I have reviewed your previous discussions with Dr. My GP had ordered a Herpes blood test for me in September of last year. Antibodies are substances produced by your immune system to fight off infections or antigens (such as herpes). That there are rare exceptions to the usual course of events doesn’t dictate changes in routine assessment or advice. Our opinions and advice are never significantly different — and that is the case here as well. I researched the type of test used there and it read “HSV IgG EIA”. I have had a positive blood test for HSV-2, do not take any suppressive medications and do not have any outbreaks.
My aunt was struck as a teenager (and survived), sitting on a covered porch watching the light show. In any case, even if there was a number that for some reason they have not given you, there’s never any argument about the interpretation of negative results. Always refraining from contact with myself during these times. If you are getting a blood test for herpes, ask your doctor specifically what test that means. Of course not — we accept a certain level of risk as a reasonable compromise with a normal life. So it is with medical advice, whether herpes or anything else. Both in the same spot I grip, one time scabbing over night and healing within a few days.
Even commercial, FDA-cleared tests like the HerpeSelect ELISA from Focus Diagnostics-Quest may have false positive results, especially in samples with low positive readings. We do not recommend the same diagnostic standards for milder conditions than for life threatening ones; it is entirely proper that we have greater tolerance for missed herpes than we do for HIV/AIDS or breast cancer, for example. To some of your specific comments: I doubt that “Jazzman is one of MANY examples that had *ALL* of these probabilities break the wrong way.” This actually sounds like the exception that helps prove the rule. I haven’t experienced this in over a year, if I am masturbating to hard I can see the burn begin to form and change the technique promptly. It is now recommended that clinicians avoid serology tests unless they are type-specific tests. It is rare that any particular test is always more reliable than another. And as we have repeatedly pointed out, our advice is rarely based on a single diagnostic test or any other factor by itself, but by the overall picture — exposure history, symptoms, test results (often several of them), etc.
PCR is not always “more reliable” than an HSV blood test. As a result, Resolve All, Ltd, believes that the focus should not be on whether a piece of paper from a laboratory says you are herpes virus free, but rather whether your quality of life has increased such that you know by listening to your own body that you are herpes virus free. It doesn’t happen frequently, but if I had a patient with negative blood test and highly atypical symptoms, I would not necessarily accept the diagnosis of herpes on the basis of a single positive PCR. More important, PCR can repeatedly miss HSV in someone who is truly infected, i.e. a circumstance where it is less reliable than the blood test. This test analyzes a sample of your blood for the presence of HSV antibodies to detect a past herpes infection. How many times?
Once? Ten times? To my surprise Quest Diagnostics advised me that my specific IGG HSV blood test results for type 1 and 2 were negative. The bottom line is that neither I nor Dr. Hook are going to change our current standards for assessing possible herpes or advising people about the risks, diagnosis, etc.