Changes in sexual practices, primarily the increased prevalence of oral sex, have caused a crossover between the two strains of herpes virus, and now HSV I is found in the genital area and HSV II is found around the mouth. Symptoms vary from person to person. An outbreak usually begins with an itching inflammation and progresses to tiny blisters that leak fluid and crust over within three weeks. Most infected individuals have outbreaks only once or twice a year with minor pain and itching, but others have recurrent incidents of painful ulcers. Additional symptoms include swollen lymph nodes, painful urination, and urethral or vaginal discharge.
Stress appears to be a factor in the number and severity of episodes.
Studies show that as many as one-half of all infected persons will have no symptoms whatsoever. There is no cure for HSV, but there are medications that heal the sores more quickly and minimize recurrence of episodes. Persons who suspect they have been infected should be checked by a health professional. For those already infected or having sexual relationships with partners who are infected, abstinence is essential during outbreaks. This is not foolproof, however.