Whether you have an active or dormant case of herpes, the blood markers may be the same according to the CDC, ..."Both type-specific and type-common antibodies to HSV develop during the first weeks after infection and persist indefinitely. The majority of ,available, accurate type-specific HSV serologic assays are based on the HSV-specific glycoprotein G2 (gG2) (HSV-2) and glycoprotein G1 (gG1) (HSV-1)..."
https://www.cdc.gov/std/treatment-guidelines/herpes.htm
So no, the higher factor doesn't necessarily mean an active infection. Symptoms are the sign of an active infection, and treatment suppresses the virus but does not "cure" it completely, it will always be there. Again, from the CDC, "...Systemic antiviral drugs can partially control the signs and symptoms of genital herpes when used to treat first clinical and recurrent episodes or when used as daily suppressive therapy. However, these drugs neither eradicate latent virus nor affect the risk, frequency, or severity of recurrences after the drug is discontinued. Randomized trials have indicated that three FDA-approved antiviral medications provide clinical benefit for genital herpes: acyclovir, valacyclovir, and famciclovir..."

So I will stress again, the herpes virus, once in your body, can lie dormant for MANY years before manifesting itself - and over 60% of people have it in their bodies. Doctors do not necessarily "talk about it" because in the realm of ailments they treat daily, this is the equivalent of a pimple or a bruise, not a serious disease unless you are severely immunocompromised - they just treat it and move on.

I'm sorry you didn't feel heard and respected by your doctor, but given the overwhelming workloads of most practitioners these days, I'm not surprised. At least they did the right thing by prescribing acyclovir.