Most people who are infected with genital herpes are not aware of their infection. However, if symptoms occur during the primary episode, they can be quite pronounced. The primary episode usually occurs within two weeks after the herpes virus is transmitted, and lesions typically heal within two to four weeks.
Other genital herpes symptoms during the primary episode may include a second crop of lesions, or flu-like symptoms, including fever and swollen glands. However, some individuals with genital herpes may never have lesions, or may have very mild symptoms that they don’t even notice or that they mistake for insect bites or a rash. Most people diagnosed with a primary episode of genital herpes can expect to have several symptomatic recurrences a year (average four or five).