 [ Symptoms ] i have a minor rash on vagina that is just uncomfortable and itchy no burning or irregular discharge i have one sexual partner i am always protected and i do have herpes simplex 1 [ Disease ] it is mostly a migraine with attack phase symptoms it can cause nausea and vomiting mood swings not likely premenopausal symptoms see a pain management or an acupuncturist who can help you control those symptoms and cope with it