What are the signs and symptoms of genital herpes simplex virus (HSV) infection?

Updated: Feb 27, 2019
  • Author: J Michael Klatte, MD; Chief Editor: Russell W Steele, MD  more...
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Clinical features of genital HSV infection may include the following:

  • In first episodes, severe constitutional symptoms (eg, fever, malaise, myalgias [2] )

  • Initial itching and pain, followed by more troublesome signs and symptoms

  • Lesions that evolve from vesicles to pustules to wet ulcers and heal by crusting

  • Painful inguinal lymphadenopathy, dysuria, and vaginal discharge

  • Paresthesias of the legs and perineum

  • Urinary retention

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