1. Based on the above, do you believe the symptom I experienced was a GHSV-1 breakout, or is it a possibility that I have HSV-1 that was detected via urine (possibly dormant) but the symptom was something separate?
I’m sorry but I would just have no idea. I am unfamiliar with the accuracy of the urine test for the presence of herpes virus. But if it was me, I would probably follow up with a really good antibody test. However, it just be one is incredibly common about half the people in the US are infected.\
2. Would you recommend that I do a follow-up test and if so, which type of test? I have not had any “breakouts” or symptoms since 6 months ago, but I would definitely like the peace of mind of knowing whether I definitively have or do not have active HSV-1.
Even if you do an antibody test and it is positive, it will not tell you the location of your HSV one infection. The only way to know if you have HSV one at a given location is to have a swab test done of a particular symptom and if it is positive, then you would know where your infection is. Have you ever in your life had a cold sore on your lip or in your nose? If the answer is yes, then we know that you have it orally at least.
3. This is perhaps a separate topic, but is it possible to get active HSV-1 in both the mouth and the genital region?
Yes, it is possible to acquire HSV one in both locations at the same time. Usually that happens when you kiss someone and they also give you oral sex and you get it in both locations. That’s not common but it does happen.
Terri