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Forum Name: Sexually Transmitted Diseases

Question: Very Concerned bout possible HSV 2 Infection


 worriedboutus - Sun Oct 14, 2007 5:36 pm

Hi I'm a 29 yr old male with no history of and STD's.
My girlfriend was tested the week of 10/7/07 for HSV 1 and HSV 2.

Her OBGYN had performed a swab culture of 3-4 small red bumps located near her right labia, that she (my girlfriend thought was irritation from shaving or this new pair of underwear she purchased)..the cultures came back Negative.

She also had a swollen lymph node in the pelvic region (same side as the bumps), that hurt her to the touch. Her OBGYN sent her to see a diff. Doc in regards to this. That Doc. perform the blood testing for the HSV 1 and 2.

The results for the HSV 1 were 0.48 and HSV 2 were 10.68 lgG

But, according to her... the Doc made it seem as if though it was not that big a worry and more or less down played it telling her to make an aapt. back with her OBGYN for further instruction. (very weird to me)

My questions are...

Does this indicate the herpes virus in her, or could it be a false postive in some way?

What are my chances if she IS infected of contracted this and how soon would I see a possible outbreak?

And what is the MOST effective test that we should ask for...if we want re-testing for her?

Thanks in advance
 Dr. Chan Lowe - Mon Oct 15, 2007 10:21 pm

User avatar Hi Worriedboutus,

Unfortunately, the values at which titers are considered positive varies from lab to lab. I was not able to find any reference values during my search on the web.

In regards to HSV1 vs. HSV2, titers are typically not helpful because there is a significant amount of cross-reactivity between the two so that distinguishing them is difficult.

The best way to determine infection is by actual culture of a blister when it is present.

In regards to treatment, if outbreaks are frequent it may be worth while to take an oral suppressive medicine such as valacyclovir (Valtrex).

I hope this helps some.

Best wishes.

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