Wednesday, April 24, 2024

Tested Positive For Herpes 1

Could My Partner Have Picked Up Genital Herpes From A Toilet Seat Or Hot Tub

Understanding Herpes Testing

Itâs very rare, if not impossible, to get genital herpes any other way than by sexual contact. The CDCs website puts it this way: You will not get herpes from toilet seats, bedding, or swimming pools, or from touching objects around you such as silverware, soap, or towels.

Keep in mind that many people have genital herpes for years or even decades without knowing it. When they are diagnosed, their monogamous partners often assume they were unfaithful, which may not be true. It could be something they got a long time ago. A blood test wont tell you when you got herpes or who you got it from.

The New England Journal of Medicine: âHerpes Simplex Virus Type 2 in the United States, 1976 to 1994.â

American Sexual Health Association, National Herpes Resource Center.

National Institute of Allergy and Infectious Diseases : âGenital Herpes.â

MedlinePlus Medical Encyclopedia: âHerpes genital .â

CDC: âSexually Transmitted Diseases Treatment Guidelines 2002.â

WebMD Medical News: âHerpes Virus Linked to Cervical Cancer.â

Terri Warren, RN, Westover Heights Clinic.

Warren, T., and Warren, R., The Updated Herpes Handbook, Portland Press, 2002.

CDC: Genital Herpes â CDC Fact Sheet.

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The Accuracy Of Various Herpes Tests

This table summarizes the overall accuracy of different herpes tests. Please especially pay attention to the most common test, the IgG testâand most importantly to its false positive and false negative rates.

The table has three columns:

  • Test accuracy: how accurate is the test in detecting the herpes virus
  • False positive: the test detects the presence of herpes, but the person doesnât actually have it
  • False negative: the test doesnât detect the presence of herpes, but the person does have it

Please note: the numbers in the table are averages and may vary from case to case based on factors such as when the test is performed , the testing technique, and the herpes viral load.

Test Type
100% 0% Depends on the time of sample collection: usually 25% but may be up to 70%
Blood test Commercially available IgG test: 94%Washington University test: > 99% Commercially available IgG test: up to 19%Washington University test*: 0% Commercially available IgG test: up to 38%Washington University test*: 0%

* The Washington University test is considered the âgold standardâ blood test. The false-negative and false-positive rates for the commercially available IgG test are based on a comparison to the Western blot results of the Washington University test.

Herpes Testing: Types Accuracy Timing And Necessity

In this section, weâll give you information about herpes testing.

Testing is what ultimately establishes or rule out a diagnosis of herpes. All the other weâve talked aboutâwhat you feel, what you see, and your odds of getting itâhelp us with the diagnosis, but theyâve canât establish it or confirm it.

This section will summarize the different types of herpes tests, their accuracy, how theyâre interpreted, and when theyâre necessary. Tables with important statistics will be followed by FAQ answered by âDr. F,â an STD expert.

So, if you want to know all about herpes testing, this chapter is for you!

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If You Have Zero Symptoms Getting Tested Won’t Help You

The problem is that blood tests for herpes when no lesions or symptoms are present are often bullshit. I realize that’s a pretty strong word, but after speaking with doctors who have administered these tests, it’s become more and more apparent to me how misunderstood and in some cases, just plain wrong the results they give are.

Part of the reason they’re flawed has to do with the fact that most people have been exposed to HSV-1 or oral herpes. “For HSV-1, close to 100 percent of people in the U.S. are antibody-positive because they have been exposed at some point in their lives, though only a percentage of these individuals will actually get cold sores,” says Adam Friedman, the residency program director at the George Washington University School of Medicine & Health Sciences in Washington, D.C. He adds that blood tests can be misleading because they usually don’t detect the herpes virus itself and instead look at the level of antibodies against the virus, which is merely a sign of immune response to it.

Why Have False Positive Tests Been Used As An Argument Against Routine Testing For Genital Herpes But Not For Other Stds Which Can Also Have False Positives

Blown away by test misreading

False positive test results are test results that say a person has a disease or condition when they do not actually have it. False positive results can occur with many diagnostic tests, including STD tests. The chances of false positive results increase as the likelihood of the infection decreases in the person being tested. False positive HSV-2 results can happen, especially in people who are at low risk for a herpes infection. Also, we do not know if people who test positive for herpes will change their sexual behavior as a result of a positive test. This tells us that the harm of a possible false positive test may be a greater concern than the benefits of an actual diagnosis. Unlike curable STDs, such as chlamydia, herpes infections are life-long, so it is especially important to avoid a false positive test.

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Home Std Testing Test

No swabs, no embarassing phone calls or face-to-face interactions, nothin. LetsGetChecked STD tests are easy and delivered in discreet packaging. As is the case with all their tests, LetsGetChecked has a good appreciation of privacy. And another bonus is that if your test does identify an infection that needs treatment, any medication is included in the price you already paid.

For STD testing, there are three tiered options for you to choose from.

Simple 2

What does it test for? Chlamydia and Gonorrhea

Collection Method: Urine sample only

Includes treatment for: Chlamydia

Whos this one a good fit for? Chlamydia and Gonorrhea are typically symptomless. However, theyre some of the more common STDs. Therefore, many physicians advocated getting regular testing depending on your lifestyle.

Standard 5

What does it test for? Chlamydia, Gonorrhea, HIV , Syphilis, Trichomoniasis

Collection Method: Urine sample and finger prick

Includes treatment for: Chlamydia and Trichomoniasis

Whos this one a good fit for? This test covers the STDs that are checked for by clinicians or hospitals. Its a good choice if youre looking to test for the more common issues.

Complete 8

What does it test for? Chlamydia, Gonorrhea, Trichomoniasis, HIV, Syphilis, Gardnerella, Mycoplasma, Ureaplasma

Collection Method: Urine sample and finger prick

Includes treatment for: Chlamydia, Mycoplasma, Ureaplasma, Trichomoniasis and Gardnerella

Price: $69

What Abnormal Results Mean

A positive test means you have been infected with HSV recently or at some point in the past.

Tests can be done to help determine if you have a recent infection.

About 70% of adults have been infected by HSV-1 and have antibodies against the virus. About 20% to 50% of adults will have antibodies against the HSV-2 virus, which causes genital herpes.

HSV stays in your system once you have been infected. It may be “asleep” , and cause no symptoms, or it may flare up and cause symptoms. This test cannot tell whether you are having a flare-up.

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Billy Porter Wore Cornrows And Feather Earrings To Get His Star On The Walk Of Fame

All of this tells us that sure, there are some currently available blood tests for herpes that can tell you your status or give you some idea of it but they’re still far from perfect. And when we’re dealing with a illness that’s highly and widely stigmatized the way herpes has become, most people are looking for airtight answers. This is precisely why so many doctors, as well as the CDC, do not recommend getting tested unless you have the common symptoms associated with herpes, such as itching, burning, or a blister.

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Many at-home services have independent physicians or nurses reach out to people with positive test results. Theyll discuss your results with you and suggest a plan of action, possibly including medication.

If your results are positive, its important to let any recent sexual partners know so they can also get tested.

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How Long Does It Take Herpes To Show

This depends on the individual. People with herpes can experience outbreaks within 2 to 12 days of infection however, many people may not experience symptoms, depending on how their body reacts to the viral infection.

The HSV-1 virus goes through dormant phases before reactivating. Herpes can be spread even when asymptomatic, as cells that contain the virus are dropped from the skin during a process called shedding.

Is It Possible To Get A False Positive Result

A false positive is when a test says you have a condition that you actually don’t have. This can happen with the herpes IgM blood test.

In some cases you may not be infected at all. However, you may have a different virus that triggers a positive on this blood test. This may include the Epstein-Barr virus, which is in the herpes virus family, or parvovirus, a contagious virus that can lead to flu-like symptoms.

If you don’t have symptoms, you may want to go back for IgG testing at a later date. If you do have symptoms, your healthcare provider can test the sores for herpes directly with a swab test.

A positive result is more likely to be accurate if you have or have had symptoms of a herpes outbreak.

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When Is The Hsv 2 Blood Test Most Useful

If someone wants to know if they have genital herpes because of their sexual history, then the HSV 2 blood test can provide conclusive information about whether or not they have been infected. This result can then help to reduce future transmissions to additional sexual partners. It is also useful to confirm a herpes diagnosis if someone is suffering from the symptoms of an active infection.

The symptoms of an HSV 2 infection can be so mild that they are undetectable. Many people who are infected with genital herpes do not know that they have it. If there are active symptoms, however, they will typically involve the presence of a small blister that will eventually break and ooze fluid. The blister than scabs over and becomes a painful sore that takes several weeks to heal.

There may also be flu-like symptoms experienced with the first outbreak of symptoms after the initial infection. This may include a fever, chronic and severe fatigue, nausea, and dizziness.

The issue with an HSV 2 infection is that the body is always shedding the active virus. People can transmit HSV 2 even if they arent experiencing active symptoms. The herpes virus can also make people 2x more susceptible to other STD infections, particularly HIV. This is because small, unnoticeable cracks in the skin can occur around the genital region to allow the virus to have access to the body. Herpes also attracts the cells that HIV likes to infect.

If You Get A Positive Result Dont Panic It Really Doesnt Mean Much

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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 youâre 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 arenât 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 itâs a mystery as to why weâre 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.

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Best Home Herpes Tests

Many at-home herpes tests are available to purchase online. The sections below look at four of the best options.

Please note that the writer of this article has not tried any of these products. All information presented here is purely research-based.

Best subscription for herpestest

LetsGetCheckeds home kits can test for both HSV-1 and HSV-2.

A person receives a collection kit with all the tools they need to collect their samples at home. These include needles, a prepaid envelope, alcohol swabs, and a tube. The tests come in discreet packaging so that other people will not know what the person has received.

The person also has access to an instruction video on the company website that explains how they should take their test. LetsGetChecked suggests that people take a blood sample before 9 a.m. and return it to the laboratory on the same day.

The company states that it issues the results within 25 days.

Individuals who receive a positive result can contact a nurse through the company, and they may suggest a treatment plan.

LetsGetChecked offers a one-time purchase for about $100, but anyone who requires regular testing can purchase a subscription and pay less per kit.

Once a person has purchased a test, they need to register it on Everlywells website. They then need to post the collected samples with prepaid shipping.

This test costs around $150. However, people can subscribe for twice-yearly tests and save money per kit.

Myth #: There Are Two Types: Genital And Oral Herpes

Buckle up, because this is where things get really confusing. There are two types of herpes, HSV-1 and HSV-2. HSV-1 is typically oral, meaning it causes cold sores on the mouth. More than half the population has been exposed to this virus, and often from childhood. HSV-2 is typically genital, and most usually is transmitted through sexual contact.

With that said, Dr. Dweck says that herpes type 1 can be spread to the genitals via oral contact . So you might have type 1 that only presents orally, or you might have type 1 that only presents genitally. Herpes type 2 can also be spread in the reverse fashion, from the genitals of one individual to the mouth of the other .

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There Are Two Common Blood Tests Used To Identify Herpes And Theyre Often Misleading

I had a patient once who underwent this test, which was positive, and was told she has herpes, which to her was devastating and life-altering, Friedman says. She burst into tears when I explained the significance or lack thereof with this test, which is very misleading. There are two common blood tests used to identify herpes: IgG and IgM. The IgM test is still used by some doctors even though it has been denounced by the Centers for Disease Control and Prevention . According to the American Sexual Health Association , IgM tests can lead to deceptive results, as well as false assumptions about how and when a person acquired HSV.

And thats not all: IgM tests fail to accurately distinguish between HSV-1 and HSV-2 antibodies, leading them to provide false-positive results for HSV-2. In other words, if youve been exposed to oral herpes , results of the IgM test could lead you to believe youre positive for genital herpes, when in fact you simply have antibodies against HSV-1.

IgG tests, on the other hand, are more accurate, but arent without their own issues. For instance, ASHA says that while an IgG test can distinguish between HSV-1 and HSV-2, the problem is that the time it takes for IgG antibodies to reach a detectable level varies from person to person. This means that even with accurate results, someone could get a false-negative if they have the test administered too soon after contracting the virus .

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If A Pregnant Woman Gets Genital Herpes Is There A Chance Her Baby Can Get Infected

Herpes and Pregnancy

Yes. Even though adults with genital herpes may not have any symptoms, herpes infections in babies can be life-threatening. Women who get genital herpes during late pregnancy have a very high risk for having a baby with herpes infection, and these women may not even know they are infected. Women who get herpes during early pregnancy, or who are infected before they get pregnant can also spread herpes to their babies. Most babies with herpes get infected as they come into contact with the herpes virus while passing through the birth canal, but infection can also occur before birth or in the weeks after birth.

If you are pregnant and think that you or your partner may have genital herpes, tell your doctor. Your doctor can order testing and can talk to you about ways to lower your babys risk for infection.

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Signs And Symptoms Of Herpes

The symptoms of herpes generally occur in two wavesan initial outbreak, which occurs after the virus incubates in the body, and subsequent outbreaks.

Initial herpes or cold sore outbreaks typically involve an itching and burning around the genitals , or around the mouth . Within a day or so, blisters can form in the affected area and develop into open, fluid-filled sores.

During an initial herpes outbreak, its common to experience headaches, muscle pains, fatigue and other flu-like symptoms. Many people also experience pain while urinating.

Recurring herpes outbreaks are similar, but are usually less severe than the initial outbreak. In people with HSV-2, outbreaks can occur up to five times a year, requiring two to three weeks to pass. People with HSV-1 typically experience one to two outbreaks per year, but that frequently varies drastically person to person.

Our guide to stopping a cold sore in the early stages goes into more detail about the typical symptoms of a herpes outbreak, as well as the triggers that can cause an outbreak to develop.

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