Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical

I had a blood test for HSV 2 IgG and HSV IgM I/II

Customer Question
combination. The results were as...
I had a blood test for HSV 2 IgG and HSV IgM I/II combination. The results were as followed:
HSV 2 IgG less than 0.91 (Negative)
HSV IgM I/II combination 1.02 (equivocal)
MY question is, do I have genital herpes 2? Based on what I am reading, the IgM test cannot determine what type of herpes you have, just that it is an active infection. I also understand that IgG stays in your body forever. If I had the virus in my body for a long time, but just recently had my first very minor syptoms (tiny brown, NON painful pimple in my vaginal area), shouldn't my IgG be positive. If I got it from my longtime boyfriend shouldn't he test positive for IgG? What if he is negative? Should I be tested again in 3 months. Maybe I haven't developed IgG antibodies yet?
Submitted: 6 years ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 6 minutes by:
3/19/2011
Doctor: Dr.Sawhney, Doctor replied 6 years ago
Dr.Sawhney
Dr.Sawhney, Doctor
Category: Medical
Satisfied Customers: 7,466
Experience: MBBS,MS
Verified
Hello

The test results do not mean that you have herpes 2.Even the IgM test is equivocal and not positive and therefore you cannot said to have active infection with either type 1 or type 2 herpes.
If you have been in a long term monogamous relationship with your boyfriend and your boyfriend too has been monogamous with you then you do not have type 2 herpes.
If your boyfriend also tests negative for IgG you do not have herpes type 2.
If there has been any break in monogamity on either side you should test again after 3 months.
Dr.Sawhney
Dr.Sawhney, Doctor
Category: Medical
Satisfied Customers: 7,466
Experience: MBBS,MS
Verified
Dr.Sawhney and 87 other Medical Specialists are ready to help you
Ask your own question now
Customer reply replied 6 years ago
I asked a question this morning and have an additional question on the same subject.
I presented to my doctor on 3/15 with chief complaint: vaginal pressure/pain. No h/a, fever, discharge, swollen lymph nodes or burning on urination. The only other s/s I had was that I noted four very tiny purple/brown spots on my vaginal area. I requested a HSV 2 blood test and she ordered a transvaginal US, which came back normal. She placed me on Valtrex. The results came back as followed:
HSV 2 IgG less than 0.91 (negative)
HSV 2 IgM 1.02 (equivocal)
I was immediately told I had genital herpes. I was VERY upset. My understanding is that the IgM test by itself is more or less useless as it cannot distinquish between type I or type II. My IgG was negative, but I understand that it can take time for those antibodies to elevate if it is a new infection. My questions are the following:
1. How long should I wait to be retested for IgG? I know that the viruses look very similiar at that it is sometimes yields false positive results. I had the test done by Labcorp and it does not appear it was done via ELISA or Western blot. Do you know what lab does it by ELISA or Western blot. I don't care how much it cost as I just want an accurate test result.
2. For the past 10 years I have suffered with very painful cysts/pimples on my buttocks. They last for years! I have been to at least 10 dermatologist/plastic surgeons and have only come up with one dx of pyoderma. Would you recommend a punch bx? I have tried Altabax, Diflorasone and Biafine with duoderm patches with little or no results. IF these cysts/lesions were herpes, I would think that I would have a positive IgG result...correct?
3. My longtime boyfriend of 14 years has never had a herpes lesion. I am assuming he can be a carrier of it. He has already made an appt to be testing.
4. Last question: If you are exposed to someone who has it, would you immediately get it yourself or can you be exposed and then it takes years for you to get an outbreak? I did have one other sexual partner when my boyfriend and I broke up for a while, but that was over two years ago. So, he of course thinks it was from that relationship. But again, I am confused as that was over two years ago. Again, could it lay dormant for two years after an exposure? Based on the above results, would YOU have told your patient that they have genital herpes. I personally (being a nurse) feel it was a little inappropriate. I would have at least recommended another test at a later date before I made that call. What do you think?
Doctor: Dr.Sawhney, Doctor replied 6 years ago
Hello

1.Time for development of IgG antibodies can range from 3- 6 weeks and therefore it would be better to wait at least 6 weeks before retesting for IgG2.
I cannot tell whether it is ELISA or western Blot test.

2.If the lesions on buttocks were herpes your IgG would be positive but this can either be for type 1 or type 2 .

3.He can be a carrier

4.If you had been exposed to type 2 herpes at that time you would have positive IgG2 antibodies.An infection 2 years old would not present with a positive IgM and a negative IgG2

See link below

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1744703/pdf/v079p00276.pdf
Ask Your Own Medical Question
Was this answer helpful?
Ask Dr.Sawhney Your Own Question
Dr.Sawhney
Dr.Sawhney
Dr.Sawhney, Doctor
Category: Medical
Satisfied Customers: 7,466
7,466 Satisfied Customers
Experience: MBBS,MS

Dr.Sawhney is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,780 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,746 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,463 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

14,592 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
I got the result of my western blot test. It came out 0.6
Hi sir I got the result of my western blot test . It came out 0.6 negative . The test was conducted on 6 th February 2018 is it to high after 10 days of exposure . I wasn't provided with any range det… read more
Dr Stan
Dr Stan
DO
2,725 satisfied customers
I did hep surface antibody test and was less than 5 and hep
I did hep b surface antibody test and was less than 5 and hep b surface antigen was negative. I've never had a vaccine. What can it be… read more
Dr. J
Dr. J
Physician, Partner
Doctoral Degree
410 satisfied customers
Just did hep surface antibody test and was less than 5 while
Just did hep b surface antibody test and was less than 5 while hep b surface antigen was negative. Did hiv test non reactive.syphylis gonnorhae and chlymadia was negative. What does it mean… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
667 satisfied customers
I have positive intrinsic factor blocking antibody, with the
I have positive intrinsic factor blocking antibody, with the hx of RDW's being their highest at 18 over the last year and half. 8-2015 was anemic, but hg came back up. Researchers have stated that the… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
839 satisfied customers
I recently had a thyroglobulin antibody result of high @ 50
Hello, I recently had a thyroglobulin antibody result of high @ 50 range and my Dr. Sent me to have an ultrasound of my thyroid that was normal in result. She says no other work up is needed. I'm unsu… read more
Dr Stan
Dr Stan
DO
2,725 satisfied customers
STD report states "positive indicates antibodies detected to
STD report states "positive indicates antibodies detected to HSV 2. Report show a 1.09 reading (23.60 - Flagged High) There has been no indication (outbreaks, sores, etc).ever. What exactly does this … read more
Dr. Huynh
Dr. Huynh
Assistant Medical Director
Doctoral Degree
115 satisfied customers
I got my results and it says: Hep surface antibody and under
Hi I got my results and it says : Hep B surface antibody and under component says Hep B S Ab and the value says Positive (A) and the ref.range says negative . Can you tell me what's going on ? Do I ha… read more
Dr. Bob
Dr. Bob
Staff Physician
Doctoral Degree
2,221 satisfied customers
I have just been told that i have the herpies antibodies in
i have just been told that i have the herpies antibodies in my blood system , i have been in a intimate relationship with the same woman for the past 15 years we have been having unprotected sex she n… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,463 satisfied customers
I've been asked to test for thyroid antibodies because my
I've been asked to test for thyroid antibodies because my TSH was high (6.5). Does it mean that I am suspect of Hashimoto's disease or is this test done for some other reasons? Thank you.… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,463 satisfied customers
Thyroid globulin antibodies of 845. what does that mean,
thyroid globulin antibodies of 845. what does that mean … read more
DrRussMD
DrRussMD
Board Certified Physician
51,780 satisfied customers
Positive RNP and Negative antibodies, but Positive ANA, No
Positive RNP and Negative smith antibodies, but Positive ANA … read more
Dr Basu
Dr Basu
Experienced Specialist
Doctoral Degree
20,746 satisfied customers
If a patient is diagnosed with lupus anticoagulant antibody
If a patient is diagnosed with lupus anticoagulant antibody and needs to have warfarin reversed why would it be recommended by the doctor if he previous ffp transfusions not to use ffp to reverse the … read more
DrRussMD
DrRussMD
Board Certified Physician
51,780 satisfied customers
Just received Western Blot test for Lyme results. Everything
Just received Western Blot test for Lyme results. Everything negative except: IgG P41 - Present abnormal and Igm P23 - Present abnormal. What does that mean? … read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,016 satisfied customers
A patient who had aLyme's (since initial Lyme antibody test
A patient who had aLyme's (since initial Lyme antibody test - combined IgG and IgM test for C6 peptide came back positive at 1.46 index) but his ensuing Western Blot came back negative. He's dizzy, he… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,700 satisfied customers
Results for Lyme C6 Peptide AB W/RFX to Western Blot are
Results for Lyme C6 Peptide AB W/RFX to Western Blot are 0.15 - is this within the normal range?… read more
Medicaldoctor
Medicaldoctor
postgraduate resident,MD
Master\u0027s Degree
98 satisfied customers
What is a western blot herpes test? That's the crazy
That's the crazy part...I DON'T HAVE ANY! I went to my doctors office for a check up on 3-23-17 and was tested for everything … read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,463 satisfied customers
I am testing borderline positive for Lyme (Western blot) and
I am testing borderline positive for Lyme (Western blot) and inconclusive for Lyme by Iogenics. I have now tested positive for TB but had a ct scan of my chest three weeks ago that showed nothing. Can… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,700 satisfied customers
Just a question why does a person need western blot test
Just a question why does a person need western blot test when hiv 4th generation test comes back negative multiple times I got tested at 3 weeks 5 weeks 6weeks and at 8th week all negative was just sp… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,954 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x