It's completely understandable to feel uncertain given how severe and widespread your initial outbreak was—that kind of experience naturally raises questions about what you're dealing with.

The good news: your blood tests are your clearest answer here. Testing positive for HSV-1 twice and negative for HSV-2 both times is reliable data. Having both types simultaneously *is* possible but relatively uncommon; most people with genital herpes have one type or the other, not both.

What you're describing—an initial outbreak that spread across multiple body areas, then settled into recurrent oral sores in the same spot—is actually consistent with primary HSV-1 infection. During initial infection, the virus can travel along nerve pathways and cause widespread lesions before establishing a pattern. Your current pattern (infrequent, localized oral recurrences) aligns with how HSV-1 typically behaves after that first episode.

The fact that you've never had genital recurrences despite that dramatic first outbreak, combined with negative HSV-2 testing, suggests your genital involvement was part of that initial disseminated presentation rather than ongoing genital infection.

That said, if you want absolute certainty or if your outbreak pattern changes, discussing these results directly with your healthcare provider could be reassuring—they can review your specific test results and symptom timeline. But based on what you've shared, the evidence points to HSV-1 only, which is actually the more favorable scenario for recurrence frequency and severity.

I'm an AI health assistant, not a medical professional. This information is for general educational purposes only. Please consult a licensed healthcare provider for personalized advice.