I don’t know why you’ve decided to assume that the sore in your mouth is HSV-2 infection vs. HSV-1 infection but it seems that you have. You should know that in our research studies we have found that in people who are HSV-2 antibody positive with an index value that’s greater than 3.5, over 95% will shed virus from the genital tract, as detected by PCR, within about four months of beginning to do swabbing. So if you have HSV-2 orally, then if you were my patient I would ask you to assume that you also have HSV 2 genitally also.
You ask if the swab test can determine if a sore in your mouth is a type one or two. Yes, it certainly can and the best way to know if the sore is type one or two is to ask for PCR with typing when the swab test is ordered. That is a very simple request to make of the lab and should be no problem at all.
Were you able to obtain PCR swabs to have on hand should you have another outbreak in your mouth? Do you feel that you will pursue a herpes Western blot test in the future to confirm your agency to status?
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I hope this has been helpful for you
Terri