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So it’s possible this “outbreak” is not HSV1 but something else, but she has an old HSV1 infection?
Is there anything telling or unique about the order her symptoms appeared – white patch/bump on rectum, then a few days later inflamed/irritated urethra, then a few more days & bump/sore appears on lip & vagina becomes red/inflamed?
My wife is adamant that she has not been unfaithful, & I believe her, but we still would like confirmation of hsv1 even if it doesn’t really tell us much more.
FWIW, Here is more detailed test report (i was slightly off on igg for hsv1, but basically the same)
HSV Culture w/reflex to typing
Your value – see note
Culture negative for herpes simplex virus
Collected from vagina/vaginal specimen (SWAB)
ARUP Laboratories
Herpes simplex virus (HSV) 1 & 2 IGM Screen
Herpes simplex virus 1 IgM
Your value – Positive
Flag A
Herpes simplex virus 2 IgM
Your value – Negatve
HSV 1 IgM Titer
Your value 1:40
Standard <1:20
Components results
HSV 1 IgG type-Specific Ab
Your value – 1.84 Index
Standard <0.90 Index
Flag H
HSV 2 IgG type-Specific Ab
Your value – <0.90 Index
Standard <0.90 Index
Is it at least reasonable to conclude from tests that this is not HSV2