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Symptoms can include painful sores in the genital area, itching, painful urination, vaginal discharge and tender lumps in the groin.During the first outbreak (called primary herpes), some people experience flu-like symptoms such as body aches, fever and headache.ymptoms can include painful sores in the genital area, itching, painful urination, vaginal discharge and tender lumps in the groin.
In many herpes zoster patients over the age of 60 years, painâso-called postherpetic neuralgia (PHN)âcontinues for months or years. Although the cause of PHN is uncertain, analyses of blood, CSF and postmortem ganglia indicate that it is related to persistent or low-grade productive infection in ganglia.