If I have had no symptoms, but I’ve had unprotected sex and no one I’ve been with has said they have herpes. Should I still be tested for herpes? - #20705
I feel a bit confused about STD testing sometimes. I have had plenty of unprotected sex in my life. I’ve had many STD tests. But sometimes they don’t test for everything they just test for the most common. And also, now I realize that you have to ask for a herpes test aside from this. I fear that maybe I have been asymptomatic for my whole life. I have no idea. I’m just concerned and I don’t really know how this works.
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Doctors’ responses
Your concern is very understandable. Herpes (HSV-1 and HSV-2) is not routinely included in standard STD panels, even for people who have had unprotected sex. This is because many people with herpes never have symptoms, and blood tests can sometimes be difficult to interpret.
You can be asymptomatic and still carry herpes, and many adults are—especially HSV-1, which is very common and often acquired earlier in life.
If you want to know your status:
You must specifically ask for a herpes blood test (HSV-1 and HSV-2 IgG)
Testing is most useful if you’ve had symptoms or a known exposure
A positive result does not mean you will develop symptoms, only that you were exposed at some point
If you have no symptoms, routine herpes screening is not always medically recommended, but it is reasonable if it will reduce anxiety or help you make informed sexual decisions.
The most important steps going forward are:
Practice safer sex
Get regular STD screenings
Communicate openly with partners
See a healthcare provider if you ever develop genital sores, blisters, or unusual pain
Your concern does not mean something is wrong, and many people share this situation without knowing it.
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