Genital Herpes: Symptoms, Diagnosis & Treatment Options

If you notice blisters or sores on the genitals, buttocks, or thighs, see a healthcare provider promptly for evaluation. Genital herpes is a sexually transmitted infection caused by the herpes simplex virus (HSV), primarily HSV-2 (HSV-1 can also cause genital infection via oral sex).

Common Symptoms

• Small, painful blisters or ulcers on the genitals, perianal area, or thighs
• Burning, tingling, or itching before lesions appear
• Flu-like symptoms during initial outbreak: fever, headache, muscle aches, fatigue, swollen lymph nodes
• Recurrent outbreaks are typically milder and shorter

Diagnosis & Management

• Viral culture or PCR swab of active lesions confirms HSV.
• Blood tests (type-specific IgG) can detect past infection.
• Antiviral medications (acyclovir, valacyclovir, famciclovir) reduce outbreak severity, duration, and transmission risk.
• Daily suppressive therapy is recommended for frequent recurrences or to protect a seronegative partner.

Herpes is manageable. Early diagnosis and treatment improve outcomes and reduce transmission. Inform sexual partners and use condoms consistently.