Herpes simplex: Signs and symptoms

    Herpes simplex: If a person has HSV-1, a bad sunburn can trigger a herpes simplex outbreak.

         Herpes simplex: Outbreaks usually develop around the mouth or on the genitals, but the sores can appear almost anywhere on the skin.

Many people who get the virus that causes herpes never see or feel anything. If signs (what you see) or symptoms (what you feel) occur, a person may experience:

• Tingling, itching, or burning: Before the blisters appear, the skin may tingle, itch, or burn for a day or so.


• Sores: One or more painful, fluid-filled blisters may appear. Blisters break open and often ooze fluid and form a crust, before healing. The first time sores appear, they will show up between 2 and 20 days after a person has contact with an infected person. The sores can last from 7 to 10 days. Where the sores appear often varies with type:
  
  
  • Oral herpes (HSV-1): Most blisters appear on the lips or around the mouth. Sometimes blisters form on the face or on the tongue. Although these are the most common places to find oral herpes, the sores can appear anywhere on the skin.
  • Genital herpes (HSV-2): Sores typically occur on the penis, vagina, buttocks, or anus. Women can have sores inside the vagina. Like oral herpes, these sores can appear anywhere on the skin.
• Flu-like symptoms. Fever, muscle aches, or swollen lymph nodes (glands) in the neck (oral herpes) or groin (genital herpes) are possible.
• Problems urinating. People (most often women) with genital herpes may have trouble urinating or have a burning feeling while urinating.
• An eye infection (herpes keratitis). Sometimes the herpes simplex virus can spread to one or both eyes. If this happens, you can have pain, light sensitivity, discharge, and a gritty feeling in the eye. Without prompt treatment, scarring of the eye may result. Scarring can lead to cloudy vision and even loss of vision.
  
  If you develop signs and symptoms of herpes simplex, you can expect to have these for as long as listed below:
  
  
  • Oral (mouth) herpes: 2 to 3 weeks
  • Genital herpes: 2 to 6 weeks (the first outbreak)

Learn more about herpes simplex:

• Herpes simplex
• Herpes simplex: Who gets and causes
• Herpes simplex: Diagnosis, treatment, and outcome
• Herpes simplex: Tips for managing

Images used with permission of the American Academy of Dermatology National Library of Dermatologic Teaching Slides. 

http://www.aad.org/dermatology-a-to-z/diseases-and-treatments/e---h/herpes-simplex/signs-symptoms

Genital Herpes

Source: http://www.medicinenet.com/

What causes genital herpes?

The herpes viruses enter the skin or mucous membrane through tiny, even microscopic, breaks in the tissue. Because an infected person may transmit the disease even when he or she does not have signs or symptoms of herpes, avoiding sexual contact with someone with active blisters does not guarantee protection against the infection.

Individual outbreaks of herpes vary among affected people in terms of their frequency and severity. Outbreaks can be related to the function of the immune system and are typically worse in cases in which the immune system is suppressed; for example, at times of physical or emotional stress, during illness, or when you are taking certain medications.

How is genital herpes transmitted?

HSV infection is transmitted by direct person-to-person contact. Genital herpes is acquired through sexual contact of any type that involves contact with the genital areas. Genital herpes can also be caused by mouth to genital contact with a person who has cold sores or herpes infection of the mouth. Transmission from an infected male to a female partner is more likely than transmission from an infected woman to a male partner.

What are the signs and symptoms of genital herpes?

In women, genital herpes usually causes blistering lesions on the vulva and around the vaginal opening that progress to ulcer formation. The infection spreads to involve the cervix in most cases, leading to cervicitis (inflammation of the cervix). In some women, cervicitis may be the only sign of genital herpes infection. Infection and inflammation of the urethra accompanies the infection in some women, leading to pain on urination.Many people infected with genital herpes have mild symptoms or symptoms that are mistaken for another condition. It is also possible to be infected and have no symptoms, so not everyone who is infected may be aware of the infection. When symptoms are present, they consist of typically painful blisters around the genital or rectal area. The blisters break open, form ulcers, and take 2 to 4 weeks to heal. With the first outbreak of genital herpes, a person may also experience flu-like symptoms including fever, body aches, and swollen lymph nodes. Immediately prior to an outbreak, there may be an itching, burning, or tingling sensation of the skin.

After the initial infection, a person typically has outbreaks later in life.