2/12/13  - tested negative for HSV 1 and HSV 2 by real time PCR and IGG 

I was with this partner for 7 years

new partner 12/23/19 - 7 years after first test - (now I'm concerned about passing HSV 1 to him since I have had one diagnosis on 11/6/13 by real time PCR), 

12/23/19 tested positive for HSV 1 (47.80) by IGG but NEGATIVE for real time PCR

I am so very confused.  What is the likelihood that I will pass HSV 1 genitally  or orally to my new male partner via oral sex or regular sex?  The diagnosis is so confusing?

When you say that you had a real time positive PCR, was that a swab from an active lesion and was that lesion genital?  I need this information to  help answer your question most accurately, please.  You clearly have HSV from your antibody test but the location of your infection,  I am unclear about.

Terri

HSV 1 genital infection is very rarely transmitted via intercourse (it is possible but highly unlikely) because HSV 1 genital infection is rarely active in the genital area.  After a person has been infected with HSV 1 genital infection for 2 years, the average amount of viral shedding is 4 days per year.  Also, if your partner has ever had a cold sore, they are already infected and would be highly unlikely to get this in a new location on their body. 

You don't mention (unless I missed it) that you have oral outbreaks as well - do you?  It sounded like you only had this genitally and if that is the case, then kissing is not a risk.

Terri

The chances that he could acquire this are very remote but not impossible.  the risk is about the same for having intercourse or him giving you oral sex - very low.

Terri

You're welcome

Terri