HSV-2 IgG Positive Results: Implications for Marriage and Parenthood - Urology

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HSV-2 testing


If your HSV-2 IgG level is 71 IU/ml and the blood test is positive, it indicates that you have been infected with the herpes simplex virus type 2.
This means that you can potentially transmit the virus to others, especially during an active outbreak.
However, many individuals with HSV-2 may not experience symptoms or outbreaks, which can affect transmission risk.
Having HSV-2 does not necessarily mean you cannot get married or have children.
It is important to discuss your condition with your partner and consider taking precautions to reduce the risk of transmission, such as using condoms and possibly antiviral medication during outbreaks.
The accuracy of testing for HSV-1 and HSV-2 can vary, but generally, reputable laboratories have high accuracy rates for these tests.
If you have concerns about your results or what to do next, it is advisable to consult with a healthcare provider for personalized guidance and management options.

Tian Tian Shi Mian De Ren, 30~39 year old female. Ask Date: 2010/01/09

Dr. Xu Weikai reply Urology


HSV IgG in the blood persists for almost a lifetime (at least for several years) once a person has been infected.
Therefore, clinically, it is only used to determine if there has been a past infection.
As for whether there is active infection or infectiousness, this is generally monitored using IgM as an indicator.
In other words, a positive IgG result has no significant implications for treatment or transmission.
If all adults in the country were tested for herpes IgG, what results might you expect? You can take a guess.
According to previous testing results from a major medical center, the positivity rate in Taiwan is approximately 80% (and some areas may be even higher)...

Reply Date: 2010/01/09

More Info


When you receive a positive HSV-2 IgG test result, such as your reported level of 71 IU/ml, it indicates that you have been exposed to the herpes simplex virus type 2 (HSV-2) at some point in your life. However, it is essential to understand what this means in terms of infection status, transmissibility, and implications for marriage and parenthood.

Firstly, the presence of IgG antibodies signifies a past infection rather than an active one. IgG antibodies typically develop several weeks after the initial infection and can remain in the body for years, often for a lifetime. Therefore, a positive IgG test does not necessarily mean that you are currently experiencing an outbreak or that you are contagious. The active form of the virus, which can be transmitted to others, is usually indicated by the presence of IgM antibodies or the occurrence of symptoms such as sores or blisters.

Regarding your concerns about marriage and parenthood, having a positive HSV-2 IgG test does not preclude you from marrying or having children. Many individuals with HSV-2 lead normal, fulfilling lives, including healthy relationships and families. It is crucial, however, to communicate openly with your partner about your HSV status. This transparency allows both partners to make informed decisions about sexual health and safety.

In terms of transmission, while it is possible to transmit HSV-2 to a partner, especially during an active outbreak, the risk can be significantly reduced through the use of condoms and antiviral medications. If you are asymptomatic and your partner is aware of your status, the likelihood of transmission is lower. It is advisable to consult with a healthcare provider about the best practices for managing HSV-2, including potential antiviral treatments that can help reduce the risk of transmission.

As for the accuracy of testing in your country, it is generally high, but it can vary depending on the laboratory and the specific tests used. Most reputable laboratories can accurately differentiate between HSV-1 and HSV-2, but it is always a good idea to discuss your results with a healthcare professional who can interpret them in the context of your overall health and any symptoms you may have.

If you are feeling anxious or overwhelmed by your diagnosis, it may be beneficial to seek support from a healthcare provider or a mental health professional. They can help you navigate your feelings and provide guidance on managing your health and relationships moving forward.

In summary, a positive HSV-2 IgG test indicates a past infection, not an active one, and does not prevent you from marrying or having children. Open communication with your partner, safe sexual practices, and consultation with healthcare professionals can help you manage your condition effectively.

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