{"id":9,"date":"2021-03-23T13:28:00","date_gmt":"2021-03-23T17:28:00","guid":{"rendered":"https:\/\/herpescureadvocacy.com\/?p=9"},"modified":"2026-02-25T17:29:18","modified_gmt":"2026-02-25T22:29:18","slug":"sti-testing-guidelines-do-not-include-herpes","status":"publish","type":"post","link":"https:\/\/herpescureadvocacy.com\/2021\/03\/23\/sti-testing-guidelines-do-not-include-herpes\/","title":{"rendered":"STI Testing Guidelines for Herpes Simplex Virus (HSV) indicate bias"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Why don\u2019t we test for herpes in a standard STI panel? We explore this rationale below.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>How do you protect a population from an infectious disease? You test for it and you track it. <\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Current CDC recommendations for Herpes Simplex Virus (HSV-1 and HSV-2) surveillance and testing fail to protect the public from transmission. With 85% of HSV+ people unaware of their status and the majority of transmission from asymptomatic carriers, CDC failure to test creates a loop hole for transmission. What else, aside from preventative and diagnostic testing, is more important?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Additionally, when patients are not explicitly told they aren\u2019t being tested for Herpes providers do not have informed consent. This means even when a sexually active individual is proactive about their sexual health and has standard STI testing, they will not be tested for Herpes Simplex Virus and they are not told Herpes is not included. Meaning they can be HSV+, could be transmitting to multiple partners, and not know it.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>Is ignorance bliss?<\/p><\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\">In the US, the CDC guidelines are based on guidance from the United States Preventative Services Task Force (USPSTF). Read the rationale <a href=\"https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/genital-herpes-screening#:~:text=Recommendation%20Summary&amp;text=The%20USPSTF%20recommends%20against%20routine,including%20those%20who%20are%20pregnant.\">here<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here are the key issues they have given for not including HSV-1 or HSV-2 in standard STI testing:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>COST<\/strong>: The rebuttal to this is all medical care is voluntary. We don\u2019t not provide an MRI because of cost!<\/li><li><strong>INACCURATE SEROLOGY TESTS<\/strong>: The rebuttal to this is to implement a two-step testing with Western Blot.<\/li><li><strong>PSYCHOLOGICAL BURDEN OF FALSE POSITIVE<\/strong>: We believe that benefit of many outweighs the burden of the few. If 85% of carriers are unaware of their status this creates a loophole for asymptomatic spread. Reduction of transmission, and protection of sexual health, is more important to promote than it is to preserve a carriers ignorance.<\/li><li><strong>POST-DIAGNOSIS BEHAVIOR WONT CHANGE<\/strong>: This a clear double standard with CDC guidelines for STI testing. By promoting ignorance of HSV+ status, you create a loophole for asymptomatic spread from the 85% who are unaware of their status &#8211; a dynamic that comprehensive testing could help curtail.<\/li><\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Herpes Activism Opportunity<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Email the USPTSF! Tell them their rationale for not testing is paternalistic and based on bias. People have a right to know what they have and be protected from others who do not know what they have. A sample email is <a href=\"https:\/\/herpescureadvocacy.com\/advocacy-sample-emails\/\">here<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">USPSTF Board Chair: Dr. Karina Davidson<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"mailto:chair@uspstf.net\">chair@uspstf.net<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"mailto:kdavidson2@northwell.edu\">kdavidson2@northwell.edu<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"mailto:info@uspstf.net\">info@uspstf.net<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"mailto:Amanda.borsky@ahrq.hhs.gov\">Amanda.borsky@ahrq.hhs.gov<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CDC STD DEPT CONTACTS: <\/strong><a href=\"mailto:stdtxguidelines@cdc.gov\">stdtxguidelines@cdc.gov <\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CDC STD Department Director <\/strong>                                              Dr. Jon Mermin                              <a href=\"mailto:jhm7@cdc.gov\">jhm7@cdc.gov<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>How do you protect a population from an infectious disease? You track it. We believe CDC STI testing guidelines contribute to asymptomatic spread and are rooted in bias.<\/p>\n","protected":false},"author":205069572,"featured_media":41,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[12],"tags":[],"class_list":["post-9","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-testing","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>STI Testing Guidelines for Herpes Simplex Virus (HSV) indicate bias - Herpes Cure Advocacy<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/herpescureadvocacy.com\/2021\/03\/23\/sti-testing-guidelines-do-not-include-herpes\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"STI Testing Guidelines for Herpes Simplex Virus (HSV) indicate bias - Herpes Cure Advocacy\" \/>\n<meta property=\"og:description\" content=\"How do you protect a population from an infectious disease? 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comment","link":"https:\/\/herpescureadvocacy.com\/2021\/04\/18\/better-treatment-for-herpes\/#comments"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/04\/og5zcr5kq6kp6xuyjuul_img_7101.jpg?fit=1200%2C675&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/04\/og5zcr5kq6kp6xuyjuul_img_7101.jpg?fit=1200%2C675&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/04\/og5zcr5kq6kp6xuyjuul_img_7101.jpg?fit=1200%2C675&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/04\/og5zcr5kq6kp6xuyjuul_img_7101.jpg?fit=1200%2C675&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/04\/og5zcr5kq6kp6xuyjuul_img_7101.jpg?fit=1200%2C675&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":1891,"url":"https:\/\/herpescureadvocacy.com\/2023\/01\/07\/cdc-issues-request-for-proposal-to-develop-new-serology-test-for-herpes-simplex-virus\/","url_meta":{"origin":9,"position":1},"title":"CDC issues Request for Proposal to develop new serology test for Herpes Simplex Virus","author":"Patient Advocate","date":"January 7, 2023","format":false,"excerpt":"The Centers for Disease Control and Prevention (CDC), the Office of Science (OS) in late December 2022 issued a Broad Agency Announcement (BAA) for the competitive selection of research proposals, including a Request for Proposal (RFP) for a new serologic test for herpes simplex virus (HSV). Therefore, the goal of\u2026","rel":"","context":"With 1 comment","block_context":{"text":"With 1 comment","link":"https:\/\/herpescureadvocacy.com\/2023\/01\/07\/cdc-issues-request-for-proposal-to-develop-new-serology-test-for-herpes-simplex-virus\/#comments"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2023\/01\/pexels-photo-8460349-1024x682.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2023\/01\/pexels-photo-8460349-1024x682.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2023\/01\/pexels-photo-8460349-1024x682.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2023\/01\/pexels-photo-8460349-1024x682.jpg?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":1022,"url":"https:\/\/herpescureadvocacy.com\/2022\/03\/18\/igm-test-removal-at-quest-diagnostics-is-a-win-for-herpes\/","url_meta":{"origin":9,"position":2},"title":"IgM test removal at QUEST Diagnostics is a win for Herpes clinical care","author":"Patient Advocate","date":"March 18, 2022","format":false,"excerpt":"Herpes Cure Advocacy celebrates and thanks Quest Diagnostics for removing the HSV 1\/2 IgM test from their product offerings. Quest Diagnostic joins Mayo Clinic in the removal of this test from their product offerings. This is a win for herpes advocacy and a small step forward to better clinical care\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/pexels-photo-2280571.jpeg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/pexels-photo-2280571.jpeg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/pexels-photo-2280571.jpeg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/pexels-photo-2280571.jpeg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/pexels-photo-2280571.jpeg?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/pexels-photo-2280571.jpeg?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":2239,"url":"https:\/\/herpescureadvocacy.com\/2023\/04\/24\/nih-forms-multi-council-working-group-for-herpes\/","url_meta":{"origin":9,"position":3},"title":"NIH forms Multi-Council Working Group for Herpes","author":"Patient Advocate","date":"April 24, 2023","format":false,"excerpt":"Herpes Cure Advocacy celebrates a step forward on the path to the cure, treatment and prevention of Herpes. NIH has assembled a Multi-Council Working Group for Herpes Simplex Virus and are calling for input from field scientists and the general public. Herpes patients and field experts are excited to see\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"person holding laboratory flask","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2023\/04\/pexels-photo-2280571.jpeg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2023\/04\/pexels-photo-2280571.jpeg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2023\/04\/pexels-photo-2280571.jpeg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2023\/04\/pexels-photo-2280571.jpeg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2023\/04\/pexels-photo-2280571.jpeg?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2023\/04\/pexels-photo-2280571.jpeg?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":3436,"url":"https:\/\/herpescureadvocacy.com\/2024\/04\/01\/a-practical-guide-to-diagnosis-management-and-patient-counseling-for-the-primary-care-clinician\/","url_meta":{"origin":9,"position":4},"title":"A Practical Guide to Diagnosis, Management, and Patient Counseling for the Primary Care Clinician","author":"Patient Advocate","date":"April 1, 2024","format":false,"excerpt":"Teresa A. Batteiger, MD, MS, Cornelis A. Rietmeijer, MD, PhD KEYWORDS Herpes simplex virus (HSV), HSV diagnosis, HSV treatment, HSV counseling KEY POINTS \u0015 \u00a0Genital herpes is a very common sexually transmitted infection caused by herpes simplex virus (HSV)-1 or HSV-2. \u0015 \u00a0Counseling is an important aspect of the management\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2024\/04\/Services_primary-care-jpeg.webp?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2024\/04\/Services_primary-care-jpeg.webp?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2024\/04\/Services_primary-care-jpeg.webp?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2024\/04\/Services_primary-care-jpeg.webp?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":261,"url":"https:\/\/herpescureadvocacy.com\/2021\/07\/08\/herpes-is-not-benign-nine-health-complications-linked-to-hsv\/","url_meta":{"origin":9,"position":5},"title":"Herpes is not Benign: Nine health complications linked to HSV","author":"Patient Advocate","date":"July 8, 2021","format":false,"excerpt":"This post is for anyone supporting the narrative about Herpes Simplex Virus that \u201cit\u2019s not a big deal\u201d. This is to encourage NIH for more urgency for treatment research, cure, and serology testing. This is to urge the CDC to develop a real prevention strategy including testing and tracking. Herpes\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/alejandroescamilla-dude-walkin.jpg?fit=1200%2C1009&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/alejandroescamilla-dude-walkin.jpg?fit=1200%2C1009&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/alejandroescamilla-dude-walkin.jpg?fit=1200%2C1009&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/alejandroescamilla-dude-walkin.jpg?fit=1200%2C1009&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/alejandroescamilla-dude-walkin.jpg?fit=1200%2C1009&ssl=1&resize=1050%2C600 3x"},"classes":[]}],"_links":{"self":[{"href":"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/posts\/9","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/users\/205069572"}],"replies":[{"embeddable":true,"href":"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/comments?post=9"}],"version-history":[{"count":14,"href":"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/posts\/9\/revisions"}],"predecessor-version":[{"id":188,"href":"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/posts\/9\/revisions\/188"}],"wp:attachment":[{"href":"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/media?parent=9"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/categories?post=9"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/tags?post=9"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}