What are the warning signs or symptoms before a herpes outbreak?

Brian Mora
Brian Mora

Hey there, seeing your question, I've got a bit of experience to share with you. Before a herpes outbreak actually appears, your body usually gives you some "warning signs" to let you know, "Hey, I'm coming soon!" This stage is generally called the "prodromal phase" or "prodromal symptoms."

Basically, a few hours to a day or two before the blisters (or the herpes outbreak) truly emerge, you might feel something unusual in the area where it's about to appear.

The most common precursors are these:

  • Tingling, Itching, or Burning Sensation

    • This is one of the most classic signs. It feels like tiny ants crawling under the skin, or a very mild electric current passing through. The area might feel itchy, numb, or a bit fiery/stinging. Many people say this is the most accurate precursor.
  • Skin Redness, Increased Sensitivity

    • Before the blisters appear, the skin in that area might become a bit red or slightly swollen. If you touch it, it might feel more sensitive than the surrounding skin, or even a bit painful.
  • Nerve Pain

    • Some people experience radiating pain. For example, if it's around the mouth, half of your face might have a dull ache; if it's in the genital area, it might involve the thighs or buttocks with a dull ache or nerve twitching sensation.
  • Flu-like Symptoms

    • This is more common during the first outbreak, but can also occur with subsequent recurrences. You might feel generally unwell, like:
      • Mild fever
      • Headache
      • Swollen lymph nodes (e.g., in the neck, groin)
      • Fatigue, general malaise/lack of energy

Essentially, where these warning signs appear is where the blisters will eventually emerge.

Here's a little tip for you:

Once you feel these prodromal symptoms, especially that familiar tingling sensation, you need to be vigilant. If you have antiviral cream or oral medication prescribed by a doctor, using it immediately at this stage is most effective. Often, if used promptly, it can even "suppress" the outbreak, preventing it from appearing at all, or if it does appear, it will be very mild and heal quickly.

Hope this experience helps you!