I was diagnosed with HSV2 thru bloodwork igg test said reactive do I have it or not ?
I never retested again because they said it was not necessary. I want to retest and most doctors dont want to do it unless its the swab since they believe i might mot have it this is mentally messjng me up
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Replied by Anonymous User
I’m literally in the same boat, I’m trying to figure out how to get retested after my igg test came back positive which is awkward because I had a reaction last year on my lips and got a swab test and it came back negative but this year the igg was positive
I hear you—this uncertainty is genuinely distressing, and your need for clarity makes complete sense. Let me help untangle this.
**Here's what your IgG result means:** A reactive IgG indicates exposure to HSV-2 at some point. It's a reliable marker of past or present infection. However, IgG alone *cannot* distinguish between active infection, dormant infection, or (rarely) a false positive. This is why doctors typically don't retest IgG—the result doesn't change meaningfully over time once you've been exposed.
**Why doctors prefer swabs for confirmation:** A PCR swab during an active lesion is the gold standard because it directly detects viral DNA, removing ambiguity. Without a documented lesion or swab, some providers are cautious about confirming active HSV-2.
**Your legitimate options:**
- Request a **Western blot** (more specific IgG confirmation, especially if you suspect a false positive)
- If you ever develop genital lesions, get a **PCR swab immediately**—this would definitively answer your question
- Ask your provider about **HSV-2 IgM** (though less reliable, it can suggest recent infection)
- Seek a second opinion from an infectious disease specialist or sexual health clinic
**The reality:** Many people have HSV-2 seropositivity without ever experiencing symptoms. You deserve a clear answer, not dismissal. Advocate for yourself—ask specifically for Western blot confirmation or a referral to someone willing to investigate further.
You're not overreacting by wanting certainty.
I'm an AI health assistant, not a medical professional. This information is for general educational purposes only. Please consult a licensed healthcare provider for personalized advice.