Genital herpes is a sexually transmitted disease (STD) caused by a viral infection. There are two viruses responsible for genital herpes: herpes simplex virus type 1 (HSV-1) and herpes simplex virus type 2 (HSV-2). According to the University of Maryland Medical Center, most genital herpes cases are caused by HSV-2. Signs of genital herpes typically occur within two weeks of infection, and they can reoccur at any time.
Pre-Outbreak Signs
Before the appearance of blisters associated with a genital herpes outbreak, there are signs that signal the impending outbreak. These signs include skins that tingles or burns at the location where the blisters will break out. You may also experience pain or a burning sensation at the site.
Blister Appearance
An outbreak of genital herpes is accompanied by the appearance of small blisters in the genital area. These blisters can be painful and are filled with a liquid that is clear or straw-colored. For women, the blisters can appear on the cervix, vagina, labia, near the anus and on the buttocks or thighs. For men, the blisters can appear on the scrotum, penis, buttocks, thighs and near the anus. After the blisters break, they leave ulcers that are shallow and painful. These ulcers crust over and heal in seven to 14 days.
Feeling Ill
The body can also have general signs that there has been a genital herpes infection. These general signs include fever and a decrease in appetite. A feeling of malaise or a general sick feeling can also accompany a genital herpes infection. Muscles aches in the lower back, knees, thighs and buttocks may also occur.
Urinary Signs
Other signs of a genital herpes infection include painful urination and lymph nodes in the groin that become tender and enlarged. Women may experience a vaginal discharge and may sometimes be unable to empty their bladder, resulting in the need for a catheter.


