Half of the people who have herpes don’t have any more outbreaks or flare-ups after the first occurrence of symptoms. This is especially true if the infecting herpes was HSV-1. Some people only get a few outbreaks, while others get many. People can have many outbreaks in a row and then go months or years without one. People with illnesses that weaken the immune system, such as leukemia and HIV, are more likely to get more outbreaks and have symptoms that are more painful and last longer.
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