Description

The HSV-1 and HSV-2 IgG blood test measures type-specific antibodies in the blood to determine whether a person has been exposed to Herpes Simplex Virus type 1 (HSV-1) or type 2 (HSV-2). This test does not detect active outbreaks but identifies past infection and immunity status.

Purpose of the Test

  • Detect previous exposure to HSV-1 or HSV-2
  • Determine whether recurrent or unexplained symptoms are likely caused by HSV
  • Support clinical decisions for management and prevention strategies
  • Provide peace of mind for sexual partners regarding HSV status

How the Test Works

  • Blood is drawn and analyzed for IgG antibodies, which the body produces weeks after initial infection and usually remain for life
  • Type-specific assays differentiate HSV-1 (commonly oral herpes) from HSV-2 (commonly genital herpes)
  • The presence of antibodies indicates past infection, not necessarily current active disease

When to Order

Individuals may order this test if they:

  • Have a history of unexplained blisters or sores
  • Are planning sexual activity with a new partner and want to know HSV status
  • Are pregnant or planning pregnancy, to assess risk of neonatal herpes
  • Have a partner diagnosed with HSV

Key Points

  • A positive result indicates prior infection with HSV-1 or HSV-2
  • A negative result means no detectable antibodies; however, early infections may not be detectable immediately
  • This test does not detect active lesions—PCR or viral culture is required for current outbreaks

Fasting not required.