How common is vulval pain in genital herpes?

Genital herpes can cause painful blisters or shallow sores on the vulva and nearby skin. Some people first notice tingling, burning, itching, or tenderness before visible skin changes appear. Urine passing over sores can sting, and friction from clothing or sex may add discomfort. Symptoms can settle and later return, while some people have mild or no visible changes.

Vulval pain has many possible causes, including irritation, thrush, cysts, and other infections. A clinician may examine the skin and take a swab from a fresh sore when appropriate. Early assessment can help identify suitable treatment and advice about reducing transmission.

Arrange medical advice if you have new vulval pain with blisters, sores, tingling, or burning when passing urine. Avoid sex, including oral sex, while sores or warning symptoms are present. Wash gently with water, avoid fragranced products, wear loose underwear, and do not pick at sores. Ask about antiviral treatment, pain relief, and ways to protect partners.

Seek prompt care if pain is severe, sores are spreading, you cannot pass urine, or you have fever and feel unwell. Contact a clinician promptly if you are pregnant and have new genital sores or possible exposure, because assessment can guide care during pregnancy.

Ask whether your symptoms could be genital herpes, whether a swab is useful, and when treatment should start. You can also ask how long to avoid sexual contact, whether partners need advice, and how to manage stinging during urination.