Anal herpes, scientifically referred to as Herpes Anogenitalis, is a sexually transmitted infection caused by the herpes simplex virus (HSV). While typically a minor issue that can resolve on its own, it can sometimes escalate and lead to significant health complications if not treated. Those infected with HSV-2 are more susceptible to developing anal herpes compared to those with HSV-1. The virus is transmitted through direct skin-to-skin contact, which includes interactions between genitalia and other body areas such as the mouth or anus.
During an outbreak, anal herpes may appear as lesions on the buttocks. A 2006 study reported that 20% of 237 participants with herpes experienced anal herpes symptoms.
Signs and Symptoms of Anal Herpes
What are the signs of anal herpes? Symptoms can widely differ among individuals, but common signs include:
- A red, itchy, and sore rash around the anus
- Ulcers forming at the site of initial blisters
- Scabbing over ruptured ulcers
- Changes in bowel movements
- Pain during bowel movements or sexual intercourse
- Discomfort while urinating
- High fever
The symptoms of anal herpes can sometimes mimic those of hemorrhoids and syphilis, making a healthcare provider’s diagnosis necessary through visual inspection or physical examination.
Other indicative symptoms include intense itching or burning around the anus and, in certain cases, discharge. If untreated, symptoms can exacerbate, resulting in painful swelling and ulceration in the anal region.
In uncommon instances, anal herpes can spread to different body parts. During an outbreak, additional experiences might include:
- Red bumps around the genital area and inner thighs
- Tingling sensations in the legs
- Body aches
- Headaches
- Fever above 101°F (38°C)
As noted earlier, HSV-2 significantly increases the risk of developing anal herpes compared to HSV-1, which can also lead to anal herpes, albeit rarely.
For more information, including the cost of herpes medications, visit herpes symptoms and herpes drugs on Bridge Health.