I'm a 44 year old male in a 2 year+ relationship with a 37 y.o female. As far as I know she is faithful. She has an IUD so we have unprotected sex Regretfully I have not been faithful.
Once or twice a year i have visited escorts for unprotected oral sex(I received) and vaginal sex with condom. Over the course the the past 2+ years I've had 5 or 6 such encounters, different woman each time.
In July 2017 I tested neg for HSV2, IgG( this is in the first year of our relationship). We started dating toward the end of 2016, we started having unprotected sex around middle of 2017, around the time of my first test.
In January 2018 I tested equivocal for HSV2 IgG, like a 0.90. I was told it was borderline, to retest later, could be false positive or just exposure to the virus without seroconversion. I never got an outbreak, and never made it back for a retest until recently. I've had 2 escort encounters since the last test, and this got me a little scared.
April 15, 2019 I retested and got a reading of 1.10 for HSV2 IgG, just over the positive threshold. The lab did a 2nd supplemental IgG from the same draw, and that said it was negative, no number given. In between the last test and this one I've had 3 encounters with escorts, last one being April 4th. Last sexual encounter with my girlfriend was around March 30th.
At the most recent followup the doctor said that the test was inconclusive and to retest 4 weeks from the last test, so May 9th. She felt I have a 50/50 chance of seroconverting at this point.
1. My doctor also said she thought the equivocal test from 2018 and the results from this most recent test are unrelated exposures based on the fact that the numbers didn't rise much. Have I been exposed by my girlfriend for the past 2 years , and she didn't know she was HSV2+ going into the relationship with me, but somehow I haven't completely seroconverted, but am still testing borderline for antibodies.
2. Is it possible that the positive result could be false positives
3. Or are the positive results caused by my encounters with the escorts? What's the most likely scenario?
4. I haven't brought this up with the girlfriend yet. I'm waiting for my retest in May. Until then I'll have to abstain. Is there any benefit to me of taking antivirals now in an effort to fight off seroconversion?
Thanks in advance for your answers.