Herpes Type 1 Blood Test

How Do You Treat Herpes Type 1

Unfortunately, there is no cure for herpes and the infection is life-long. However, outbreaks usually taper off the longer an individual carries the virus and outbreaks can stop occurring entirely. Antiviral medication can help manage symptoms by reducing the length and severity of outbreaks. Since risk of transmission is higher when there is an active outbreak, knowing your status and receiving medication can help reduce the risk of giving your partner herpes.

What Happens During An Hsv Test

HSV testing is usually done as a swab test, blood test, or lumbar puncture. The type of test you get will depend on your symptoms and health history.

• For a swab test, a health care provider will use a swab to collect fluid and cells from a herpes sore.
• For a blood test, a health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. This usually takes less than five minutes.
• A lumbar puncture, also called a spinal tap, is only done if your provider thinks you may have an infection of the brain or spinal cord. During a spinal tap:
• You will lie on your side or sit on an exam table.
• A health care provider will clean your back and inject an anesthetic into your skin, so you won’t feel pain during the procedure. Your provider may put a numbing cream on your back before this injection.
• Once the area on your back is completely numb, your provider will insert a thin, hollow needle between two vertebrae in your lower spine. Vertebrae are the small backbones that make up your spine.
• Your provider will withdraw a small amount of cerebrospinal fluid for testing. This will take about five minutes.
• Your provider may ask you to lie on your back for an hour or two after the procedure. This may prevent you from getting a headache afterward.

Doctors Don’t Advise Getting A Blood Test For Herpes Without Any Symptoms

Hilda Hutcherson, assistant professor of obstetrics and gynecology at Columbia University Medical Center in New York, is one of those doctors. “I usually dont do tests for herpes someone has a lesion or a sore, something I can see, I will do a swab and take it to a culture or check the DNA on the materials I removed,” she says. “If theres nothing there and I do a blood test and the blood test comes back positive, lets say its positive for type 1, what does that really mean? Most people are positive for type 1.” She adds that someone could be HSV-1-positive and either have or not have genital herpes. The result “doesnt mean much, and it makes people go crazy.”

Hutcherson’s motto is pretty simple: Why stress yourself over something if you haven’t seen anything especially when it’s something as common as herpes? “Let’s say they have a blood test come in positive but theyve never had a lesion. Now what? You may never get a lesion,” she says. It’s for this reason that she recommends people do not get tested for herpes unless they have a visible lesion that can be cultured and sent to a lab. Let’s say you get tested anyway and it comes back positive, despite the fact that you have no symptoms. What do you do?

Recommended Reading: Totally Free Herpes Dating Sites

What Do My Test Results Mean

There are two possible antibodies that your body can make to HSV-1 and HSV-2. These are IgM and IgG.

IgM is the antibody that is made first and typically represents a current or acute infection, although this may not always be the case.

IgG is made after the IgM antibody and typically will be present in the bloodstream for the rest of your life.

A negative test result is considered normal. This generally means that youve never contracted an HSV infection.

However, its possible for your results to come back negative even if youve contracted the infection within the past few months. This is referred to as a false negative.

Your body will typically take several weeks to develop IgG antibodies to HSV.

If youre tested earlier in your infection, its possible to have a false negative result. Your doctor may recommend that you return in 2 to 3 weeks to be retested.

A positive test result for HSV-1 or HSV-2 indicates that youve contracted either virus at some point.

The results also allow your doctor to differentiate between HSV-1 and HSV-2, which isnt always possible by visually examining the sores.

Depending on your results, you and your doctor can discuss ways to treat and prevent the transmission of your HSV infection.

When a serum antibody test is recommended for HSV, IgG detection is preferred. In fact, some laboratories are discontinuing their IgM tests in the future.

Also,

Why Is The Igm Hsv Antibodies Test No Longer Recommended

The Centers for Disease Control and Prevention, the Infectious Diseases Society of America, and the American Society for Microbiology all recommend the use of the IgG antibodies test over the IgM HSV test.

IgG tests are preferred because:

• For herpes, IgG and IgM antibodies show up around the same time â normally, IgM antibodies appear first.
• IgM antibodies may only last a few months and may not be made after the first outbreak â but IgG antibodies last indefinitely and are made during all outbreaks.
• IgG antibodies can distinguish between HSV-1 and HSV-2 and IgM antibodies canât.

Show Sources

Also Check: How To Check If I Have Genital Herpes

Cost And Health Insurance

Depending on where you live and the lab you use, your HSV IgG blood test can cost between $35 and $80. Public clinics tend to be cheaper.

Genital HSV is considered an STI. But don’t assume that a free STI clinic will have the test or provide it free of charge. Some may only offer free testing for:

• Select STI screening tests

Search for free or low-cost STI clinics in your area by using the GetTested locator offered by the CDC.

Best Affordable Herpes Test: Healthlabs

HealthLabs offers laboratory-based herpes tests. These may be the best option for people who do not have health insurance and those working with small budgets.

After placing an order, the person receives a laboratory requisition form, which they need to print out and present at a laboratory. The company claims it has 4,500 laboratory locations, and individuals should receive their test results within 23 business days.

HealthLabs has three herpes tests available for purchase:

• a test for HSV-1, which costs $45
• a test for HSV-2, which costs $45
• a test for HSV-1 and HSV-2, which costs $79

People may also order at-home tests for other STIs, including gonorrhea, chlamydia, and HIV.

To order either herpes test, a person must access the company website and enter their ZIP code to find their nearest testing center.

The company claims it has over 4,000 private test centers across the United States.

After ordering the herpes test, a person can walk into their local center to receive the testing. An appointment is not necessary.

The test procedure involves a simple blood test and urine sample, which typically takes a matter of minutes. A person can expect to receive their online test results within 13 days.

Also Check: How Long Does Initial Herpes Outbreak Last

Polymerase Chain Reaction Test

As with the viral culture, your doctor swabs or scrapes a sample from one of your sores. A lab gets the sample and looks for genes from the herpes virus. PCR test results usually come back to you within 24 hours.

Youre more likely to get this test if you have symptoms but its been longer than 48 hours since they showed up. In this case, you can rely on the results from this test more than the viral culture.

You May Like: How To Stop Mouth Herpes Outbreak

Genital Herpes Is Common Shouldnt Cdc Recommend Testing For Everyone

CDC recommends herpes testing for people who have genital symptoms to confirm if they have it. Testing allows a healthcare provider to talk with patients about what to expect in the future. This includes talking about medications that help with symptoms. Providers can also tell patients how to lower the risk of transmitting herpes to sex partner.

CDC does not recommend herpes testing for people without symptoms in most situations. This is because of the limits of a herpes blood test and the possibility of a wrong test result. The chances of wrong test results are higher for people who are at low risk of infection.

Blood tests might be useful if:

• You have genital symptoms that could be related to herpes, or
• You have a sex partner with genital herpes, or
• Your provider found signs of herpes, but you still need a test to confirm it.

If you are sexually active, talk openly and honestly with your healthcare provider about what tests are right for you. These tips can help.

You May Like: How Long Does Herpes Outbreak Last With Valtrex

Hsv 2 Blood Test Results Explained

The HSV 2 blood test is used to determine if there is a type 2 genital herpes infection in specific situations: if someone has genital symptoms that could be related to herpes or if someone has had a sexual partner who has symptomatic herpes at the time. The HSV 2 blood test is also sometimes ordered when performing a complete STD panel. It may also be recommend for individuals who have multiple sexual partners within a short period of time.

The HSV 2 blood test may only need to be given once. Herpes is a virus that creates a chronic, lifelong infection. Once someone tests positive for this virus, then they will always test positive for herpes. Because the virus is not believed to spread unless there is symptomatic genital herpes present during sexual intercourse, however, routine testing is generally considered unnecessary unless the risk factors are in place.

Should You Test For Type 1 Or Type 2 Herpes

Commonly known as oral herpes or genital herpes but medically known as HSV-1 and HSV-2, herpes can actually be located in either region regardless of its type. Additionally, its possible to have both strains of herpes. There are usually no symptoms at all, meaning someone can live their entire life without knowing that they have herpes, making it extremely easy to spread. We recommend testing for both HSV-1 and HSV-2.

Recommended Reading: How Long Does Herpes Sore Last

Are Test Results Accurate

Tests that identify evidence of HSV infections are routine and commonly used medical tests. The ability of a test to accurately diagnose or rule out HSV infection depends on the test used for analysis and the stage of a patients infection.

The Tzanck smear and viral culture are less able to accurately identify patients who have an HSV infection than other tests. PCR testing and antibody testing are more sensitive, which means that they miss fewer cases of infection.

Blood tests that detect antibodies to HSV can distinguish between HSV-1 and HSV-2 but not the site of infection. This means that blood tests cannot tell whether a patient has a genital or oral herpes infection.

Although these tests are valuable for identifying HSV infection, no test is perfect. When learning of test results, patients should talk to their doctor about the type of test conducted, the reliability of test results, and if additional tests are necessary to confirm or rule out a diagnosis.

Read Also: Has Anyone Ever Been Cured Of Herpes

In The Absence Of Answers

Herpes tests arent the only ones with a risk of false positive results. False positives can occur for any test that diagnoses viral infection based on antibodies, i.e., your bodys immune reaction, rather than direct detection of the virus. For similar diagnostics like HIV and hepatitis C testing, protocols automatically call for a second test that directly detects the virus whenever an antibody test comes back positive, said Paul Swenson, laboratory director in the department of public health of King County, Washington. Herpes, however, is a particularly challenging infection to directly test for, because the virus spends most of its time hiding in nerves. Swab tests can sometimes detect the virus during outbreaks, but this isnt an option for people without symptoms. Thus even the Western blot relies on antibodies, and may give indeterminate results to a small number of people.

But two steps of antibody testing are still more reliable than one step todays diagnostics for Lyme disease and syphilis are a two-step antibody testing approach, said Dr. Edward Hook, a medical epidemiologist specializing in STI screening and prevention at the University of Alabama, Birmingham, who questioned why such a standardized two-step approach hasnt taken firm hold for herpes.

Read Also: Is 126 Blood Sugar High

Also Check: What Are The Chances Of Getting Herpes

A Quick Look At The 6 Best At

• Best herpestest subscription:LetsGetChecked
• Best convenient herpestest:MyLAB Box
• Best affordable herpes test:HealthLabs
• Best test for early herpes detection:Priority STD
• Best herpes test for quick results: STDcheck

MNT chooses at-home tests that meet the following criteria where possible:

• Laboratories: Where possible, MNT will choose companies that process test samples in labs. This means they follow state and federal regulations.
• Budget: MNT chooses at-home tests that suit a wide range of budgets.
• Privacy: MNT includes companies that offer robust and transparent privacy measures, such as data protection and discreet packaging.
• Test result speed: MNT selects companies that inform customers when they will receive their test results and whether they will receive them via email, app, or phone.
• Further support: MNT will indicate whether a company offers further support, such as a follow-up phone consultation with a doctor to discuss test results.

Please note that the writer of this article has not tried these products. All information presented is purely research-based and correct at the time of publication.

Medical News Today follows a strict product selection and vetting process. Learn more here.

Is There Anything Else I Need To Know About An Hsv Test

The best way to prevent genital herpes or another STD is to not have sex. If you are sexually active, you can reduce your risk of infection by

• Being in a long-term relationship with one partner who has tested negative for STDs
• Using condoms correctly every time you have sex

If you’ve been diagnosed with genital herpes, condom use can reduce your risk of spreading the infection to others.

Also Check: How Do I Get Rid Of Genital Herpes

How To Get Tested

Tests for genital and oral herpes are available at doctors offices, medical clinics, and community-based organizations that offer STD testing. Testing is often ordered by a doctor but may be available over the counter and at community-based organizations without a physicians orders.

You can order a herpes test from Testing.com with testing from a local lab. Or you can test for herpes as part of a complete STD panel.

The Different Types Of Herpes

Herpes, or the herpes simplex virus, is a highly contagious and common virus that causes cold sores and genital herpes. You may become infected with herpes simplex virus type 1 or herpes simplex virus type 2 . Each type of virus causes unique symptoms, so its important to understand their differences.

You May Like: Can Herpes Turn Into Hiv

Don’t Miss: Is Vitamin C Good For Herpes

Testing With No Symptoms

Blood tests can be used when a person has no visible symptoms but has concerns about having herpes. Blood tests do not actually detect the virus instead, they look for antibodies in the blood.

IgM vs. IgG

When an individual contracts herpes, the immune system responds by developing antibodies to fight the virus: IgG and IgM. Blood tests can look for and detect these antibodiesnot the virus itself. IgG appears soon after infection and stays in the blood for life. IgM is actually the first antibody that appears after infection, but it may disappear thereafter.

IgM tests are not recommended because of three serious problems:

The accurate herpes blood tests detect IgG antibodies. Unlike IgM, IgG antibodies can be accurately broken down to either HSV-1 or HSV-2. The challenge here is that the time it takes for IgG antibodies to reach detectable levels can vary from person to person. For one person, it could take just a few weeks, while it could take a few months for another. So even with the accurate tests, a person could receive a false negative if the test is taken too soon after contracting the virus.

For the most accurate test result, it is recommended to wait 12 16 weeks from the last possible date of exposure before getting an accurate, type-specific blood test in order to allow enough time for antibodies to reach detectable levels.

If You Get A Positive Result Don’t Panic It Really Doesn’t Mean Much

All of this is to say that unless you have symptoms consistent with the herpes virus, why put yourself through the emotional turmoil of getting a blood test that may or may not give you legit results? As Hutcherson notes, if you do get a blood test and it comes back positive but you’re asymptomatic, what does that mean for you if you have nothing to treat? For many, due to the high rate of stigma still surrounding herpes, it can mean feelings of self-contempt, humiliation, and distress, all of which could be avoided if you aren’t experiencing any symptoms.

To recap, while there are some tests for herpes that can prove correct, none are 100 percent perfect, and blood tests are particularly problematic since they can produce false positives and negatives. We also know that the majority of the population has some form of herpes, so IMO it’s a mystery as to why we’re still making a big deal out of it. No one likes blisters or sores, but neither does anyone love having acne, a widespread condition without the same level of attached shame.

Read Also: How To Avoid Passing Herpes