Kromethius saidI've been having some heavy thoughts on this subject. I notice that in my state they don't offer a herpes screening tests that is included with the standard hiv, chlamydia, gonorrhea, and syphilis tests. When you guys test are you testing for everything including herpes or just the standard 4? Guys Always say that they are clean but if clinics aren't enforcing a herpes blood tests and only suggest that if someone is symptomatic then have we done something wrong and should have tested with herpes to begin with?
That's because the blood exam involved to diagnose HSV (herpes simplex virus) is called PCR and this lab test is expensive. It averages around $300 to $400 and insurance companies are not going to pay that.
the HSV1 and HSV2 are serology tests .NOT PCR
There exists PCR versions for both but the utility is for cerebral spinal fluid. Undetectable viral rates can be present in people infected with HSV2 because the viruse lies dormant in the nerve ganglion between outbreaks. The antibody however sticks around.
In parts of Los angeles the positive rate for hsv2 is about 30-40%, the national average amongst gay men is probably 18% or so.
This test is only useful for a doctor trying to figure out a rash or an outbreak. As a screening test it just causes alot of heartache IMHO