Both oral and genital herpes are particularly easy to spread when you have active lesions (cold sores or genital ulcers). But even with no symptoms, herpes can still be spread to a partner. And ...

The primary episode of genital herpes is generally the most painful, characterized by multiple and bilateral lesions and associated with tender inguinal lymphadenopathy as well as systemic symptoms.

251). Primary lesions are more severe and painful than recurrent lesions (see Figure 1). Secondary or recurrent herpes labialis appears at the outer edge of the lips (Brady & Bernstein ...