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Herpes Simplex Virus Antibody (IgG) – Serology

Published: August 9, 2026Updated: August 16, 2026

This blood test detects antibodies to herpes simplex virus (HSV), which helps identify past exposure to the virus responsible for cold sores (oral HSV-1) or genital herpes (genital HSV-2).

Quick summary

["This test can help determine if you’ve been exposed to herpes virus in the past."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
74247-8
Short code
HEDIS 2014-19 HSV Ab
Synonyms
HEDIS 2014-19 HSV Ab
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Does This Test Measure?

The test measures **IgG antibodies** against HSV. IgG antibodies develop after an initial infection and remain in your blood for years, indicating past exposure. This does not distinguish between HSV-1 or HSV-2, but confirms prior infection.

Why Might You Need This Test?

Doctors may order this test if you have symptoms like cold sores, genital sores, or recurrent outbreaks, especially if you’re unsure about your infection history. It can also be used for screening in certain high-risk groups or during pregnancy to assess risk.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm to draw blood. The process takes about 5 minutes, and you may feel a brief pinch. If you’re pregnant or have a bleeding disorder, let your provider know before testing.

What to Expect After the Test

After the blood draw, you may experience mild bruising, swelling, or discomfort at the site. Apply gentle pressure and ice if needed. Avoid vigorous activity for a few hours. Results are typically ready within 3–5 business days.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Positive results indicate past HSV infection, meaning you’ve likely been exposed to the virus. This does not mean you’re currently infected or contagious, but it confirms immunity or prior exposure. Negative results suggest no detectable antibodies, meaning either you’ve never been exposed or the test was taken too early after infection. This test is not used to diagnose active herpes outbreaks but can guide further evaluation if needed.

Short name

HSV IgG Antibody

Frequently asked questions

How long does it take to get results?
Results are usually available within 3 to 5 business days, depending on your lab’s processing time. Your healthcare provider will contact you once they’re ready.
Can I get herpes from a positive test?
A positive HSV antibody test means you’ve had the virus before, but it does not indicate whether you’re currently infected or contagious. Active herpes outbreaks (visible sores) are what spread the virus to others.
Does this test differentiate between HSV-1 and HSV-2?
No, this test only detects antibodies against HSV without distinguishing between HSV-1 (commonly causing cold sores) and HSV-2 (often linked to genital herpes). Additional testing may be needed if you suspect a specific type.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy