Hsv2 Numberic number

[doobie212]

HI DOCTOR, I RECEIVED UNPROTECTED ORAL SEX FROM A FEMALE FROM UNKNOWN STD STATUS. JUST WORRIED ABOUT MY RECENT TEST RESULTS FOR HSV2. I TESTED NINE DAYS AFTER THE EXPOSURE AND TESTED POSITIVE FOR HSV1 WITH 3.53 AND NEGATIVE FOR HSV2 WITH 0.14. SO I TESTED AGAIN AT 10 WEEKS AND HSV1 4.06 AND HSV2 NEGATIVE WITH 0.45. Its going to be 11 weeks from the exposure tomorrow. No blisters or any symptoms. Just itching. It was a herpes select igg blood test.

1. Could the rising of the numbers for my hsv2 be turning positive soon?
2. How accurate are these ten week results
3. Could my hsv1 antibodies be delaying the antibodies for hsv2 to take long to show up?
4. Should i retest again and when should i retest to get a very accurate test result?
5. Why do i have a high numberic number for a negative result? Shouldnt it be lower than that? Thats why im worried. .45 more i will be positive.
6. Do those numberic numbers go down or up when someone tests negative? Meaning when youget tested they dont always stay the same number if your negative?
7. Doctor whats the possiblity of genital warts from being infected from receiving oral sex and how long to wait to be sure you didnt get infected with it?
Im just afraid that im infected with hsv2 but its taking long for my antibodies to show up and infect my fiance. Thanks for your help. That numberic number changing is making me nervous.

[doobie212]

You said hsv 2 prior to hsv 1 6 weeks 59% 3months 73% and six months 83%. Im confused here. So a year it will be 95%?? Though dr. hhh said three or four months is really accurate. So really whats the delay time period to get a accurate 99% test? Theres different answers. You said at six weeks its 75% accurate and i tested at ten weeks and you said its 75% accurate. Thank you and hope you could clear this up for me. Its confusing.

[doobie212]

doctor i read a forum of dr.hhh and he said that if some has hsv1 that a negative herpeselect at 3 or 4 months thats acurrate.

[Edward W Hook, MD]

Persons who have HSV-1 antibodies may take a bit longer, on average, to develop a postive HSV-2 antibody result on the HerpeSelect.  Anyone who acquired infection and is going to have a postive test will have a postive test within 6 months of exposure.  You however, have no reason to worry as I said in my original response.

It is time for this thread to end.  I will not contribute to feeding your anxiety. EWH

[doobie212]

I also read that antibodies could take 6 months to be detected in the herpeselect igg blood test. Who are the people that will take six months for antibodies to show up on the blood work

[doobie212]

Doctor Edward, how long does it take to test positive on a herpeselect for hsv2 while having hsv1 antibodies in the system.

[Edward W Hook, MD]

You are out of control. You have now posted 77 times in 11 days, typically asking the same question on numerous sites again and again.  Very clearly you have anxiety (most likely related to guilt) occurring in relationship to your receipt of oral sex.  I will answer you now, perhaps consider a follow-up question if it is not repetitive and then this post will be over.  Continuing in this way will result in your being banned from the site.

As I have told you, as Grace has told you, as Petal has told you and as your own doctors have told you, you do not have genital herpes.  Your tests should that you have HSV-1, most likely as the result of a longstanding oral infection.  Your genital itching is NOT a sign of herpes.  

Regarding HSV-2 through oral sex. This is vanishingly rare.  Oral HSV-2 infections are rare, when they occur they rarely recur, and transmission of HSV-2 from a person with oral HSV-2 to someone else’s genitalia is virtually unheard of. Could it happen, sure. IS it likely, no it is not.  You are just not that unlucky and your tests prove this.  

Tests for HSV (1 or 2) typically fluctuate and that you had a higher value when un unnecessarily repeated your test means nothing. It is still far, far below the level at which tests are positive.  If you repeat it again it may be higher, it may be lower.  You still will not have genital HSV-2.  

Now to answer your questions:
1.  No!!!
2.  At 10 weeks over 75% of persons who have acquired HSV will have positive antibody tests.  In your case however, since you have not had lesions, the situation provides very strong evidence that you did not get herpes.
3.  While this can happen it does so in people who have had lesions. You did not have an outbreak.
4.  You do not need further testing
5.  The number is not high. It is a typical negative result.  Your earlier result was atypically low. The readings reflect the reactivity of many proteins and antibodies to other things which are in your body and vary on a day to day basis.
6. Fluctuation can be due to a different test batch, a different room temperature in the lab, insignificant measurement variation is setting up the test and many, many other factors.
7.  Sorry, we're not going to get not this new flight of fantasy.  Warts from receipt of oral sex, like are extraordinarily rare.

You need to get yourself under control. Your posts seem to indicate that you cannot do this by yourself and that all of the sincere advice offered on the MedHelp sites do not accomplish this either.  I urge you to stop wasting your time and the time of others on these sites worrying about something that it is clear that you do not have and invest your energy in getting professional help to work through what appears to be a pathological, paralyzing anxiety state. EWH