Many women have pain when urinating and think they have a bladder infection until they notice the sores. With the first episode, sores persist for at least 1 week and often for 2 or 3 weeks, with new sores appearing as the first ones begin to heal. After the first episode of genital herpes, it is very common to have several more outbreaks within the next year. These later infections are usually much less painful than the first, less widespread, and last about half as long. They are often preceded by itching, tingling or burning in the genital area for a day or two before the sores appear.
Some women develop a pattern of frequent recurrences, occasionally as often as every month.
When to call your doctor You should call our office if you feel frightened or worried about your illness. Treatment Warm baths are helpful in reducing discomfort and keeping the genital area clean. Pantyhose or other tight fitting clothing should be avoided. Speak with your doctor if you feel that stronger pain medication is needed. Although generally not needed for mild cases, which get better without treatment, acyclovir is often prescribed for more severe infections.