What Does a Herpes Outbreak Feel Like Before Sores Appear?

A herpes outbreak typically begins with tingling, burning, or itching sensations 24-48 hours before visible sores appear. This prodromal phase affects up to 80% of people with recurrent herpes and serves as an early warning system. You may experience localized pain, hypersensitivity to touch, or a pins-and-needles feeling in the affected area. Some people also report flu-like symptoms including fatigue, headache, or swollen lymph nodes during this pre-outbreak phase. The skin may appear slightly red or feel tender without obvious lesions. These warning signs usually last 6-24 hours before the characteristic blisters develop, making this period crucial for starting antiviral treatment.