What are the symptoms of genital herpes? When genital herpes first attacks, there will be painful ulcers on the genitals, perianal and other parts of the body, as well as pain and discharge during urination, and sometimes systemic symptoms such as fever, headache, fatigue and swollen inguinal lymph nodes.

1. Primary genital herpes: the incubation period is 2-20 days, with an average of 6 days. The affected area first has a burning sensation, manifesting as clusters of papules, which can be single or scattered in multiple clusters. The papules quickly form blisters, and the blister fluid may contain viruses. In 2-4 days, the herpes ruptures and forms erosions or ulcers, accompanied by pain. The scab then heals on its own, leaving no trace if there is no secondary bacterial infection. The most common sites are the labia majora, labia minora, vaginal opening, urethral opening, vagina, around the anus, thighs or buttocks, and about 90% involve the cervix. There are also cases where primary herpes only affects the cervix, and the surface of the cervix can easily rupture and produce a large amount of discharge. There may be systemic symptoms such as fever, headache, and general malaise before the onset. Almost all patients present with inguinal lymphadenopathy and tenderness. Some patients experience urethral irritation symptoms such as urgency, frequency, and painful urination. The condition subsides slowly in an average of 2-3 weeks, but it is easy to relapse after recovery.

2. Recurrent genital herpes: The first recurrence usually occurs within 1-4 months after the primary genital herpes lesions subside. Before the onset of the disease, there is a local burning sensation, a pricking sensation or abnormal sensation, and then clusters of small blisters quickly burst to form erosion or shallow ulcers. Relapse patients have mild symptoms, a small number of blisters and ulcers, a small area, and a short healing time. The course of the disease is 7-10 days. Most damage heals within 4-5 days. The cervix is ??rarely involved. The inguinal lymph nodes are generally not swollen and there are no obvious systemic symptoms. .