Persistent Stinging? Why Your Skin Is Flaring & Medically Approved Genital Herpes Next Steps

Persistent stinging, burning, or tingling in the genital area can be uncomfortable—and worrying. While there are several possible causes, genital herpes is one of the most common reasons for recurring genital skin irritation.

If you're experiencing ongoing symptoms, it's important to understand what may be happening, what to watch for, and what medically approved next steps look like. This guide is based on credible medical sources and current clinical guidelines.

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What Is Genital Herpes?

Genital herpes is a common sexually transmitted infection (STI) caused by the herpes simplex virus (HSV). There are two types:

• HSV-1 – Often linked to oral herpes, but can cause genital infections through oral-genital contact
• HSV-2 – More commonly associated with genital herpes

Once the virus enters the body, it stays there. It may remain inactive for long periods and then reactivate, causing symptoms.

The good news: while there is no cure, genital herpes is manageable, and many people live normal, healthy lives with it.

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Why Am I Feeling Persistent Stinging?

Persistent stinging or burning can happen for several reasons. With genital herpes, it is often related to:

1. A New (Primary) Infection

The first outbreak may include:

• Painful blisters or open sores
• Burning or stinging before sores appear
• Itching
• Swollen lymph nodes
• Fever or body aches

The stinging sensation often begins before visible sores appear. This is called the prodrome phase.

2. Recurrent Outbreaks

After the initial infection, the virus stays dormant in nerve cells. It can reactivate due to:

• Stress
• Illness
• Fatigue
• Hormonal changes
• Friction in the genital area

Recurrent outbreaks are usually:

• Milder than the first outbreak
• Shorter in duration
• Limited to fewer sores

Some people only feel tingling or mild irritation without obvious blisters.

3. Post-Herpetic Nerve Sensitivity

Even after sores heal, the affected nerves may stay sensitive for a while, causing:

• Ongoing mild burning
• Intermittent stinging
• Heightened skin sensitivity

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What Do Genital Herpes Sores Look Like?

Symptoms can vary. Common signs include:

• Small red bumps
• Fluid-filled blisters
• Open sores that crust over and heal
• Pain when urinating (if sores are near the urethra)
• Vaginal or penile discharge (in some cases)

Sores typically appear on:

• The vulva or vagina
• The penis or scrotum
• The anus
• The buttocks or thighs

Some people have very mild symptoms and may mistake genital herpes for razor burn, yeast infections, ingrown hairs, or skin irritation.

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Could It Be Something Else?

Yes. Persistent genital stinging is not always genital herpes. Other possible causes include:

• Yeast infections
• Bacterial vaginosis
• Urinary tract infections (UTIs)
• Contact dermatitis (reaction to soaps, lubricants, or condoms)
• Other sexually transmitted infections
• Fungal infections
• Skin conditions like eczema or psoriasis

This is why accurate diagnosis matters.

If you're unsure what's causing your symptoms, Ubie offers a free AI-powered symptom checker for Genital Herpes that can help you quickly understand whether your symptoms align with common patterns and what you should do next.

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How Is Genital Herpes Diagnosed?

A healthcare provider may:

• Examine visible sores
• Take a swab of a blister or sore (PCR test preferred)
• Order a blood test to check for HSV antibodies

Testing is most accurate when done while sores are present. If you have active lesions, try to see a doctor promptly.

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Medically Approved Next Steps

If genital herpes is suspected or confirmed, here's what doctors typically recommend:

1. Antiviral Medication

Prescription antivirals are the standard treatment. These include:

• Acyclovir
• Valacyclovir
• Famciclovir

These medications:

• Shorten outbreaks
• Reduce severity
• Lower the risk of transmission
• Help prevent future outbreaks when taken daily (suppressive therapy)

There are two treatment strategies:

Episodic therapy
Taken at the first sign of symptoms to shorten outbreaks.

Suppressive therapy
Taken daily to reduce recurrence and transmission risk.

A doctor can help decide which approach is right for you.

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2. Symptom Relief at Home

To reduce discomfort:

• Keep the area clean and dry
• Wear loose, breathable cotton underwear
• Avoid scented soaps or harsh products
• Use cool compresses for pain
• Take over-the-counter pain relievers if needed

Avoid picking at sores. Let them heal naturally.

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3. Protecting Partners

Genital herpes can spread even when no sores are visible (asymptomatic shedding).

To reduce transmission risk:

• Use condoms consistently
• Avoid sexual contact during outbreaks
• Consider daily suppressive antiviral therapy
• Communicate openly with partners

With proper precautions, many couples maintain healthy relationships without transmission.

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When Should You Speak to a Doctor Urgently?

Seek medical care right away if you experience:

• Severe pain that prevents urination
• Difficulty urinating
• High fever
• Severe headache or neck stiffness
• Eye pain or vision changes
• Symptoms during pregnancy
• A weakened immune system

While rare, complications can occur. Prompt care matters.

Even if symptoms seem mild, it's important to speak to a doctor for proper diagnosis and treatment—especially if this is your first episode.

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Mental and Emotional Impact

A genital herpes diagnosis can feel overwhelming. That's normal.

However:

• It is very common worldwide
• Many people have mild or no symptoms
• It is medically manageable
• It does not define your health, relationships, or future

Education reduces fear. The more you understand genital herpes, the more control you regain.

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How Long Do Outbreaks Last?

• First outbreak: 2–4 weeks
• Recurrent outbreaks: 3–7 days typically

Over time, many people experience:

• Fewer outbreaks
• Milder symptoms
• Longer symptom-free periods

Some people eventually stop having noticeable outbreaks altogether.

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Reducing Future Flares

While outbreaks can't always be prevented, you may reduce triggers by:

• Managing stress
• Getting enough sleep
• Supporting your immune system
• Avoiding friction in sensitive areas
• Treating other illnesses promptly

If outbreaks are frequent (more than 6 per year), discuss suppressive therapy with your doctor.

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Bottom Line

Persistent stinging in the genital area should not be ignored. Genital herpes is a common cause, especially if symptoms come and go or are accompanied by blisters or sores.

The key points:

• Genital herpes is common and manageable.
• Stinging or tingling may appear before visible sores.
• Antiviral medications are safe and effective.
• Proper diagnosis is essential.
• Transmission risk can be reduced with precautions.
• Most people live normal, healthy lives with this condition.

If you're experiencing symptoms and want immediate guidance, try Ubie's free AI-powered Genital Herpes symptom checker to get personalized insights based on your specific symptoms in just a few minutes.

And most importantly: speak to a doctor about any symptoms that are persistent, painful, spreading, or concerning—especially anything that could be serious or life-threatening. Early evaluation leads to better outcomes and peace of mind.

You don't have to guess. You don't have to panic. But you do need accurate information and appropriate care.