Maybe misdiagnosed ?

[Riley]

In October of 2019, I had a cut / or break out, on my bikini area, I had it for about 3 days before it started most of my discomfort. I went to an urgent care because my first initial thought was herpes. The nurse there assured me, it doesn’t look like that and just looks like an infected cut. She gave me ointment and I left. I decided to contact my OBGYN a few days later after that appointment because the pain was getting worse right there and was not healing. Especially with my underwear constantly on it. I had the cut around a week now. I had no pain while urinating, no cuts or sores near my actual vagina. Which I know herpes can be anywhere on the body. Well they decided to do a culture and blood work. The culture came back positive for HSV2. And they sent me a message saying my blood work confirmed my diagnosed. But if you actually look at my blood the level of HSV was 0.10 which is consider negative. She told me with my first breakout it takes some time to show up in the blood which is why there do the culture and the igg antibodies and Igm. But my blood work was only showing positive for hsv1, the levels were high and which I knew I already knew I had. Then I came back 5 months later to do blood work to follow up and I’m only positive for HSV(1). Again, I already knew I did.  I have had it my whole life. Now I am confused. Should I get a second opinion?? She told me she was just going to  Diagnose  me with HSV1 Genital herpes due to the symptoms. Which I think is not fair because the culture said 2. And people get misdiagnosed everyday. 

[mr_hopp]

Hi Riley and welcome! Unfortunately IgG and IgM tests are notoriously bad at giving false negatives and false positives. The Western Blot test is the definitive test to tell what type(s) you have. Here’s an article on herpes tests with more info: https://www.herpesopportunity.com/post/herpes-tests