Aa
need help
I recently went to my doctor after being spat in the face at work. I was shocked to find out I tested positive for hsv2 1.19 I already have hsv1 my last two blood test were negative from April and September. I was speaking to a girl from March to April who is a virgin who was tested in January everything negative. we had our last encounter was April 15th oral sex and frottage. I got tested on April 30th my test came back negative but the number was 0.84 from 0.44 in September. May 3rd new girl frottage no oral no vaginal sex. Both women claim to be negative the virgin female tested negative January female#2 claims she is negative and doesn't have anything. im really scared and my doctor won't help me figure it out I have no symptoms.
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There is a really, really good chance this is a false positive. Anything below a 3.5 has at least a 50/50 chance of being a false positive, and at a 1.19, there is probably an 85-90% chance yours is.
If your doctor is diagnosing and treating STIs, they need to be aware of the CDC's Treatment Guidelines. They explain this.
https://www.cdc.gov/std/treatment-guidelines/herpes.htm
"The most commonly used test, HerpeSelect HSV-2 enzyme immunoassay (EIA), often is falsely positive at low index values (1.1–3.0) (457–457). One study reported an overall specificity of 57.4%, with a specificity of 39.8% for index values of 1.1–2.9 (458). Because of the poor specificity of commercially available type-specific EIAs, particularly with low index values (<3.0), a confirmatory test (Biokit or Western blot) with a second method should be performed before test interpretation. Use of confirmatory testing with the Biokit or the Western blot assays have been reported to improve accuracy of HSV-2 serologic testing (459). "
Show your doctor that. They can order you the Western Blot, or you can assume it's a false negative, given your incredibly low risk. Either would be appropriate.
If your doctor is diagnosing and treating STIs, they need to be aware of the CDC's Treatment Guidelines. They explain this.
https://www.cdc.gov/std/treatment-guidelines/herpes.htm
"The most commonly used test, HerpeSelect HSV-2 enzyme immunoassay (EIA), often is falsely positive at low index values (1.1–3.0) (457–457). One study reported an overall specificity of 57.4%, with a specificity of 39.8% for index values of 1.1–2.9 (458). Because of the poor specificity of commercially available type-specific EIAs, particularly with low index values (<3.0), a confirmatory test (Biokit or Western blot) with a second method should be performed before test interpretation. Use of confirmatory testing with the Biokit or the Western blot assays have been reported to improve accuracy of HSV-2 serologic testing (459). "
Show your doctor that. They can order you the Western Blot, or you can assume it's a false negative, given your incredibly low risk. Either would be appropriate.
8 Comments
she used Igg.
I would like to say this my igg hsv2 test numbers has always been fluctuating since September of 2017 the numbers are as followed. September2017<0.90, February2018<86, February2019<60, October2019<59 ,
March2020<72 September2020<44 4.29.21<84. It is now august no outbreaks nothing going on down there. So I am very confused I didn’t have vaginal sex with either one of these ladies and both were tested one was tested in January and the other February or march. My doctor will retake blood and run test again she said if it comes back positive its positive even called her about a western blot test she said they don't do that for hsv2 need help need answers emotionally dying right now. Please need answers need information really really scared could this be a false positive
I would like to say this my igg hsv2 test numbers has always been fluctuating since September of 2017 the numbers are as followed. September2017<0.90, February2018<86, February2019<60, October2019<59 ,
March2020<72 September2020<44 4.29.21<84. It is now august no outbreaks nothing going on down there. So I am very confused I didn’t have vaginal sex with either one of these ladies and both were tested one was tested in January and the other February or march. My doctor will retake blood and run test again she said if it comes back positive its positive even called her about a western blot test she said they don't do that for hsv2 need help need answers emotionally dying right now. Please need answers need information really really scared could this be a false positive
Those aren't really considered fluctuating. No one ever gets a true zero, and it's just the way the test works.
I've had herpes for almost 20 years, and I could test today and get an 11.9, and tomorrow, get an 8.6. It doesn't mean I have less herpes. Your negative numbers are all still very negative. I mean, if that's how it worked, you would be more negative in Sept 2020 than you were in March 2020, right? That doesn't make sense.
Please show your doctor the link I gave you above, and also these:
https://depts.washington.edu/herpes/pages/hsv_resources
http://depts.washington.edu/herpes/pages/frequently_asked_questions
https://testguide.labmed.uw.edu/public/view/HSWB
These are all where the Western Blot is ordered.
Your doctor is very, very wrong. It is shameful that she is diagnosing and treating herpes and doesn't know this. You are going to have to get tough and advocate for yourself here.
There is a place where you can get it on your own, which I can help you with, but you have to self pay, and it is several hundred dollars.
I'm sorry you have to go through this.
I've had herpes for almost 20 years, and I could test today and get an 11.9, and tomorrow, get an 8.6. It doesn't mean I have less herpes. Your negative numbers are all still very negative. I mean, if that's how it worked, you would be more negative in Sept 2020 than you were in March 2020, right? That doesn't make sense.
Please show your doctor the link I gave you above, and also these:
https://depts.washington.edu/herpes/pages/hsv_resources
http://depts.washington.edu/herpes/pages/frequently_asked_questions
https://testguide.labmed.uw.edu/public/view/HSWB
These are all where the Western Blot is ordered.
Your doctor is very, very wrong. It is shameful that she is diagnosing and treating herpes and doesn't know this. You are going to have to get tough and advocate for yourself here.
There is a place where you can get it on your own, which I can help you with, but you have to self pay, and it is several hundred dollars.
I'm sorry you have to go through this.
yes what is the place. Also another question May is the last encounter no sex no oral just frottage its august now number 1.19 this could be a false positive you telling ?
The frottage - how long was it? Were you both unclothed? How vigorous was it?
Frottage can be a risk for herpes if there is really heavy rubbing and grinding when both people are unclothed, but it's not a common way of transmitting it. And isn't that partner negative? Has she tested?
You can get the Western Blot through Terri Warren at Westover Heights. You can set up an appt for a consult here - https://westoverheights.com/getting-a-herpes-western-blot/
Frottage can be a risk for herpes if there is really heavy rubbing and grinding when both people are unclothed, but it's not a common way of transmitting it. And isn't that partner negative? Has she tested?
You can get the Western Blot through Terri Warren at Westover Heights. You can set up an appt for a consult here - https://westoverheights.com/getting-a-herpes-western-blot/
She claims she is I called her let her know whats going on. It was so long ago I can't remember how vigorous it was but i remember the date May 3rd and its august im getting test again to see what the numbers do if the numbers don't go up and stay the same or go negative what should be my next course of action? and can you get hsv2 from oral sex ?
If the numbers go down or go negative, I'd say it's a negative, for sure. If they stay the same, you should get the Western Blot.
People can have oral hsv2, but it's very rare. When they do get it, it rarely recurs and rarely sheds, which means it almost never transmits to anyone else. I've never seen anyone get genital hsv2 from getting oral sex.
I've seen maybe 5 people get oral hsv2 from giving oral sex. It's possible, but rare.
Remember that your test has about an 85-90% of being a false positive. Don't forget that.
People can have oral hsv2, but it's very rare. When they do get it, it rarely recurs and rarely sheds, which means it almost never transmits to anyone else. I've never seen anyone get genital hsv2 from getting oral sex.
I've seen maybe 5 people get oral hsv2 from giving oral sex. It's possible, but rare.
Remember that your test has about an 85-90% of being a false positive. Don't forget that.
Im gonna tell my doctor about the western bolt do you think they will order it for me
I don't know - I don't know your doctor. They should, though. Show them the CDC info, and the other info from the University of Washington that I gave you earlier. I'll link it again:
Please show your doctor the link I gave you above, and also these:
https://depts.washington.edu/herpes/pages/hsv_resources
http://depts.washington.edu/herpes/pages/frequently_asked_questions
https://testguide.labmed.uw.edu/public/view/HSWB
These are all where the Western Blot is ordered.
Good luck!
Please show your doctor the link I gave you above, and also these:
https://depts.washington.edu/herpes/pages/hsv_resources
http://depts.washington.edu/herpes/pages/frequently_asked_questions
https://testguide.labmed.uw.edu/public/view/HSWB
These are all where the Western Blot is ordered.
Good luck!
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You are reading content posted in the Herpes Community
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
