Herpes Diagnosis

Herpes Diagnosis: How to Get Tested for Herpes

Since most people with genital herpes have few, infrequent or even NO noticeable symptoms, it can be difficult to know whether or not you have genital herpes. The herpes pictures that you might find on the internet are of extremely rare worst cases, and give a false impression of what most people with herpes experience – which is usually NOT noticeable.  For the great majority of people with herpes, their symptoms are so mild or infrequent – or not at all – that their herpes is never diagnosed!  PLEASE DO NOT ASSUME –  that just because you don’t see any sores or feel sick or don’t notice any particular symptoms – that you don’t have herpes or any other STD. You may be very wrong!

And for goodness sake – DO NOT ASSUME that your doctor already tested you for herpes!  Most doctors NEVER test their patients for herpes, even when they are testing you for other STD’s.  That’s right.  Most doctors do NOT include a herpes test for their patients – UNLESS YOU ASK SPECIFICALLY FOR A HERPES BLOOD TEST.

The best way to diagnose herpes when you are not having symptoms is to request a herpes blood test. Or if you are having an active outbreak – then immediately go to the doctor to get a herpes lab culture AND a herpes blood test.  You must SPECIFICALLY REQUEST that your doctor give you a herpes blood test and a herpes lab culture – or else your doctor might just do a visual inspection and may easily misdiagnose herpes as something else – such as jock itch, a yeast infection, or rough sex.  When your symptoms go away – usually within a few days to a few weeks, you may not even realize that you just experienced a herpes outbreak.

Unfortunately, most doctors still do NOT include a test for herpes during routine STD testing for their patients.  This may be because herpes is so common and they don’t consider herpes to be a serious, life-threatening condition. There is also speculation that some medical plans and insurance providers may discourage doctors from testing for herpes so that they will not have to prescribe potentially expensive drugs to the estimated 50% or likely more of their patients who would potentially test positive for HSV-1 and/or HSV-2.  So unless you SPECIFICALLY ASK your doctor to give you a blood test for herpes, it is unlikely that you or your friends or partners have ever been tested.   So start asking specifically for a herpes blood test.  And sometimes your doctor will even push back and tell you that you don’t need a Herpes Blood Test or give you another reason why they don’t want to give you a Herpes Blood Test.  This may be because your doctor is not up-to-date and doesn’t know about the newer, very accurate herpes blood tests.  Read on for more info.

Herpes Lab Cultures

Many doctors and health care professionals are not  up-to-date about herpes diagnosis and will tell you that the only way to  accurately diagnose whether or not you have the genital herpes virus is by  taking a swab from an active herpes sore or lesion and sending it to the lab for a culture test.   However, this only works if the patient’s sore is fairly new or else the virus may no longer be active on the skin.  If you get a Herpes Lab Culture and it comes out negative, you may still have genital herpes.  Because most herpes outbreaks are short and mild, and because most people have few, mild or even NO outbreaks, we highly recommend taking a herpes blood test when no active sores or lesions are present, and in ADDITION to a Herpes Lab Culture when there is a sore present.

Herpes Blood Tests

Many out-of-date doctors will tell you that there are no reliable blood tests for herpes that can accurately distinguish between HSV-1 and HSV-2.  These doctors *used to* be right.   And some  of the old, inaccurate blood tests are still out there.   But medicine has made great strides, and since 1999, there are several NEW IgG blood  tests now available that DO very accurately distinguish between HSV-1 and HSV-2 and are 97-100%  ACCURATE, if taken no earlier than 12-16 weeks after your possible exposure to the virus.

Since some doctors  and clinics are still using the older, inaccurate blood tests. Always make sure to find out the name of the  company and test that your doctor or lab is ordering for herpes blood  tests, and make sure it is one of the tests on the “good” list and not one of the tests on the “bad” list.

Herpes Blood Test Guide

Click here to see the list of recommended, highly accurate Herpes Blood Tests – Herpes Blood Test Guide from the American Association of Social Health (ASHA.org).  Give a copy to your doctor to make sure they are in the know!

Some of the Good  Herpes Blood Tests include:

  • HerpeSelect 1&2 Differentiation Immunoblot from Focus Diagnostics
  • Captia ELISA HSV1 and HSV2 Tests from Trinity Biotech USA
  • The Western Blot Test from University of Washington is considered to be the “gold standard” for all herpes blood tests.
  • To download the complete list of good herpes blood tests to give to your doctor, go to ASHA HerpesBloodTestGuide

If your doctor sends you to Quest Diagnostics or LabCorp to get a blood test for herpes, make sure the test they order is from this list:

Quest Diagnostics
HerpeSelect HSV-2 ELISA: 3640x
HerpeSelect HSV-1 ELISA: 3636x
HSV-1 and HSV-2 together: 6447x
Western Blot: 34534

Captia HSV-2 ELISA: 163147
Captia HSV-1 ELISA: 164897
Both HSV-1 and HSV-2 together: 164905

Codes may vary by facility; confirm code with lab before ordering.

Old, Innacurate Blood Tests List

Here is a list of some of the old, inaccurate Herpes Blood Tests and their names.  Make sure your doctor is NOT using one of these:
– Diasorin,  Herpes 1 or 2 IgG Clin-ELISATM, Stillwater, MN
– Zeus, HSV-1 and/or HSV-2 ELISA Test System, Raritan, NJ
– Sigma, Herpes 1-IgG, Herpes 2-IgG, St Louis, MO
– Wampole Labs, HSV-1 IgG ELISA, HSV-2 IgG ELISA,  Cranbury, NJ

For more info on good and bad herpes blood tests, please read this excerpt from the Ebook, “The Good News About The Bad News” by Herpes Expert, Terri Warren, RN.

Planned Parenthood Confidential Herpes Testing

If you do not have health insurance, you can  sometimes get a type-specific herpes blood test done at local public health  clinics funded by your city, county or state.  Check your local listings for the  public health clinic near you.  Unfortunately, not all public health clinics do type-specific herpes blood tests, so you might want to call first before making  the trip. In many cities,  Planned Parenthood also offers inexpensive herpes blood tests or it may be free under some circumstances.  Additional donations are always welcome.

Private Confidential Herpes Testing Services Online

In most states, you can order  your own CONFIDENTIAL blood tests for STDs including herpes by using services like STDTestExpress.com,* HealthCheckUSA.com , TSTD.org or New You MD Labs. Most of these services use the HerpeSelect tests from Focus Diagnostics. The Type-Specific HSV-1 and HSV-2 IgG test panels usually cost between $90-$149.  This fee includes the laboratory testing, preparation of  the order, physician supervision of ordering and interpretation of the results,  pre-test counseling, post-test counseling, and any confirmatory testing that may  be required. You enter your zip code and it will tell you all the local labs  near you which will do the tests.  You must sign up for the tests online and  your credit card will be charged before you go to the lab. These companies also  offer tests for other STD’s which you may or may not want to take.  Your results  are confidential and are not part of your regular medical records.


You must WAIT AT LEAST  12-16 WEEKS after you were exposed to herpes, in order to give the virus  antibodies enough time to develop in your blood stream. Otherwise the blood tests may  not be accurate.

Herpes Diagnosis Links:

American Social Health Association (ASHA) – Herpes Resource Center 

ASHA Herpes Blood Test Guide PDF

ASHA Herpes Testing Toolkit PDF

Centers for Disease Control – Genital Herpes – CDC Fact Sheet

Western Blot Test – the most accurate herpes blood test – University or Washington Virology Dept.
http://depts.washington.edu/herpes/faq.php 206-598-6066

*See Disclosures.