A member asked:

What's the best & most conclusive test for hsv other than antibodies? i got 1.5+ for igm but <0.9 for igg. am i infected? help please help please

3 doctors weighed in across 2 answers
Dr. Jeff Livingston answered

Specializes in Obstetrics and Gynecology

Viral PCR: The most conclusive test is to swab an active lesion for a viral dna pcr test. This is the most accurate and will detect active herpes virus. The problem is it must be done while a lesion is present. You should have a repeat hsv 2 igg done in 6 weeks. If you had acquired herpes then in 6 weeks your igg while convert to positive.

Answered 12/10/2016

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Quite simple: A person wondering if she caught herpes can see her doctor and ask for a lab order form to get the herpeselect igg test, which can tell the difference between type 1 and type 2 herpes. Be happy to pay for the test if insurance won't pay for it. Then, wait 6-8 weeks and go do the test. Hopefully, type 2 will be negative. Type 1 can be neg or positive, as many normal people get type 1 oral herpes.

Answered 8/18/2016

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