Now this is important, what cam back positive for HSV1. Was it an IgG blood test or was it the swab? Do you still have the results? Were they both positive?
What sexual activity occurred in the week before your first sores?
And also the fact that some spots appear, go away and then lots more show up a few days later. The spots are very small, only notice using a magnifying mirror, unlike my first two which I could see clearly. They look like very tiny cuts.
My first outbreak was on the outer skin of my anus like right around the outside. I was given a blood test and culture back then came back positive for hsv1. I've only had 2 outbreaks that I'm aware of, the last one being about 4 yeears ago. It don't really get any outbreaks at all. Now these spots im having at the moment are inside my anal canal, pretty down in there and the lining is raised/swollen almost and I have pain when pooping but when I touch the spots there is no pain or itching at all.
To evaluate the diagnosis was correct for HSV and then type, where was the initial outbreak relative to this outbreak etc.
Let's start with how you were diagnosed with genital HSV1? What was your sexual history on the week before the diagnosis?