Jump to content
  • Want to be a part of a supportive community? Join the H Opp community for free.

    Welcome to the Herpes Opportunity Support Forum! We are a supportive and positive group to help you discover and live your Opportunity. Together, we can shed the shame and embrace vulnerability and true connection. Because who you are is more important than what you have. Get your free e-book and handouts here: https://www.herpesopportunity.com/lp/ebook

Wondering what tests I need to have done..

Recommended Posts

I was diagnosed with genital herpes less than a month ago. My symptoms were extremely mild which is why it made it so hard for me to believe that I have it. (had a "lesion" cultured came back positive). I don't know if it is HSV-1 or HSV-2 my gyno said my insurance won't cover the blood test so I have to call and ask. Before I do that I need to know what the test is called because I have read on here that the combined test almost always comes back negative and is not the one I want. Thank you in advance.

Link to comment

@sam57 Most people with HSV have very mild symptoms or no symptoms at all. A minority of people with HSV have significant recurring symptoms but that is what most people associate with herpes, so I understand why you were surprised.


To determine type, you will want to take an IgG test (*not* an IgM test) but you will want to be sure it has been 16 weeks since you were infected to allow time for the antibodies to build. At that point, you are looking for a positive result above a value of 3.5 for a definitive diagnosis of HSV type. Your positive swab result indicates you are positive for at least one type of HSV, but if both types come back with a positive result and one has a value below 3.5, you may want to follow up with a Western Blot (a different type of test) to confirm diagnosis of that type.

Link to comment

Hey Sam!


Getting your lesion cultured is the most conclusive test there is since there was enough virus present to give a positive result (culturing sometimes gives a false negative because there's not enough virus present to be detectable), so they should be able to tell you whether it's 1 or 2.


Here's a helpful writeup from ASHA for testing to arm you with more information: http://www.ashasexualhealth.org/stdsstis/herpes/herpes-testing/

This content is for informational purposes only. This information does not constitute medical advice or diagnosis. I'm not a medical professional, so please take this as friendly peer support. 

Helpful resources:

Link to comment

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Create New...