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A male asked:

Hsv2 igg 1.5 igm neg no s/s of infection. never lesions, thoughts. false (+) or (+) genital herpes infection. virus dormant like hsv1? any worries

2 doctor answers4 doctors weighed in
Dr. Hunter Handsfield
Infectious Disease 55 years experience
Maybe false positive: Edited, correcting a misunderstanding in my initial reply: Most HSV2 IgG tests, e.g. HerpeSelect®), are officially positive at ELISA ratio 1.1 or higher. However, it is reliably positve only at 3.5 or higher. With your value of 1.5, there's at least a 50:50 chance you do NOT have HSV2, despite the test result. Speak with your doctor about confirmatory testing, e.g. Western blot test.
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Dr. John Leander Po
Infectious Disease 20 years experience
Past infection (?): HSV1 and HSV2 are part of the Herpesvirus Family; both can lie dormant in cells and can shed/cause sores later. Yes, the test can be a false positive- or it may mean you were infected in the past. Some get HSV infections it but don't even realize it- Ig M goes up in early infection, then drops when Ig G levels start to go up. If worried, talk to your doc who did the test.
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Created for people with ongoing healthcare needs but benefits everyone.
Dr. Hunter Handsfield
Infectious Disease 55 years experience
Provided original answer
You'll find this blog interesting. It's a few years old, but still pretty accurate. https://www.thehairpin.com/2013/11/how-i-found-out-i-didnt-have-the-herpes-id-been-living-with-for-four-years/
Jan 7, 2022
Last updated Jun 12, 2022

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