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AppleBetty

WTH with my diagnosis?!

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AppleBetty

Early last month I found out my fiance (now ex-fiance) cheated on me with about 6 other women. I went to get tested as soon as I found out and I tested positive for chlamydia and HSV-2. My OBGYN voiced that my index value was at 29.23 

Well a couple weeks ago, I was due for a pap smear. My OBGYN decided to do another round of tests to make sure the chlamydia was gone. I called a couple days ago to get the results of my test and she confirmed that the clamydia testing was negative and my pap smear was normal, but my Herpes tests came back negative with an index value of 0.41 

So, now she wants me to come in and do ANOTHER blood test.... What in the world in going on? Do I have it or not? 

I want to point out that I dont know if she tested using IgM or IgG or HerpesSelect, I'll find out on Tuesday when I go back. But what in the world would make these two test results so daggone completely opposite?

I also want to add that both times I was tested she took a blood test. The second time she took a blood test AND some kind of vaginal swab, since she was already in there for the pap smear. Also, I've never had any symptoms. Ever. This entire ordeal is frustrating and my PCP doesn't really have any answers for me.

Edited by AppleBetty

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WilsoInAus

The correct testing will usually be very accurate. There are many incorrect tests applied and even more incorrect interpretations. Both your test results are probably blood test results.

If you can get them, then printouts of the tests may reveal all and lift the veil of confusion.

The only credible test to have is a blood test for IgG antibodies, type specific for HSV-1 and HSV-2. For this next test, it is best to wait at least 12 weeks from when you last had sex with this partner. That way you can be completely confident in the result.

The are many questions you may have regarding a HSV-2 infection, but I feel the fundamental question of infection needs answering first.

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WilsoInAus

If someone has a combined HSV 1/2 test (and I am not sure why such a test even exists, but they do and are used heavily!!) then a positive means they have either HSV-1 OR HSV-2 OR maybe both. You just do not know.

Most of the time a positive on a combined test will be due to an oral HSV-1 infection and the person has only this infection.

Type specific testing is really the only way to go.

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AppleBetty

I'm assuming she did a type specific test because I was told I had HSV 2. She'd mentioned nothingabout HSV 1. Both of us are confused about my results for each test, esepcially with thefirst number being so high. When I go back to see her on Tuesday, I'll make sure to get a printout so I can give more details and see exactly what type of test was used, but until then everything is up in the air.

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WilsoInAus

Terrific, get those result and there are plenty of other thoughts we will be able to help further.

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