All I remember was a handjob, and I fingered her and kissed her breast. As STD specialist would be attuned to the varied manifestations of herpes, thus, while not perfect (no clinical exam, by anyone, is) his “educated guess” is better than most. But, in situations such as your in which testing was probably no warranted to begin with (we really do not recommend testing in the absence of some sort of reasonable reason for suspicion such as lesions or an infected partner), if your Western Blot is negative the chance that you actually have HSV-2 in vanishingly low. ELISA test is considered as the benchmark of finding the presence of HSV. Prospective evaluation of an algorithm incorporating HSV-1 serostatus found that 11 of 70 persons with indeterminate HSV-2 ELISAs were Western blot-positive. Many people have a vested interest in having herpes, but goddess knows why. If I have HSV 2 orally, is it okay to date again and kiss romantically and even tongue kiss?

After one sexual encounter with him in 1/2014, I developed bacterial vaginosis-I had a pelvic exam and was treated; after the last encounter on 7/7/14, I got a yeast infection, which was also confirmed and treated. Have you seen any false positives ? 2. Otherwise, what would be the need for a range if it were either no virus = 0 number, or present virus = x.x number? Tested negative IGM hsv via labcorp 2 weeks after last involvement. However, Ashley-Morrow et al have clearly demonstrated that the HSV-2 IgG Western blot is less sensitive than the HerpeSelect HSV-2 IgG ELISA for detecting IgG seroconversion following newly-acquired HSV-2 infection: the median interval between symptom onset and IgG seroconversion was 21 days for the HerpeSelect ELISA versus 68 days for the Western blot assay.3 There is thus a window of approximately 47 days in which the Western blot assay may give false-negative confirmatory results. Unfortunately no there will not be a marketable cure in 5 years.


Except for a few occasions of unprotected intercourse with my two ex-boyfriends, I have always used condoms during intercourse. I have no idea where my HSV 1 is located, but I can’t ever recall having a cold sore as an adult and I have no memory of them as a child (but obviously I could be wrong about that). Virus specimens, grown under controlled conditions and allowed to multiply, are seen under a microscope, so you need a sample from an active lesion. To evaluate the ability of the Uni-Gold™ HSV-2 Rapid to correctly diagnose the presence or absence of anti-HSV-2 antibodies in patient serum samples in comparison to the University of Washington HSV Western blot (UWWB). This is your final post on this subscription. Direct Testing (DFA and Viral Culture) is indicated in active infections, but requires accurate collection of specimens from lesions and so cannot be used for asymptomatic genital herpes infections. Each time i felt something even remotely awry in the genital area I had it swabbed.

Sometimes there is not enough virus in a lesion for the test to accurately come back positive. For instance, some, but not all, people who have had blood transfusions, prior pregnancies or an organ transplant will make HLA antibodies. If the high positive control index value was less than 3.5, the test results were considered invalid and it was necessary to repeat the assay. Three tests are commonly used for the diagnosis of HSV-2 infection. I never showed any symptoms. While providers should be aware of these limitations and perform confirmatory testing as recommended by the Guidelines, the HerpeSelect test remains an acceptable test for HSV serologic diagnosis. Would it be a fair assesment to say that a low index score means the infection is/has been dormant or would it indicate that it happened recently?

The tests do not actually detect the virus; instead, they look for antibodies in the blood. Both WBA and IEA are accurate and sensitive tests for HSV-2 antibody in patients convalescing from a first episode or having symptomatic or asymptomatic recurrent genital herpes. The tricky part is, that a huge portion of the folks were tested VERY early (many earlier than 30 days from infection, and more still earlier than 60 days) and naturally not all the folks seroconverted because it was too early. I been thinking about hsv1. HSV-2 Western blots were performed on sera from male sexually transmitted disease clinic patients testing HSV-2 ELISA-positive and used to define a new class of indeterminate HSV-2 ELISA result. For those with low positive results, it is recommended to confirm  testing by a second kind of test, perhaps herpes Western blot from the University of Washington, if enough time has elapsed since possible infection. Twenty-eight participants completed the questionnaire again at a 3-month follow-up visit.

1. I never had other symptoms typical to this diagnosis, except literal daily itching for at least three years now, which I have been told by a few medical professionals are not related.