Common Herpes Symptoms:

Prodromes:
Most people experience prodromes at the beginning of an outbreak. These should be taken as warning signs. It is very important to recognize them, as it is easier to stop outbreaks early on. When the virus activates and moves through the nerves, it induces a reaction. This reaction usually manifests as a tingle, a sting or an itch from a few hours to a few days before an outbreak.
I usually feel mine 48 hours before I see redness on my genital area. Sometimes you may also feel tired, a little dizzy, or warmth or pain in the legs, buttocks or lower back. You may mistake it for the flu. I often have a fever, headache and muscle ache. Whatever it is, learn your body’s sign language. Learn to identify your prodromal phase. This is one of the best ways to protect your partner (even if you take Valtrex) and to control your disease, because when you start having all these warning signs the virus has already reached your skin and you are contagious.

Redness:
At this stage, the virus is developing in the skin. The immune system has sounded the alarm and a battle is raging causing inflammation in your skin. Do not have sex or sexual contact with anyone until your skin returns to normal.

Swelling:
This stage does not always occur. Few people experience it, and when they do it is mostly during the primary infection. As I have experienced it a few times, I have mentioned it here. Most of the time the swelling is small, but I had the “pleasure” of having one the size of a small thumb. It went away after 3 days, but it made a lasting impression on me. I haven’t had any swelling since. Most doctors will agree that swelling rarely occurs after the first outbreak, if ever.

Vesicles:
Vesicles are usually the size of a needle head and generally gather in clusters. Sometimes they can merge into a larger blister. They are often filled with transparent, greenish or yellowish or bloody fluids. They may feel itchy and sometimes very painful.
If you have large blisters, rush to your doctor to get a culture test. Culture tests are very time sensitive and herpes has to be present and alive in the cultures for the test to show a positive result. Sometimes vesicles are so small you may need a magnifying glass to identify them. Do not break them because it won’t help, and they will break by themselves anyway. You may even risk re-infecting yourself somewhere else if you do.

Ulcers:
When the vesicles burst releasing their fluids, small rounded wet ulcers appear.

Crusts:
The wet ulcers begin to dry and a scab forms. Do not remove the scabs. They are part of the healing process. Your skin is growing back underneath, and soon your outbreak will be just a bad memory. The virus may still be present at this time. It is only when all the scabs have disappeared and that your skin is back to normal that you can consider having sex again with your partner. You may see a change in the color of your skin in the outbreak area, but it should be smooth and look healthy.

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