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New ELISA test higher titer

Five years ago I was tested for HSV 1 and 2 after having few definite HSV1 outbreaks over the course of a few years prior. With no evidence of HSV2.

The titer was HSV1 >5.0 HSV2 1.99 I paid for the Western blot as follow up and indeed, the HSV2 came up negative.

Five years later and a protected PIV and unprotected cunnilimgus with lover who tested positive for HSV, but has never had an outbreak and my ELISA test has as expected come back with >5.00 but the HSV2 cane back with 4.01

My wife thinks I should get the Western Blot just to be sure. Is it likely that I've aquired HSV2 with the higher number or do they go up and down?
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Avatar universal
There is a possibility that if you had sexual partners in the 16 weeks leading into the Westernblot test that you were infected but did not test positive owing to the time taken to develop antibodies. This wouldn't be likely.

I agree the Westernblot confirmation is a sound approach.
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Avatar universal
I had the Western Blot days after I got the results 5 years ago, with no lovers between.

We've been sexually active with others who have had recent tests, all negative, except the one known. Last contact with the known HSV2+ lover was about 6 weeks, and one other occasion about 9 months before that.

Sounds like the bestr plan is to assume I'm HSV2 + and get the Western Blot confirmation.

Thanks!
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Avatar universal
How long after the ELISA test 5 years ago did you have the Westernblot? Were you sexually active throughout? Have you had multiple sexual partners since that time? How long your last contact with this lover did you have the blood test.

The result is high would be a strong sign of infection and this should be assumed at this point. A Westernblot confirmation would be a useful though.
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