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my Igm came back as high for HSV1. please explain?

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Hello. About two weeks ago I had rough sex and a few days later noticed what looked like a tear near the opening of my vagina. I went to the doctor the next day and tested positive for a UTI. I was put on a sulfa drug. My symptoms weren't getting much better and by Thursday I was itching like crazy and some red bumps appeared I was very swollen and had a white discharge. I did notice a strange smell sometimes also. I used monistat and that helped a tad. I went back to the doctor the following week and tested positive for still having a UTI and also a yeast infection. They changed me to get on cipro and the yeast infection medicine also. By this point it burned so bad to pee and I realized that there were sores in the inside of my vagina. They are basically white and flat and are all different sizes. Probably a total of 5. I had blood work done which tested for STDs and the HSV2 came back negative but my Igm came back as high for HSV1. Can you please explain the meaning & your opinion?

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replied October 18th, 2012
Sexual Health - Women Answer A39630
Welcome to ehealthforum,
IgM or immunoglobulin M is the first and basic antibody that is produced in response to initial antigen exposure. These appear early in infection and re-appear if there is future exposure to same antigen. Your test results suggest infection with HSV1 and your body’s response to the infection. If UTI is still present and if vaginal symptoms have not been controlled, consider getting culture sensitivity tests done on urine and vaginal discharge to identify the causative organism and the most effective medication for its eradication. Get started on the appropriate treatment as indicated by your evaluation results. Drink plenty of water. Avoid caffeinated and carbonated beverages. Avoid further unprotected sexual contact. Avoid vaginal douching, use of harsh soap or perfumes in the area. Use loose cotton undergarments and avoid use of tight fitting clothes. Avoid sweat accumulation in the area. If infective cause is detected, you should also get your partner treated simultaneously to prevent chances of re-infection, and avoid having intercourse while being on treatment.
Take care.

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