Herpes Pictures: What Women Need to Know About Genital Herpes Symptoms

Alan Lucks | MD

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

Key Takeaways

  • Herpes sores can vary in appearance depending on the stage of infection

  • Women are four times more likely to contract HSV-2 than men

  • Antiviral medications can help manage herpes outbreaks

  • Early detection and professional medical consultation are crucial

Herpes is a common viral infection that affects millions of people worldwide. For women, understanding the visual symptoms and progression of genital herpes can be crucial for early detection and proper treatment. While discussing herpes can feel uncomfortable, being informed helps you take control of your sexual health and well-being.

Understanding Herpes Simplex Virus

Herpes is caused by two primary virus types: HSV-1 and HSV-2. While HSV-1 is traditionally associated with cold sores, both virus types can cause genital herpes. Women are particularly vulnerable, being four times more likely to contract HSV-2 compared to men.

Stages of Herpes Infection

Herpes outbreaks typically progress through four distinct stages:

Prodromal Stage

Before visible symptoms appear, women might experience early warning signs like:

  • Tingling sensations in the genital area

  • Mild flu-like symptoms

  • Swollen lymph nodes

  • Localized pain or discomfort

Vesicular Stage

During this phase, small fluid-filled blisters begin to form. These delicate vesicles can appear clustered and are often painful. The surrounding skin might appear red and inflamed.

Ulcerative Stage

As the blisters break open, they transform into painful ulcers. This stage can be particularly uncomfortable and may increase the risk of secondary infections.

Healing Stage

Sores begin to dry out, forming a crust that eventually falls off. Healing typically takes 7-14 days.

Identifying Herpes Symptoms in Women

Women may experience herpes symptoms differently compared to men. Some unique presentations include:

  • Sores on the vulva, vaginal opening, or cervix

  • Potential misdiagnosis as pelvic inflammatory disease

  • Burning sensation during urination

  • Unusual vaginal discharge

Herpes Symptom Comparison Table

Virus Type

Primary Location

Typical Symptoms

Recurrence Rate

HSV-1

Mouth/Lips

Cold sores

Frequent

HSV-2

Genital Area

Painful blisters

Moderate

Frequently Asked Questions

Can herpes be cured?

Currently, there is no cure for herpes. However, antiviral medications can effectively manage symptoms and reduce outbreak frequency.

How common is genital herpes?

Approximately 1 in 6 Americans aged 14-49 have genital herpes.

Can I get herpes without visible symptoms?

Yes, asymptomatic viral shedding can occur, meaning transmission is possible without obvious sores.

How is herpes transmitted?

Herpes spreads through direct skin-to-skin contact, typically during sexual activity.

Should I get tested?

If you suspect exposure or experience symptoms, consulting a healthcare provider for testing is recommended.

The Bottom Line

Understanding herpes symptoms empowers women to take proactive steps in their sexual health. While a herpes diagnosis can feel overwhelming, modern medical treatments offer effective management strategies.

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