Genital herpes typically manifests as a group of blister-like lesions in the genital region (head of the penis, labia, anus, or cervix). This spreads, combines, bursts and crusts over in about 4 to 15 days. These painful, itchy lesions produce a lot of infectious fluid.
Other classic symptoms of herpes include:
The pain is often associated with burning sensations at the site of the lesions. The initial exposure (often called primary episode) is characterized by symptoms, such as fatigue, headache, fever, and chills. Recurring episodes generally tend to be milder than the initial episode.
What is herpes?
Herpes simplex virus typically does not cause significant problems. However, young children and individuals with weaker immune systems might get a severe infection.
There are two main forms of herpes simplex:
- Herpes simplex virus type I (HSV I or oral herpes): Usually affects the mouth or face. It is transmitted from one person to another through saliva and typically causes fluid-filled sores or vesicles (cold sores) in infected people.
- HSV II (genital herpes): A sexually transmitted disease. When a person comes in contact with the genitalia of an infected person, the infection spreads and may cause sores on the skin in the genital area.
What are the symptoms of genital herpes?
Many infected individuals never show any herpes symptoms. If there are symptoms, they will vary depending on the first episode or a recurrence of herpes. The symptoms that return are typically less severe than the initial outbreak. Later outbreaks do not have the same long duration as the first one.
Only one or two recurrences may occur in a person's lifetime. Some people may experience up to four or five outbreaks annually.
Symptoms of first herpes breakout
- Initial signs and symptoms could resemble the flu, including fever, chills, aches, pains in the muscles, exhaustion, and nausea.
- The buttocks, genitalia, or other areas of the body may develop small, fluid-filled blisters.
- The lesions typically cluster together, and the area around them might become painful and swollen.
- If there are open sores on the genitalia, urinating results in a stinging or burning feeling.
- The initial genital herpes infection may last two to four weeks. The sores rupture during this period and exude fluid. The sores crust over a few days and eventually heal without leaving any scars.
Symptoms of recurrent herpes breakout
- When an infection is ready to develop again, there could be burning, stinging, or tingling felt close to the site where the virus first entered the body.
- There could be a pain in the legs, knees, lower back, and buttocks even before the lesions appear. It is called a prodrome.
- There is typically no fever or genital swelling during recurring outbreaks.
- Sores heal more quickly, typically in three to seven days.
- Recurring breakouts often result in less pain. Outbreaks caused by infections are usually more prevalent in the first year. For many people, the frequency of breakouts decreases over time.
How is herpes simplex diagnosed?
By examining any sores that are present, your healthcare provider can identify genital herpes. Providers may collect a sample from the sores to test. If there are no sores, a blood test could be conducted to check for herpes simplex virus (HSV) antibodies.
Blood analysis lets your doctor know if you have ever been exposed to the herpes virus. If this is your first infection, there may not be enough time for your body to produce antibodies to test positive for herpes. You can test again for HSV I and HSV II antibodies in 8 to 12 weeks.
How does herpes simplex spread?
Herpes simplex virus (HSV) is spread by close contact with an infected person. Both saliva and skin can contain the virus. When you have sores, you are most likely to spread the virus to someone else. However, even if you do not have symptoms, you still have the potential to infect someone else (asymptomatic viral shedding).
HSV I can spread through:
- Contact with a person's skin close to their mouth
- Sharing razors, lip balm, or cutlery
- Oral sex with someone who has a cold sore
HSV II can be acquired through:
- Sexual activity, including anal, vaginal-penile intercourse
- Oral sex
- Childbirth by an infected mother
- Touching an open wound, including when nursing
Toilet seats cannot transmit genital herpes. However, shared sex toys can transmit genital herpes. To keep yourself safe, wash your sex toys both before and after use, and do not share them. If you do, use a condom to keep them safe.
What is the treatment of herpes?
Some people prefer not to receive treatment because they experience few or no herpes outbreaks. However, a lot of people choose to use drugs that minimize outbreaks and reduce symptoms.
Treatment minimizes the risk of the spread of infection. You can use an antiviral cream or ointment to ease your symptoms and hasten their disappearance during a breakout. This works only when you begin using it right away after the outbreak begins.
To prevent outbreaks, many with herpes simplex virus type II take daily oral medicines.
Your healthcare practitioner might suggest an oral or topical medicine:
- Place an ice pack over the genitals. Apply the ice pack over your underpants by wrapping it in a washcloth.
- Keep your private parts dry. Wear cotton or other non-synthetic underwear and stay away from tight clothing. Sores that are moist heal more slowly.
- Have a warm bath.
- Use nonsteroidal anti-inflammatory drugs to treat pain.
- Could use one to two percent lidocaine as a topical numbing medication to relieve pain, itching, and burning.
- The Predicted 'Tripledemic' Is Here: Why Isn't There an RSV Vaccine?
- Frozen Stuffed Chicken Products & Microwave Ovens: A Recipe for Salmonella
- First FDA-Approved Fecal-Based Treatment Helps Fight a Tough Superbug
- Seizures Seem Tied to Faster Decline in People With Dementia
- Signs That COVID Infection Might Harm the Liver
- More Health News »
Health Solutions From Our Sponsors
Genital Herpes – CDC Basic Fact Sheet. https://www.cdc.gov/std/herpes/stdfact-herpes.htm
Herpes Simplex Virus. https://www.nationwidechildrens.org/conditions/herpes-simplex-virus
Genital Herpes. https://www.hopkinsmedicine.org/health/conditions-and-diseases/herpes-hsv1-and-hsv2/genital-herpes
Genital Herpes. https://kidshealth.org/en/teens/std-herpes.html
Genital herpes. https://dermnetnz.org/topics/genital-herpes
Top What Kind of Pain Does Herpes Give Related Articles
5 Things You Should Know About HerpesMost people who have genital herpes have no symptoms or have very mild symptoms. Patients may not notice mild symptoms or may mistake them for another skin condition, such as a pimple or ingrown hair.
Are Cold Sores the Same as Herpes?What is the difference between cold sores and herpes? Cold sores are painful, unsightly sores that usually pop up around your mouth. Certain medications, home care and alternative therapies may help you get rid of cold sores fast.
What Is Genital Herpes in Women?Genital herpes is a sexually transmitted disease (STD) caused by the herpes simplex virus (HSV). Symptoms of genital herpes include painful blisters and often fever, body aches, and swollen lymph nodes for the first outbreak. Genital herpes is diagnosed with lab tests to test for the presence of the virus. Treatment for genital herpes includes antiviral medications to shorten the duration of the outbreak or reduce the risk of future outbreaks. There is no cure for genital herpes. Condoms may help prevent the spread of genital herpes.
Genital Herpes QuizWhat is genital herpes? Learn the causes, symptoms in men and women, and treatments for this common sexually transmitted skin disease.
Eye HerpesHerpes of the eye occurs due to herpes simplex virus-1 (HSV-1). Symptoms of herpes of the eye include pain in and around the eye, rash or sores on the eyelids, redness, swelling, and cloudiness of the cornea.
Cold Sores (Oral Herpes, Herpes Labialis)Cold sores (labial herpes) are caused by herpes simplex virus type 1 infection and often appear on the mouth and lips. Read about treatment causes, symptoms, treatment, and diagnosis of oral herpes.
Herpes Simplex Virus Type Picture 1A herpes virus that causes cold sores and fever blisters in and around the mouth. See a picture of Herpes Simplex Virus Type 1 and learn more about the health topic.
Is It Possible to Cure Herpes?Most of us will likely have to deal with herpes at some point. Learn more about herpes and what you can do to treat it. Genital herpes is a type of sexually transmitted disease (STD) caused by herpes simplex virus (HSV2) which causes lesions in the genital area. Learn how it spreads, symptoms, prevention, and how it can be treated.
Shingles QuizShingles falls within a well-known family of viruses that cause itching, burning, blisters, and pain. Take the Shingles Quiz to get the facts, causes, symptoms, and treatments for this itchy, painful condition.
What Causes Herpes on Lips?What is oral herpes, and how do you know if you have it? Learn the signs of oral herpes and what to do if you get an outbreak.
What Do Herpes Sores Look Like at Different Stages?Herpes simplex virus 1 (HSV-1) and simplex virus 2 (HSV-2) are the two types of herpes virus and will look different as they develop during five stages.
What Does Herpes Look Like? Types and TreatmentHerpes is a skin infection caused by herpes simplex virus (HSV). It results in the formation of painful blisters or sores on the skin, typically around the mouth or genitals.
What Triggers Herpes?Once a person is infected with herpes, the virus may stay dormant or quiet within the nerves. It is not known what exactly may trigger the symptoms.