1) How likely is it that somebody without an active outbreak who just gives oral sex to a penis can cause a primary herpes outbreak near my anus with which his mouth never made contact? Have you ever encountered a case where somebody had anal herpes without ever having actual contact with a sore?
I think it is highly unlikely. Normally, people get a first time outbreak in the location where they sexual contact occurred – your penis.
2) How often are primary GHSV1 outbreaks in a location different from where contact was made?
Very rarely
3) Can I expect the swab test to be accurate?
Yes, if it was a PCR or NAAT test
4) Is there anything I need to look out for to make sure this isn’t an outbreak? Is there anything I can do in the interim to reduce/stop it if it is one?
I don’t think anything would be helpful at this point
5) Could this possibly be HSV2?
I would say that’s a one in a million or more possibility – that your partner would have oral HSV 2 and transmit it to you.
Terri