For many people, the first outbreak of genital herpes is the worst and longest-lasting.
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Genital Herpes Symptoms
Not everyone with genital herpes has detectable symptoms.
These blisters can also be internal, along the urethra or vagina, for example.
Evgeniia Siiankovskaia / Getty Images
They eventually rupture and crust over, leaving behind painful ulcers.
Other symptoms you may experience include:
How Is the First Outbreak Different?
The first outbreak is also the longest, with symptoms sticking around for two to four weeks.
When it reappears, your body can mount an immune response, fighting the virus.
A blood test can diagnose genital herpes even if you’reasymptomatic.
Treatment
The first outbreak of genital herpes istreatedwith oralantiviral medications.
Scratching can increase the risk of secondary infection.
Instead of scratching, apply a cold compress to the area.
Although its difficult,managing your stressis important.
Stress can make outbreaks worse.
Summary
Genital herpes is a common STI.
If youve been exposed, you may experience your first outbreak within two to 12 days.
Although some people never notice symptoms, for most people, the first outbreak is the worst.
Prescription antivirals and over-the-counter medications can help manage your symptoms, which will likely last two to four weeks.
A Word From Verywell
Experiencing your first genital herpes outbreak can take an emotional toll.
Its important to remember that genital herpes is very common and is nothing to be ashamed of.
Getting treatment quickly can reduce your risk of passing on the virus and help you feel better fast.
The first outbreak of genital herpes can start with a general feeling of being unwell.
You might experience headache or fever.
Itching or pain in the genital or anal area generally starts just before the appearance of lesions.
The first outbreak of genital herpes usually lasts between two to four weeks.
The first outbreak is the longest, and subsequent outbreaks will often be shorter and less severe.
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