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Negative HSV-2 test result but bumps on my butt cheek, what can it be, pls help!!!

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About 1.5 months ago I slept with this girl and decided to have the "Herpes Select" blood/urine test done with Quest Diagnostics last week (basically, the test was done a little over a month after I slept with her). The results were negative with a .07 HSV-2 antibody level. They told me that to have a positive test result for HSV-2 the antibody level needs to be 1.1 or higher. I do realize that it's only been 1.5 months since the encounter and it does take a while for the antibody levels to build up in the immune system.

Anyways, right before I had the "Herpes Select" test taken, I noticed small bumps on my left butt cheek near the crack... They have gotten a little worse since then but not bad enough to the point where they are causing any real issues. They are not pimples or blisters (they feel kind of hard and look like little red bug bites in the mirror). They don't hurt when I sit down or when clothes rub on them or when I go to the bathroom/wipe or anything like that but they do hurt a little when I touch and put pressure on them. I have like 6-7 bumps or so 3-4 of which are clustered. I really don't notice them that much accept when I think about them and touch them to see if there are still there. I have never had an outbreak or anything like that on or around my genitals before except for this butt cheek thing. I'm not gay and have never had anal sex or anything like that before. Could this be HSV-2 or something else? If she did give it to me and I do have an HSV-2 outbreak on my butt, shouldn't the antibody levels that showed up on my test be higher than .07 since I already had the outbreak while I was being tested and the antibodies would have had to be present by that point at higher levels to start to fight off the HSV-2 infection (even though it's only been a little over a month since I slept with her)? I'm going to the doctor's this Saturday to have it checked out and just want to know what to expect and have a heads up. Please help with any advise, this is driving me crazy!!!

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titers levels will vary due to margin of error of the test, as long as test is in negative range you are fine.

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Wait a while and get retested

Herpes can show up anywhere in your genital area, so this indeed might be herpes.

And you are correct it does take time for your body to create antibodies to the disease. So wait a couple of more months then get tested again.

Good luck!


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As others said, retake the test in time just in case.

Or if it's not that, do you exercise a lot? They could be sweat pimples.... or butt acne (yes it's real, I just googled it!).


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I have HSV 2, and technically they are genital, but my OBs are on my hip and left buttock, no where near my actual genitals. But my OBs are super painful. My BF, who gave me herpes, gets very tiny OBs on his genitals that don't hurt at all and he thought was a heat rash until he gave it to me. And my blood tests all came back negative but finally a skin scraping of the OB confirmed the diagnosis. My body for some reason is not producing any antibodies so without meds, I have constant outbreaks but will almost always test negative on a blood test because I have almost no antibodies. Every case is different, and the skin test seems to be the most reliable. But I'm stuck on the meds until my immune system wakes up (been a year this month). Best of luck to you, hope it is just "butt acne"...lol

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Try a Lysine supplement for cold sores

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