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As your physician may have explained, when the initial episode of genital herpes is symptomatic, it is quite often the worst episode you will experience. When your body encounters genital herpes for the first time there tends to be not only a local immune reaction, but a generalized one as well. You may experience « consitutional symptoms » that include fever, fatigue, nausea and or vomiting, muscle aches or pains, etc.. This is accompanied by the sequence of skin lesions described previously and may also be accompanied by swollen lymph nodes (part of your immune system) in the groin or inguinal region. These nodes may be sore and sensitive to the touch.
When we talk about a recurrence of genital herpes, one tends to experience fewer lesions and symptoms in comparison with the initial outbreak. There are rarely swollen lymph nodes or constitutional symptoms. The time from outbreak to skin healing is typically shorter in a recurrence.