Herpes Type II Test Results: What You Need to Know - Urology

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Herpes Testing Inquiry


1.
On December 2, I had a blood test for Herpes Simplex Virus Type 2.
The results were as follows: HSV TYPE II IgG 10.9 (normal value < 0.9) and HSV TYPE II IgM 0.47 (normal value < 1.0).
The medical technician informed me that an IgG level of 10.9 indicates a past infection and a current infection; an IgM level of 0.47 is normal for the past two weeks, but there is still a possibility of viral transmission upon contact.
2.
My questions are as follows:
(1) Given that my current condition is normal, I understand that an IgM level of 0.47 is within the normal range.
Based on the aforementioned test results, how should I accurately interpret them?
(2) Can I engage in sexual intercourse with my spouse, or should I only use protection? If I am concerned about transmission and use protection, wouldn't that hinder our ability to conceive?

Yao, 30~39 year old female. Ask Date: 2015/12/05

Dr. Xu Weikai reply Urology


Hello, herpes.
Many people in Taiwan are carriers, just like you, remaining dormant without lesions.
Therefore, if we are only addressing herpes, I personally believe that there is no need for protection.
Of course, other physicians may have different opinions.
If you want to prevent other sexually transmitted infections, it is essential to use condoms throughout sexual activity.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Answers found online should only be used as a reference; it is still necessary to seek medical attention at healthcare facilities when needed.
This message is from Dr.
Hsu Wei-Kai, the Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your health.

Reply Date: 2015/12/05

More Info


Understanding your herpes type II test results can be quite concerning, especially when it comes to the implications for your health and your relationship. Based on the information you provided, let's break down your test results and what they mean for you.


Test Results Interpretation
1. HSV Type II IgG: 10.9 (Normal value < 0.9):
- This result indicates that you have been infected with the herpes simplex virus type II (HSV-2) at some point in the past and that you are currently infected. The IgG antibodies are typically present after the initial infection and can remain in the body for life. A value of 10.9 is significantly above the normal range, suggesting a strong immune response to the virus.

2. HSV Type II IgM: 0.47 (Normal value < 1.0):
- The IgM antibodies are usually indicative of a recent infection. Since your IgM result is within the normal range, it suggests that you are not experiencing a recent outbreak or new infection. This is a positive sign, as it indicates that your body is not currently fighting off a new infection.


What This Means for You
- Current Health Status: Your IgG result indicates that you are a carrier of HSV-2, but your IgM result suggests that you are not currently experiencing an active infection. Many individuals with HSV-2 do not exhibit symptoms, and it is possible to live with the virus without any noticeable outbreaks.

- Transmission Risks: Even if you are not currently symptomatic, HSV-2 can still be transmitted to sexual partners. The virus can be shed from the skin even when there are no visible sores or symptoms, which is known as asymptomatic shedding. Therefore, it is crucial to take precautions to prevent transmission.


Recommendations for Sexual Activity
1. Discuss with Your Partner: Open communication with your partner about your HSV-2 status is essential. Discussing the implications of your infection can help both of you make informed decisions about your sexual health.

2. Use Protection: It is highly recommended to use condoms during sexual intercourse to reduce the risk of transmission. While condoms do not provide 100% protection against HSV-2, they significantly lower the risk of spreading the virus.

3. Consider Suppressive Therapy: If you and your partner are planning to conceive or if you are concerned about transmission, you may want to discuss the option of antiviral therapy with your healthcare provider. Suppressive therapy can reduce the frequency of outbreaks and lower the risk of transmission to your partner.

4. Monitor Symptoms: Keep an eye on any potential symptoms of an outbreak, such as itching, burning, or sores. If you notice any symptoms, refrain from sexual activity until the outbreak has resolved.

5. Regular Check-ups: Regular follow-ups with your healthcare provider can help monitor your condition and provide guidance on managing your HSV-2 infection.


Conclusion
In summary, your test results indicate that you have a past and current infection with HSV-2, but you are not experiencing a recent outbreak. It is crucial to take precautions to prevent transmission to your partner, including the use of condoms and open communication about your health status. If you have further concerns or questions, consulting with a healthcare provider specializing in infectious diseases or sexual health can provide you with personalized advice and support.

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