Yes, it’s reasonable from these test to assume that she does not have HSV-2. And it is questionable whether she has HSV one or not. And you are correct, even if the HSV one antibody test is correctly positive, it does not tell us where that infection is. If you want a better confirmatory test it is the herpes western blot from the University of Washington. She can work with her own provider to get that test done or she can work with me. She should obtain the kit from the University of Washington by calling 206-685-6066.
I think it is fine to want to know if she has HSV one, but what would you do with the results? Have you been tested to know if you’re positive for HSV one? If you’re both positive nothing needs to happen here and since you’ve been together for a very long time, even if she is positive and you are not, does it really make a difference?
Terri