Herpes outbreaks vary in duration depending on whether it is the first outbreak or a recurrent one.
- First outbreak: Typically lasts from about 2 to 4 weeks. This initial episode is usually the most severe, often accompanied by flu-like symptoms such as fever, body aches, and fatigue. The sores start as fluid-filled blisters, which then break open, crust over, and heal without scarring over this period
- Recurrent outbreaks: These tend to be shorter and less severe than the first. Most recurrent outbreaks last between 3 to 14 days, commonly around 7 to 10 days. Symptoms often begin with tingling, itching, or burning sensations before sores appear, which then heal faster than during the initial outbreak
Over time, outbreaks generally become less frequent and shorter in duration as the body builds some immunity to the virus. Antiviral medications can also reduce the length and severity of outbreaks if taken early when symptoms first appear
. In summary, the first herpes outbreak can last up to 4 weeks, while subsequent outbreaks usually last about 1 to 2 weeks.