Thank you for your query at DoctorSpring.com
I understand your concern.
Yes your results are borderline which indicate that you may have had a past infection and that is not really significant until and unless you manifest any herpes symptoms such as cold sores, or rash around the genitalia.
So if you do not have symptoms, you do not need to worry about the report.
Hope this was helpful,
Feel free to discuss further,
Patient replied :
Thanks for your reply.
The first report shows that my values are on the borderline. To confirm this i tested twice once with PCR method and other with ELISA method.
PCR method is negetive , but with ELISA method the HSV 1 IgG is positive (report attached Page 2 and Page 3).
1. So should i retest to confirm the status ?
2. Which test is reliable ?
I dont have any symptoms
As I mentioned, HSV-1 infection can be acquired during childhood, even without any sexual activities. A lot of children acquire it during their childhood, and never manifest any symptoms. IgG only indicates a past infection, so please do not worry about it.
Since you have no cold sores or open mucosal lesions, you have nothing to worry about.
You do not need re testing unless you have any symptoms.
Patient replied :
Please advice me on the following specific queries
1. Why is my HSV test result using Real time PCR method negetive and with Elisa method positive ?
2. Based on the test results should i assume that i am HSV 1 Positive ?
3. Can i lead a normal sex life , or would i infect my wife and kids ?
4. Should i tell my wife about my HSV 1 infection ?
5. I read that there is no cure for HSV infection is that true ?
6. How detrimental is this infection to health , is it like HIV ?
Thanks for your advice and patience.
1) ELISA is a slightly more sensitive test. The issue with HSV-1 infection is, the virus is so common, we can even acquire the infection during periods of weakened immunity such as our childhood even in the absence of any active disease or sexual contact. ELISA can pick up traces of previous infection. However, as I have already mentioned, in absence of any cold sores you do not need to worry. It can even be a false positive.
2) If you never had any symptoms, this test is insignificant.
3) Yes, you can have a normal sex life.
4) You do not need to tell her. However, if you do get cold sores, please avoid any intimate contact with her.
5) No, there is no cure for HSV infections, medicines can just prevent recurrences and severity.
6) It is not detrimental, just the fact that, outbreaks can happen anytime and are painful. 30 % of US adult population has hepres 1 infection.