every month!!

so i have been diagnosed with HSV1 genital.. ive heard that outbreaks are rare and come about once a year or so ..however im getting them every month! 3-4 spots.. its really draining  

One outbreak a year is the average for the vast majority of gHSV1 carriers, so maybe you are one of the unlucky minority. Are you sure these are outbreaks, though? Have you had one of the subsequent outbreaks swab tested to be sure? Monthly is very frequent for either HSV type.

what else could it be?

I don't know, and maybe it really is a monthly recurrence. It's just unusual for gHSV1 to recur that often, so I'm rather surprised. Have you considered daily suppressive therapy?