HomeAnswersHIV/AIDS specialisthivIs there a risk of HIV infection if I am positive for HSV?

As my HSV is positive, I am worried about HIV infection. Please help.

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As my HSV is positive, I am worried about HIV infection. Please help.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At January 10, 2018
Reviewed AtJanuary 2, 2024

Patient's Query

Hi doctor,

I had protected sex with CSW (Community Sex Worker). After 16 weeks, STD (Sexually Transmitted Disease) test HSV (Herpes Simplex Virus) 1+2 IgG (Immunoglobulin G) is 13.30, Chlamydia trachomatis antibody IgG is 1.13 and HIV (Human Immunodeficiency Virus) 1/2 combo P24 test is .05. I am in depression that herpes is positive and in future any chance of HIV positive. I am unmarried.

Hi, Welcome to icliniq.com.

HIV infection has a window period of one to three months and during which the test results may have false negative results. According to WHO (World Health Organization), all results are considered conclusive at 12 weeks after the last high risk exposure. As your results are negative, even at the 16th week, you can be sure that you have not acquired HIV (Human Immunodeficiency Virus) infection. You need not repeat the tests any further and can leave all your fears. Kindly upload the test result of HSV (human simplex virus), so that I can go through it and let you know better regarding the infectivity.

Patient's Query

Hi doctor,

I have attached the reports.

Hi, Welcome back to icliniq.com.

I have gone through your reports (attachment removed to protect patient identity) and you are clear of HIV (Human Immunodeficiency Virus). With regard to HSV (Herpes Simplex Virus), IgG (Immunoglobulin G) positivity suggests that you had been infected some time ago,either clinical or subclinical. It does not suggest that you are infectious to others. Nearly 80% of the population does have IgG antibodies to HSV by the age of 25 years, mostly through subclinical infection. There is no reason to feel depressed as HSV is not always an STD (sexually transmitted disease). Although the virus remains dormant for long, it does not have any serious implications for your health. Moreover, it is necessary to treat HSV only if you are currently symptomatic and having lesions, either over your genitalia or the angle of your lips. Please allay your fears and get back to normal life. You are totally healthy, fit and fine.

Treatment plan

Tablet Acyclovir 400 mg three times a day for a week in case you are symptomatic at present.

Regarding follow up

For further information consult a HIV AIDS specialist online.---> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist

Patient's Query

Hi doctor,

Chlamydia trachomatis antibody IgG is 1.13 is also positive.

Hi, Welcome back to icliniq.com.

IgG positivity for Chlamydia on EIA method (environmental impact assessment) is insufficient to diagnose that you are currently infected. The test of choice would be nucleic acid amplification test (NAAT) from urethral discharge if you have any. If you are symptomatic, then there is no need to treat it as you have already gained protective antibodies.

Treatment plan

I suggest Azithral 1 g (Azithromycin) single dose if you are having symptomatic urethral discharge. Please consult your doctor, discuss with him or her and take the medicine with consent.

Regarding follow up

For further information consult a HIV AIDS specialist online.---> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rakesh Kumar Bahunuthula
Dr. Rakesh Kumar Bahunuthula

Dermatology

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