Make sure that are you are eating a healthy diet, getting enough rest, exercising, and finding ways to relieve stress. If you have frequent or severe outbreaks, talk to your health care provider about taking a medication to prevent outbreaks or to treat them early.
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It is not clear what causes outbreaks. Some ideas are:
* Other infections
* Physical or emotional stress
* Fever
* Surgery
* Menstruation
* Sexual intercourse
* Skin irritations (ex.: sunburn) or sun exposure
* Trauma
* Alcohol
* Problems with your immune system
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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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After you have primary herpes (first occurrence of herpes symptoms), symptoms go away but the virus stays in your body. The virus can “flare-up” at anytime and cause an outbreak of new symptoms. During an outbreak, new sores break out in the same places. Symptoms are less severe and last for less time (a few days to a week) than those that occurred during the first occurrence of symptoms. Symptoms that occur during outbreaks can include: blisters, sores, itching and pain.
You may have some early warning signs that an outbreak is going to occur. These include tingling, burning, and itching where you had sores before. These signs could start a few hours or days before the outbreak.
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