Painful blisters or sores on the mouth, genitals, buttocks, or anus
Tingling, itching, burning, or tenderness before sores appear
Small fluid-filled blisters that break open and crust over
Pain or burning when urinating
Swollen lymph nodes in the groin or neck
Flu-like symptoms such as fever, body aches, or fatigue, especially during a first outbreak
Redness, swelling, or irritation in the affected area
Recurrent outbreaks in the same or nearby area
No symptoms at all, since herpes can be silent
A medical exam and swab test of a fresh sore
A blood test for herpes antibodies if no sores are present
A healthcare provider for confirmation, since symptoms can look like other conditions