Genital Herpes (HSV-2) Symptoms in Men
Genital herpes (HSV-2, though HSV-1 can also cause it) in men follows the same general pattern as herpes elsewhere on the body, with the added detail that a meaningful share of infections in men are mild enough to go unnoticed entirely.
What a typical outbreak looks like
A first outbreak often starts with tingling, itching, or burning in the area, followed within a day or two by small, painful, fluid-filled blisters on or around the penis, scrotum, or nearby skin. The blisters break open, ooze, and crust over within one to two weeks. First outbreaks are sometimes accompanied by flu-like symptoms — fever, swollen lymph nodes, fatigue — that subsequent outbreaks usually don't include.
Why it's often missed
A significant share of men with genital HSV-2 have such mild symptoms — a small, easily overlooked bump or irritation, mistaken for an ingrown hair or minor irritation — that they never receive a diagnosis through symptoms alone. This is part of why herpes prevalence in the population is considerably higher than diagnosis rates suggest, and why testing (rather than assuming absence of infection from absence of symptoms) is the more reliable way to know.
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