Herpes on Skin: Understanding the Basics of HSV Infection

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on February 15th, 2026.

Key Takeaways

  • Herpes simplex virus (HSV) affects billions of people worldwide

  • Most people with herpes have mild or no symptoms

  • Antiviral treatments can manage symptoms and reduce transmission

  • Both oral and genital herpes are common skin infections

Herpes is a widespread viral infection that impacts millions of people globally. Herpes can be mistaken for other skin conditions, making accurate diagnosis crucial for proper treatment. The herpes simplex virus primarily spreads through skin-to-skin contact, causing distinctive skin lesions that can be both uncomfortable and concerning.

Understanding herpes is important for managing your health and preventing transmission. While the virus cannot be completely cured, modern medical treatments can effectively manage symptoms and reduce the risk of spreading the infection to others.

Types of Herpes Simplex Virus

Herpes manifests in two primary types: HSV-1 and HSV-2. Distinguishing between herpes and other skin conditions like ingrown hairs can be challenging for individuals experiencing their first outbreak.

HSV-1 typically causes oral herpes, presenting as cold sores around the mouth. However, it can also cause genital herpes through oral-genital contact. HSV-2 primarily causes genital herpes and is predominantly transmitted through sexual contact.

Recognizing Herpes Symptoms

Herpes symptoms can vary widely between individuals. Many people experience no symptoms at all, while others develop painful blisters or ulcers. Initial symptoms often include:

  • Tingling or burning sensation before blister formation

  • Painful fluid-filled blisters

  • Fever and body aches

  • Swollen lymph nodes

Knowing when to get tested for herpes is crucial for proper management and preventing transmission to sexual partners.

Transmission and Risk Factors

Herpes spreads through direct contact with infected skin or mucous membranes. Key transmission routes include:

  • Kissing (for oral herpes)

  • Sexual contact (for genital herpes)

  • Skin-to-skin contact during active outbreaks

Some individuals are more susceptible to frequent outbreaks due to triggers like stress, illness, or hormonal changes.

Treatment Options

Antiviral medications can help manage herpes symptoms and reduce outbreak frequency. Common treatments include:

  • Acyclovir

  • Famciclovir

  • Valacyclovir

Treatment Type

Purpose

Typical Duration

Acute Treatment

Reduce symptom severity

5-10 days

Suppressive Therapy

Prevent recurring outbreaks

Ongoing

Topical Treatments

Provide pain relief

As needed

Living with Herpes

Managing herpes involves more than medical treatment. Lifestyle modifications and open communication with partners can significantly improve quality of life. Understanding sexual health strategies can help individuals navigate relationships while managing the condition.

Frequently Asked Questions

Approximately 64% of people under 50 have HSV-1, and 13% have HSV-2 globally.

No, herpes cannot be cured but can be effectively managed with antiviral treatments.

Outbreak frequency varies, with some people experiencing multiple episodes per year and others rarely having symptoms.

While uncomfortable, herpes is generally not life-threatening for healthy individuals.

Using protection, avoiding contact during outbreaks, and taking antiviral medications can reduce transmission risks.

The Bottom Line

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