I cannot answer the question of when you were infected or why you have yet to have an outbreak. That is a question more aligned to a infectious disease medical professional. My input on your other questions:
1. Some people choose to only take prescription medication during an outbreak. I know others that take it in daily doses to keep outbreaks at bay. Your doctor should be able to provide you with an answer to this question depending on which drug he treats you with.
2. There are a number of different tests available for testing HSV. I am not a medical professional. Therefore, I cannot interpret your test scores. Sorry.
3. 10 months negative is considered conclusive.
4. HCV / Hep C. Is mainly transmitted by blood contact. Hep B is more commonly associated with sexual activity. Have you been vaccinated for Hep B? Here is a good chart showing the differences between variants.
http://www.epidemic.org/theFacts/hepatitisC/transmission/
Actually, I never recall having cold sores on my mouth..ever....Could my high reading from my lab test (Herpes Type 1 OGG reading of 2800 units/ml) means a recent infection;i.e. my sexual exposure 10 months ago or a very long infection like childhood? I also never had lesions on my penis.
1. Should I take medication....I have to take it for a year and its quite expensive
2. Was the test done for herpes an Antibody test? The doctor wasn't sure.
3. Stupid question but.....is the HIV status 100% confirmed NOT INFECTED?
4. Any reason to have a HCV test?
I've had HSV1 since I've been 5 years old. It is a condition you can live with. For me the greatest complications have been flu like reactions, very painful outbreaks, massive headaches, and swollen glands. I typically find that there are specific triggers that facilitate breakouts. For me they include:
1. Excess sun exposure or sunburn.
2. Eating chocolate.
3. Caffeine or other stimulants.
4. Foods high in L-Arginine (like nuts, beer, various grains)
5. Stress.
6. Recent illness.
I'd strongly recommend a combination approach to managing your outbreaks through a combination of:
1. Foods high in L-Lysine.
2. L-Lysine supplements.
3. Topical oils and balms. I find "Forces of Nature" products very helpful.
4. Some kind of prescription medication like Valtrex or Famvir.
5. Stress reduction.
HSV is the most transmittable when you are experiencing an outbreak. However, people can virally shed the virus even when an outbreak isn't present. HSV1 can be transmitted to the genitals. I agree with Frank, dams are a good method of protection, especially with active sores.
If you have or recently had active cold sores, no. Dental dams would protect her if you do have active cold sores.
Does it mean I can't perform oral sex on my wife coz it might infect her down there?
Over 3/4 of the population has HSV1, which is what causes cold sores. Once you have HSV1 you always have it. It's nothing to be concerned about.
The Doctor had asked me to take some medication to reduce the reading much lower. Is it necessary? Also is it possible to have HSV1 without outbreaks?
NO you don't need to be concerned.