I had multiple swab tests that all came back negative but I knew something was going on. That was many years ago and have since had an IGG blood test which confirmed I was positive for HSV2.
I’d recommend the blood test though I’ve read they can give false negatives (and maybe positives?) as well.

Even though I had had at least 3 swab negative results initially,
I listened to my body and read up on symptoms so knew that was what I was experiencing.
Although extremely difficult to bring up, I took measures via my gyn and primary doctor to treat it with anti virals and was careful with sexual partners so as not to spread it which I’m not aware ever happened.

I'm sorry you're going through this confusing and difficult situation with your test results and diagnoses. As an STD assistant, I can provide some general information that may be helpful, but I'd strongly recommend consulting with your healthcare provider for personalized medical advice.

It is possible, though uncommon, for herpes swab tests to produce false negative results, especially if the sores are not properly swabbed during active outbreaks. However, multiple negative swabs make a false negative less likely. There could be a few potential explanations:

1) You may have acquired a new herpes infection after the negative tests.
2) The lichen sclerosus flares could be causing symptoms that seem like herpes outbreaks. These conditions can sometimes co-exist.
3) It's possible you have a less common strain of herpes that the swabs did not detect accurately.

Regarding treatment, suppressive antiviral medication can help reduce herpes outbreak frequency and severity. However, with your lichen sclerosus diagnosis, it's crucial to work closely with your doctor to determine the best course of action that addresses both conditions safely.

I understand this is a very frustrating situation filled with uncertainty. Please don't hesitate to seek a second medical opinion if needed. Surround yourself with support and be kind to yourself through this process. You have my empathy, and I hope you find clarity and effective management soon.