Questions about herpes testing

Posted , 3 users are following.

Hello everyone. I was wondering if someone more knowledgeable can offer up some advice. I came down with some herpes type symptoms that my dr said looked like a classic case. My pcr dna culture came back positive while my igG test is negative for both hsv 1 and 2. I know it takes 3 months for antibodies to show up and i was tested a week after my symptoms started and after my sexual encounter , therefore he suggested i was exposed within weeks and he was the likely suspect. But here is my conundrum.....i had protected sex with the suspect and he informed me that he was tested as well a week ago and no symptoms and blood tests where all negative. Well the only other suspect would have been 5 or 6 mths ago from the last one, so if he was the likely one wouldnt i have antibodies and an outbreak prior. Im so confused!! So if the first one didnt give it to me and the second suspect is clean...what is going on?

0 likes, 18 replies

18 Replies

  • Posted

    I'm in the same boat. Symptoms, classic presentation, no proper strain diagnosis yet. No reason for it unless it lies dormant for 20 years and then boom, presents itself like nothing I have ever experienced in pain. Only logical possibility is GHSV-1 gotten recently from my dormant wife of 17 years. But 20 years ago...  there is a very slim possibility of HSV-2. Best of luck. I am going to get a PCR re-test after a few months myself. Beyond confusing.

    • Posted

      Err she is "clean" but I doubt it was a proper run for HSV that she had. She's going in for a few more next visit. She should be clean for HSV-2 as she was a virgin. Again, don't sweat. You'll figure it out as will I in time. Nailing down the timing of infection seems impossible though. Only likely statistics, not 100%.

    • Posted

      Grr, can't edit posts. She should be clean of HSV-2 if I didn't give it to her from the only prior intimate relationship I had and she is simply a carrier and we both have had it the whole time.  Who knows. Too many questions.

    • Posted

      Wow that is a pickle. I hope the test come out conclusive either way. Atleast you have each other.
  • Posted

    Well in speaking with both suspects just now. They both have tests that confirm them being negative. The mystery herpes plot thickens. I guess the answer may lie in another blood test months from now to see if antibodies are present. But how did i become infected???? So frustrating!
  • Posted

    My money would be on the most recent partner. Condoms don't fully protect against herpes and symptoms aren't necessary (he could be an asymptomatic carrier). Did you actually see his test results? I would be suspicious if he only told you. Why did he conveniently test just a week before? Which tests did he have done? Not all are correct for testing herpes.

    • Posted

      He tested about 3 weeks after me. From his last partner before me to the time he tested was 4 mths or more, so in theory that would have given him time for antibodies to show up.
    • Posted

      Ah, okay, I assumed wrong about the timing. What about the test type, seeing his results, etc.?
    • Posted

      IgG test. No i have not actually seen the test but trust is not an issue here. With the test results of both partners, the timing of them both...nothing adds up. Its not about delaying the bad news, i will embrace the results, but my gut is telling me something doesn't add up here.

    • Posted

      Just realised you didn't say which HSV type you were diagnosed with. Also, how long after sex with the second partner did it take for symptoms to show? The pcr swab test is very accurate, so there is no doubt there that you have it. What doesn't add up are your two partners and their tests, especially if you were diagnosed with HSV-2. If Type 1, then their tests could have missed it.

    • Posted

      Pcr swab was positive for hsv 2. I had symptoms beginning two days after sex. All other std tests were negative. I did however have a uti and bacterial vaginosis to go along with it. I have never had BV before so that was a new experience. I have done some reading and the pcr swab can produce false positives so even that is not 100%. And since both partner are negative....it leads me to believe that something doesnt add up here
    • Posted

      It is the gold standard amongst swab tests and is used for research purposes. You even had a classic outbreak according to your doctor, and within the typical timeframe from infection as well (usually a week). The "uti" is likely part of the outbreak (Google herpetic urethritis). It seems pretty clear that you do unfortunately have a new genital HSV-2 infection (as evidenced by your swab, but no antibodies yet) and it seems very likely that it came from your second, most recent partner, so your doctor's assessment is sound. The thing that does not add up is your partner and/or his testing. I would look into that further, if that matters to you.

    • Posted

      I plan on being retested in the next couple of months to see if the antibodies show up. And yes i have read the gold standard on pcr but also many cases on where it read a false positive. One case in particular was a woman who was a virgin in all aspects of sex and tested positive for hsv2.
    • Posted

      Good, I would do that, too, but I would also focus your search for loopholes on your partner's side, not yours. False positives with pcr swabs are *not* common at all.

    • Posted

      I am going to probe some more into his testing for sure. As well as talking with my dr more in depth
    • Posted

      P.S. Besides lying about testing or his results, or having the wrong test done, the only thing I can think of is that he is just really slow to seroconvert (not very common), or he is newly infected himself.
    • Posted

      Yes all that i have taken into account. But the odds of it all does not pan out...odds of his test being negative and the fact that it we used protection. Im just wondering if in fact that bacterial vaginosis can be that bad
    • Posted

      Condoms only offer partial protection from herpes (some say 50%). There are women on here who definitely got it from protected sex. BV would not give a positive pcr result for herpes. You didn't see his lab report to verify the test type or results. If a new infection, he may need to test again. I don't think I can say any more on this, so I'll leave it at that!

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