Me again- had a blood test 7/14/25. Results received today are as follows: HSV 1 Ab IgG 4.81 High.  (I was just diagnosed via vaginal swab 6/11/25, married for 17 years, not suspecting infidelity). Could this mean that I've had this infection for some time, and perhaps this wasn't a primary infection- or am I getting that wrong?  HSV2 was normal <0.90. Thank you again. 

I suspect yes, you've had this for a while.  This happens often in totally monogamous relationships where someone with HSV-1 orally gives oral sex to their partner who didn't have HSV-1 and the negative partner acquires this genitally.  You will likely have outbreaks very infrequently, if ever again.  I would ask your health care provider for antivirals to take at the first sign of an outbreak and you'll be able to manage this easily.---

Thank you for your patience, kindness and encouragement. Still trying to wrap my head around of this.  I have no further questions. Your thoughtful replies have answered them all. Hopefully, my questions will help others. 

You're most welcome.  ---