What causes herpes recurrences

Genital herpes is different for each person. The signs and symptoms may recur for years. Some people experience numerous episodes each year. For many people, however, the outbreaks are less frequent as time passes. Various factors may trigger outbreaks, including:

  • Stress
  • Menstruation
  • Immune system suppression, from medications such as steroids or chemotherapy, or due to infections, such as HIV/AIDS
  • Illness
  • Surgery
  • Friction, such as that caused by vigorous sexual intercourse
  • Fatigue

In some cases, the infection can be active and contagious even when lesions aren’t present.

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