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I recently had an HSV 2 Igg blood test because of having a few sores that appeared on my pubic area. The results came back 4.77. Does this mean I have genital herpes, and if so why do I only have spots in my pubic area?


Without all of your medical information and test results, it is difficult to answer some of your questions. For example, it is not possible to tell you what the  4.77 value means because interpretation of results depends on what type of test you had.

There are some things to know when using blood tests to diagnose HSV.

Depending on the test,  there is a small chance of false positive and negative results.

A positive blood test tells you that HSV is probably in your body, but it does not tell you where it is in your body. Since many people have no symptoms, there is no way to know if they have HSV on the mouth, genitals, fingers or another part of the body.

In your case, a positive result tells you that you have the virus in your body, but it does not tell you whether the sores on your pubic area are HSV 2. The positive test result may be from a previous contact with HSV in another area of your body. For this reason, the BC Centre for Disease Control lab recommends swabbing the sore as the best way to test for HSV. 

After the first outbreak of genital herpes, future outbreaks can appear anywhere in the `boxer shorts" area. This means HSV that first appears on the penis or labia,  could come back in that area or  in other areas such as the pubic area or bum. 

I recommend you go back the health care provider who did the test and ask for more information.  If you still have the sores on your pubic area, you could also ask your health care provider to swab the sores. 

Have a look out our HSV page for more information.  You can also check out the links at the bottom of that page for more information.

Please leave a comment to let us know if this answers your question or if you need more information.

Health Nurse

For other readers, please feel free to leave a comment, or let us know if this was helpful

This answer was posted on January 11, 2013

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