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Confused.


tayytay

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So, I recently went to the OBGYN about a sore that had popped out on the outer lip of my vagina. When I went in to see the doctors the sore was barley visible (basically healed). She swabbed it and sent me home like it was nothing. Told me I looked fine everything downtown was good as she tried to joke around.. A week later I ended up getting the most life ruining call, She began to say that I had herpes. Didn't even tell me a type just began telling me not to have sex and that she wouldn't put me on medication because she felt as if my out breaks would be slim to none. I called back and found out that I have HSV2. Shocked and confused I began to consult in my mother and my boyfriend. Began coming on here more and bugged almost everyone with questions. By this time I had already been to another doctors office where all they did was sit me down and talk to me while I was barley able to breath from crying so much. A week passed and I decided to go to another doctors they had the talk with me rechecked my vagina and sent me home. Told me to come back when I had an "out break", A few days past and I had a sore randomly appear again. This sore bled like crazy to the point where I thought I was spotting from my period. I went to the doctors two days after if appeared. She sat me down took and swab and then did blood work. Today I get a call saying that my blood work came back positive but my swab came back negative............... WTF. My confusion is the first time I went she swabbed skin. The second she actually swabbed a sore and its comes back negative? My doctors told me myself that swabs are 99.9% accurate. That blood work its very easy to get a false positive. I guess I'm just very confused on what I should do. Has anyone else ever gotten a positive then a negative? What else could be causing this? Am I just going crazy? Should I move on with my life or continue to find answers? Help?

 

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The second sore that you had may have been unrelated to HSV. Ask for specifics about what type of blood tests were conducted - were they IgG or IgM? What were the results (numerical values)?

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Swabs are 99.9% acurate in the positive, but very unreliable in the negative. If you had a HSV2 positive swab, then it is HSV2.

Don't worry, 90% of Americans have either HSV1 or HSV2.

75% of americans have HSV1 either up there or down there, but no one is going to abandon having oral sex because of it. In a few years we'll have vaccines and it'll be no big deal. In the meanwhile educate people and live with it.

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    • KKaren
      Thank you for your response.  I will ask for that test.
    • WilsoInAus
      I really suggest that the best thing is for both you and your boyfriend to obtain the Westernblot HSV test. He has a 50%+ chance of being positive and you have a 50%+ chance of being negative. Only the Westernblot can sort this out for you.
    • WilsoInAus
      Hi @kpn the first thing to note is that it is all OK to have HSV-1 or indeed any HSV type. It is not negligence, it is just being human. Oral HSV-1 is not an STD in the sense that the primary transmission is non sexual and the majority of it occurs between parents to children. If any of your children contracted HSV, you would know it. It wouldn't be a silent infection for children. HSV-2 tends not to shed from the oral region for people who have it there in any event. At age 73, about 80% of the population has HSV-1. There is no reason to believe that your mother isn't one of those people. About half of all carriers of oral HSV-1 do not realise they have it and have no living memory of cold sores as they were infected when very young. The most logical explanation is that your mother has oral HSV-1 from her childhood and that your daughter doesn't have oral HSV. Not that it is relevant to anyone but yourself, but your wife might find she actually has genital HSV-1 having had an untyped swab when she was diagnosed.
    • WilsoInAus
      Hi @Dylan86 and welcome to the website. First note that you cannot pragmatically become infected with HSV-1 from sharing a drink. If you carry HSV-1, it did not come from that episode. As such it is extremely unlikely HSV-1 is the primary cause of your issues. Can the WB miss a HSV-1 infection? Rarely but its feasible in less than 1% of carriers who test with WB. Note that the WB does not have values, it has positive or negative as you say. It is way more accurate than IgG as it looks for all 30+ antibodies that are in your blood for HSV. Could you have HSV-1? Yes it is feasible, but it would be a very old childhood infection. Could HSV-1 be causing your oral issues? No herpes will not cause the burning mouth syndrome you describe. Could some of the lesions be herpes related? It is feasible if you are a carrier. But it is unlikely to be the primary cause of the issues, but its an opportunistic virus that can cause issues when something else is taxing your immune system. The best thing you can do is the PCR test on a oral lesion and that will be pretty definitive. Either way, in summary. I'd suggest there is <1% chance you are part of about 70% of the population that has HSV-1. Further there is less than a 1% chance that herpes is the primary cause of your issues.   
    • kpn
      My wife has had hsv 2 for around 8 years. We have two young children 3 years old and 18 months old. My wife only had one outbreak when she was first infected so we didn't worry too much about passing it on to our children. I understand the risk to be pretty low under those circumstances. I don't believe my wife took antivirals during either pregnancy. My younger child has diaper rashes pretty often and has had what I thought was hand foot and mouth disease. That was going around the daycare a while back. I haven't really given it much concern though.  About a week ago, my mother kissed my youngest on the lips. My kid was congested at the time but they pretty much always are. About 3 days later, my mother developed a cold sore on her mouth. She has never had cold sores in her life and she is 73 and happily married so she is not going around messing with anyone. She pointed to the fact she had kissed my youngest and presumed that is where she was infected. At first I said that's not possible since my child has never had any cold sores but since then I have really started to consider that maybe it is possible she contracted it from my daughter. This has me worried that my daughter does indeed have hsv2 and was shedding in her mouth. Does anyone have any experience with this? I am really losing sleep about this. Two people I care so much about got hsv from my negligence. I am fine if I were to contract it, I am not worried about what others think at this point in my life. I just don't want anyone else to have it. 
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