1-Dr said she could’ve gotten HSV1 years or decades ago without symptoms and it lay latent in her system unl now. Does GHSV-1 work that way (1st outbreak occurring years later and still severe)?
Yes, it surely can but the negative swab test of the lesions is confusing now.
2-Dr said transmission can occur via hand (mouth to genitals), even from same person, suggesting my wife or I have OHSV1 without knowing it & inadvertently gave her GHSV1. Is this a thing?
Not really, no
3-Did Dr administer IgG test too soon (within 2-wks of symptoms)?
The timing of the IgG test has nothing to do with the timing of symptoms, it has to do with timing of any occurrence that might have resulted in infection.
4-Given low IgG results & negative swab test could this be false positive?
It could be
5-What does IgM>1:40 mean?
It should never have been done – the CDC says never do IgM testing. It’s got a high rate of false positives – not wrong every time, but wrong very often.
6-If this isn’t GHSV1 what else could it be?
I don’t know.
7-Is next step West Blot (we want closure)
Well, before we do that, let me ask you a few questions.
Are you the giver of oral sex to your wife and if the answer is yes, when was the last time before she developed these symptoms?
Terri