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I went to my doctor recently with some sores in my genital area, and tightness in my groin area. When she looked at it, she said it didn't look like herpes, (it looked like an allergic reaction) but would swab the sores anyways. The swab came back negative.

Due to a mis-reading, my boyfriend's test originally came back positive, so I had blood drawn (as he is the only person I have been with in the last 3 years, and have never had an outbreak of any kind before.) When the Doctor raed the tests again, he actually had HSV-1 at some point, but not recently, and was negative for HSV-2.

My blood work showed this:

Herpes 1 &2 (reflex)/HSV I/II IgG 5.5 (high)
Herpes 1&2 (reflex)/HSV 2 IgG, Type Sp <0.90
Herpes 1&2 (reflex)/HSV, IgM I/II Comb 5.03

The test was done at LabCorp. Can anyone help interpret? The person telling me the results wasn't very clear...

Thank you!
The swab came back negative.
[COLOR="Red"]If a swab culture is not done within 24-48 hours of a sore being 'fresh' it could lead to negative results as there is not enough of the virus to be cultured. Just be aware of that. If you ever have more sores get to the doctor ASAP and ask for a culture for both HSV 1 and 2[/COLOR]

Due to a mis-reading, my boyfriend's test originally came back positive, so I had blood drawn (as he is the only person I have been with in the last 3 years, and have never had an outbreak of any kind before.) When the Doctor raed the tests again, he actually had HSV-1 at some point, but not recently, and was negative for HSV-2.
[COLOR="red"]Orginally positive for HSV 1?[/COLOR]

My blood work showed this:
Herpes 1 &2 (reflex)/HSV I/II IgG 5.5 (high)
Herpes 1&2 (reflex)/HSV 2 IgG, Type Sp <0.90
Herpes 1&2 (reflex)/HSV, IgM I/II Comb 5.03
[COLOR="red"]Looks like the top test was a combined test which should not have been ordered because the result does not tell you WHICH TYPE you have. DOH! The type specific test (the second line) should have been ordered for both type 1 and type 2. This one for type 2 is negative.
Line 3 is even worse - a combined IgM test. The IgM test is not a valid test for HSV anymore. It is cross reactive, unreliable and outdated. And a combined test is even more stupid because it does not differentiate the type!. Personally, I would tell the doctor that you are not paying for it. Tell him/her to go to the CDC site and get correct herpes testing guidelines for this century![/COLOR]

The test was done at LabCorp.
[COLOR="red"]If you can contact the doctor/lab and ask them to use the blood sample you left and do a 'type specific IgG test' for HSV 1. That one along with the HSV 2 type specific is what you should have gotten in the first place.

Summary - your culture was negative for type 2 and the type specific blood test was negative for type 2. The combined test is showing positive which appears to indicate that you are postive for type 1 - typically oral cold sores which about 80% of the US population has. My recommendation is get retested in 3 -4 months after last sexual encounter or date of the sores but get the TYPE SPECIFIC IgG blood test for BOTH HSV 1 and 2. And again, if any sores develop - get them cultured ASAP.[/COLOR]





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