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Fairfax, VA
A 29-year-old male asked:

I have what looked like herpes at the upper top right of my pubic area( none on penis) i picked at it and blood came out. i went to do a hsv test and came back positive igm for 1 and 2. 1:170 titter .no igg. do i have herpes?

2 doctor answers3 doctors weighed in
Dr. Hunter Handsfield
Infectious Disease 53 years experience
Not HSV, false IgM: This doesn't sound like herpes, which is not very common in the pubic area, and doesn't drain blood. More likely a pimple, folliculitis, or something similar. Ignore the IgM test, which is highly unreliable' positive results usually are false. STD and herpes experts never order IgM testing and if done always ignore the results. Only the IgG HSV blood tests are reliable.
Dr. Donald Colantino
Internal Medicine 61 years experience
Positive : You are positive for recent infections by herpes 1&2. IgG won't turn positive for several months. Your lesion may be herpes 1 or 2.. Don't pick at it. You could ask your physician to prescribe antiviral ointment and tablets, especially in case this is your first herpes 2 outbreak as it's recommended that all first herpes.2 infections be treated to prevent severe or prolonged painful outbreaks.

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Last updated Feb 3, 2021

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