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frustrated that it hasn't been 'confirmed' by testing.

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Just over three years ago, I had a genital lump that was visually diagnosed as Herpes. I had gotten sick beforehand with what I presumed was tonsillitis ( I used to get it regularly). Around a week after the infection, the lump appeared. I was given anti virals, but did not get swabbed. It was one large red lump.

After this primary outbreak it never came back and I became more and more frustrated that it hadn't been 'confirmed' by testing. I managed to find a place that tested for HSV2 only. That blood test came back negative - I was told it could have been HSV1 or herpes Zoster (??) or absolutely nothing at all. There seems to be no one that will give me a HSV1 test to check. What should I do? Do I have to disclose this to partners? I am so confused

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replied April 24th, 2015
Sexual Health - Women Answer A51934
Welcome to e health forum.

From the description of your lesions, it does not appear that you had Genital Herpes.

HSV-1 causes primarily mouth, throat, face, eye, and central nervous system infections, whereas HSV-2 causes primarily anogenital infections. They are transmitted by direct contact with body fluids or lesions of an infected individual. Transmission may still occur when symptoms are not present.

Classic outbreaks consist of a skin rash and possible constitutional symptoms such as headache, fever, and inguinal lymphadenopathy. As the infection progresses, papules, vesicles on an erythematous base, and erosions appear over hours to days. These lesions usually crust, re-epithelialize, and heal without scarring.

First-episode infections are more extensive: primary lesions last two to six weeks versus approximately one week for lesions in recurrent disease.

Currently Type Specific Serology testing (Indirect Tests) to detect Anti-HSV antibodies are available. Eg. Herpes-Select Test. This enzyme immunoassay detects and differentiates between HSV-1 and HSV-2. Results are reported for each HSV type.

Because IgG antibodies to HSV persist for life, serologic assays can be used to confirm past infections.

If both HSV 1 & 2 Antibodies are negative, then it would be a indicator that you did not have a herpetic infection, and you had a mis-Diagnosis. In case of doubt, Nucleic acid amplification techniques (NAATs), such as PCR, test for viral DNA or RNA can be done to clear all doubts.

It would be recommended that you consult your doctor or a Internal medicine specialist and seek appropriate medical advice.

I hope this helps.

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