Years ago, I had an intense initial outbreak on my genitals, belly, neck, jaw, and cheek, consisting of circular rashes and sores, though the sores were just genital. Based on the severity and location, I assume it was hsv2, but years later, I got a blood test and only tested positive for hsv1. Does this mean I have hsv1 orally and genitally, or is it likely that I got a false positive for hsv2?
I'm sorry to hear about the difficult experience you've had with the herpes outbreak and the confusion around your diagnosis. As an STD assistant, I want to provide you with accurate information while being supportive and empathetic.
The symptoms you described - the widespread rash and sores in multiple locations including the genitals - are indeed consistent with a first episode of genital herpes, which is most commonly caused by HSV-2 (herpes simplex virus type 2). However, it's also possible for HSV-1 (typically associated with oral herpes) to cause genital infections.
The fact that you tested positive for HSV-1 but not HSV-2 on the blood test does raise some questions. It's possible that you had a false negative result for HSV-2, as blood tests can sometimes miss infections, especially if tested too soon after initial exposure. False positives for HSV-1 are less common but can also occur.
Without a clear positive HSV-2 test result, it's difficult to say definitively whether you have HSV-1 orally and genitally or if you may have had HSV-2 that wasn't detected. The most reliable way to determine your status would be through further testing by a healthcare provider.
I would recommend discussing your situation and test results in detail with your doctor or a sexual health clinic. They can help interpret your results, potentially order additional testing if needed, and provide guidance on managing your condition moving forward.
Please don't hesitate to reach out for support - herpes is a very common condition, and you don't have to face this alone. With proper care and a compassionate healthcare team, you can absolutely live a healthy, fulfilling life.