definitely not herpes". Because it healed too fast, in the 12 day, it almost healed. But similar sores have showed up this Monday, can we say this lesions weren't herpes because it healed too fast?
(My Capita and Roche Elecsys test both negative in the 16 week, though in the 12 week, a test produced by a company called Dia.pro turned positive)
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3 Comments
Have you had a new possible exposure since we last spoke? If you haven't, this can't be herpes. You tested negative, and if you haven't had sex, it can't be herpes.

Herpes doesn't typically bleed, either. I don't think this is herpes, and I don't think you need to worry. Unless you've had sex recently, you definitely don't. Not everything that happens on the skin is herpes.

I know you had some weird testing stuff happen, but you really can let this go. :)
Hey, Jessi. No, I don't have other exposure since last time. I was very worried. I read some threads about how they had a positive swab and then got negative igg. I knew the chance is low. But my right groin keep showing up red rash, just making me afraid. I have tested the sore on my butt cheek, it wasn't herpes. But those in my groin, I haven't had it tested yet. And I have observed cut-like sores in the same side of groin in the 21 day. Though my doctor said it was not alike, it still makes me very nervous. Does the lesion sound like atypical Herpes to you?
Also, labs in my city don't offer Herpeselect test, just Capita and Roche Elecsys. Though the Elecsys test value is really low, the grey zone of this test, is 0.5~1 different from other test. And from my blood was drawn to the result came out, it took just half an hour. I checked on the Roche website, it only needs 18 minutes to finish a test. Though it was cleared by FDA, the accuracy makes me nervous. Should I trust the negative result?
I might have a swab test on the rash of my groin when it shows up again. I was living in Asia. I recently knew that a hospital in Hong Kong can deliver my blood to have a Western Blot. But it costs, including the transportation and others, about 1100 USD. That might cost all of my money. Do you think it is necessary for me to take Western Blot test?  
Honestly, I don't know how else to say this. Your test was negative. You've had no other exposures. I don't think you need the WB, and I wouldn't spend 1100 USD to get it done.

The tests are all the same - so long as they are IgG tests, it's fine.
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COMMUNITY LEADER
Did you get a numerical result on your positive test, or did it just say "positive"?

You need to take a test that has a numeric value. It's likely that it's a false positive, but without knowing the number, it's hard to say.

Your chances of getting herpes from an entirely protected and brief encounter are very slim. See if you can go back to the larger city lab and just take the hsv2 IgG again.
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24 Comments
It just said Positive. And I contacted almost every lab in my town and they all can't take the numerical test. I am so worried and lost now. I think I will take another test 1 month later when I return to the city. But for 3 months, I check my genital part everyday, there aren't any symptoms, can that prove I don't have the virus? And my doctor said I only need to take a test in the 6 week, and it turned out to be negative, can that be another provement?
I would have told you to stop testing at 6 weeks without any symptoms - 70% test positive by then, and unless you get symptoms, there isn't any reason to test again.

There are decently high rates of false positives on IgG tests, so chances are really good that this is a false positive. If you can test again when you go to the city, that will be good, but I wouldn't worry much about it in the meantime.

You tested too often, and chances were good that you'd get a false positive at some point. Your chances of having herpes are really low, based on this encounter, and having no symptoms.
I contacted the lab and they told me the number is 1.4 and the normal value is 1.0, but it seems that the thing they used for test is not satisfying. It was made by a company called Madson in New Jersey. And I took the same test again, the igg is still positive. So I am so confused whether it is right or wrong. And It seems that there is one red spot on my foreskin, I didn't feel anything on it. I plan to take a HSV-2 DNA test. But there  aren't anything ever like blisters or sores in my genital area. Must it have blisters or sores on my genital area if I have herpes?
There are some other things I forgot to mention. In the first month, there are some sores(I can hardly feel) on my ass, not on the surface, they are on the ditch, and I have no sexual activity relevant to the ass, and I talked to my doctor immediately, he said it didn't like herpes. And until today there aren't any sores like that on my ass again. Not sure if that will help
And when those sores came out in the first month, I was having diarrhea, so the doctor told me the diarrhea was a reason, and explained(too professional to remember)
At 1.4, there is at least an 85% chance that's a false positive. Every expert and the CDC all say that anything under a 3.5 needs to be confirmed because it could be a false positive, and most experts feel the 1.10 cutoff is too low.

You said you took the same test again and it's still positive - do you know that number?

What kind of hsv2 dna test are you taking? If it's a blood test, don't bother. Herpes DNA isn't in the blood, and that's a useless test. If it's a PCR swab, that can be helpful, but if it's negative, that doesn't actually mean you don't have herpes.

Are you in the US? (Your test is made in New Jersey and you have seemingly easy access to blood tests.) If you are, you should get a Western Blot test.

You can get sores anywhere in the genital region, including your butt, except that sores you hardly notice aren't likely to be herpes.

The first test is 1.4 and the other test I took 2 days later is 1.2, the value goes down, can that mean anything? And it is just the test I took that was made in New Jersey and I myself is living in an Asian country, so I can't get a Western Blot. And the sores that existed in my butt, I hardly notice it. Even I was in shower, it hardly felt anything. And must it have blisters or sores in my genital part if I have herpes? I google it, and I found some experts said most of whom infected have no symptoms or very mild.  
Listen, you are panicking, and needlessly so.

I understand that you are scared and anxious, but your number has gone down, which is an excellent sign. If you were infected, you'd expect it to go up.

Some people do have mild symptoms. You have neither hsv1 or hsv2 prior to this, which means that you would have a primary outbreak, which is typically very severe. I see no reason to think you have herpes.

Do yourself a favor, and wait until you get to the city again to test one last time. Until then, stop checking yourself, stop reading about herpes, stop googling, and go live your life. If you have sex, use condoms. Let it go until you can get a test in the city. And if you can't, get counseling for your anxiety. Your reaction to this isn't proportional to the situation. You do not yet know that you have herpes and you are acting as if you do.
Hey, Jessi, I got a new situation here. Tomorrow I went climbing mountain with my family, it was very tired. And at 9 p.m. last night I checked my genital part it was all right. At 3 a.m., I felt itch in my genital part. And I saw a sore which looks like a triangle and filled with water. I NEVER have such sore in that area for 13 weeks and 6 days I promise. I thought it was a breakout, and I sucked the water with a tissue, and went to sleep. In the morning, about 7 a.m., I found the sore become a line(I don't know whether there are scabs there), and until now, it didn't change. And by the way, it was under my penis, at the base of my penis. Is it the herpes? I want to do the PCR test, but I heard someone that has tested all negative since last exposure, and felt twinge in his penis and he did a swab on the normal skin and it turned out positive!!! I was so afraid that PCR can show a false positive result. And I did a third result in my hometown and it was still positive.
Jessi, there are great possibilities that I have herpes, right? I just want to know if what happened last night was indeed a herpes outbreak, will it get worse in the future? I mean like a lot of blisters come out?
Jessi, there is something I mistook. The sore wasn't a triangle, it looks like a line. Last night I pulled my skin really hard to observe it, which makes it look like a triangle. And it was single, there aren't any other sores around.  
It looks like a cut(My English is not very good)
Hey, Jessi, I have thought a lot. I am just 19 years old, yesterday was my 19 birthday, and that was my first sexual intercourse. I am lost and scared, I don't know what my life will be. I am scared that a morning in the future, when I woke up, there are a bunch of blisters(that might happen, right?) I have parents who love me so much, and I think I am going to fail them all. I don't know what to do.
I just checked the sore, and I found it has developed scab(because it was so small, I use a needle to touch it, and I didn't feel anything, that's how I thought it has developed scab).
I talked to my doctor, he said that he thinks Herpes don't cause single sore, so he said it doesn't look like herpes. But I do have something like "prodrome", I felt twinge on the right side of my scrotum(the same side of the sore) the day before yesterday(I wrote down every possible symptom since the exposure). Now I am so confused. I read Terri Warren's book, I want to move forwards, I want to really love everyone around me. Although I don't know whether I have herpes or not, I do feel I love my family, my friends stronger than ever before. Jessi, I just want to know one thing, is it possible for me to receive regular and severe outbreaks in the future, since I don't have a primary outbreak and don't feel anything for 3 month?
I agree with your doctor - it's probably something like a friction sore from hiking. Herpes is a cluster of blisters.

Let's remember - your test score went down. It didn't go up. You are assuming you have herpes, and trying to plan your life around that, when all signs point to you not having it.

If you do have it, you can live a totally normal life - people with herpes aren't some kind of walking, talking disease. They live normally, fall in love, have babies, get married, have jobs, go to school, worry about bills, have friends. Without a doubt, you know people with herpes. You probably don't have it, though.

I know in lots of Asian cities, this isn't talked about. We get a lot of people from Asia asking about it, though.

If you're looking for symptoms to write them down, you're going to notice every twinge, and that's not necessarily a prodrome. A prodrome lasts at least a few hours.

Stop focusing on it. Don't track every symptom. Live your life. If you get another sore, DO NOT pop it or drain it. Let the doctor do that so they have something to test. A PCR test is very accurate. The blood tests have false positives, not the swabs.

Hey, Jessi. I just talked to Terri in a forum about my situation. She said she can said with any certainty whether I have herpes or not. She told me that the sore is the biggest concern. Would you tell me something about the sore in the recurrent herpes?
How long it takes for recurrent herpes to heal? The time ends at when the scab develops or when the scab disappears?
In your opinion, is it possible for the sore caused by recurrent herpes to heal after just one night? Or it will stay open for a couple of days?
These days I read many posts by Dr. Handsfield and Dr. Hook. They often said if one didn't develop lesions in the first 14 days, he is unlikely to have herpes, and they even don't recommend a blood test. I am confused.
And Jessi, thank you so much for your help. So grateful!!!
Jessi, 1 week after last test, I did a third test. It was still positive, and the value was 1.957. It was very high. I know I might have herpes, maybe that's it.
1.957 is not very high. I've seen it as high as 30.something. Anything below 3.5 needs to be confirmed. We knew you might get a similar test result on the same test. Did Terri say if she'd be able to get you a Western Blot where you are?

I've had herpes for a really long time. I've never had a sore heal in a day. With medication, the shortest is a few days. I also agree with Dr. Handsfield and Hook that people typically develop sores within 14 days, but that's not a hard rule.

What did Terri suggest you do?

Oh and Terri is the BEST. If she can't say with certainty with you have herpes, then you can't say it either.
Hey, Jessi. I just want to tell you that I am planning to take a Roche test. It was the same test I took in the 6 week. I am so scared now. If it were still positive this time, it is saying that I have herpes? Anyway, I will post my result ASAP.
No, if it's positive again it doesn't mean you have herpes. We'll have to see what the results say. Make sure you get the numeric result on it.

Good luck!
Hey, Jessi. I got a Roche test today. And HSV II igg value is 0.07. It seems that I wasn't infected. Thank you so much for all those kind help!!! So grateful!!!
Congrats! I'm very happy to hear this. Take care of yourself and we're here if you ever need us. :)
Hey, Jessi. It has been a while.  A few months ago, you help me a lot, I can't be more grateful.
But I got some new situation here. Last night, I found 2 round scab on the right side of my butt. And then it occurs to me that 2 months ago I have found the same scab on the same place. At that time, I thought it was Folliculitis as I often receive Folliculitis in that area. I use my hand to click the scab, and I found some liquid with blood coming out of it. Really not worried about whether it was herpes or not. But I can't get a scab test, every hospital in my city doesn't offer it, I have to go to another city. And I don't sure whether it's too late or not.
1. In some threads, I read lesions caused by herpes can be very superficial, and don't bleed. Can we say it was not herpes because it bleed?
2. In the 9 day, I have several cut-like sore on the right side of my groin. I show the picture of them to 2 online doctor(because of the pandemic), and they both said" definitely not herpes". Because it healed too fast, in the 12 day, it almost healed. But similar sores have showed up this Monday, can we say this lesions weren't herpes because it healed too fast?
(My Capita and Roche Elecsys test both negative in the 16 week, though in the 12 week, a test produced by a company called Dia.pro turned positive)
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