What are the Two Types of Herpes Discharge?

Nearly 12% of Americans between the ages of 14 and 49 are estimated to have type 2 herpes (HSV-2), or genital herpes infection.¹ One of several well-known sexually transmitted infections (STIs), genital herpes is often asymptomatic—meaning it may not cause noticeable symptoms.²

Genital sores are the most common symptom, but discharge—while less common—can still be an important clue. Changes in vaginal or penile discharge may signal herpes or another infection.

Below, we break down how herpes-related discharge may differ, other STIs that can cause discharge, and when to seek care.

Genital herpes is most commonly spread through sexual activity and is unique among STIs because many people have mild or no symptoms, and the infection remains in the body for life even though symptoms can be managed.¹ The most common symptom is vesicles—small blisters or sores—that can appear on the genitals, urethra, anus, rectum, or mouth. These blisters may rupture into painful sores and eventually scab over. In some cases, discharge may also occur.

Because discharge can be caused by herpes or several other infections, testing is the best way to understand what’s going on and determine the right next steps.

• Itching around the genitals

• Pain or soreness

• Painful urination

• Flu-like symptoms (fever, headache, swollen lymph nodes)

Some people also experience tingling or shooting pain before an outbreak.

Discharge is a common symptom across multiple STIs. Testing can help determine the underlying cause.

• Increased discharge

• Painful urination

• Abdominal or pelvic pain

• Spotting between periods

• Yellow, green, or milky discharge

• Thicker consistency

• Possible bleeding or irritation

• Foul-smelling discharge

• Yellow, green, or white appearance

• Pain during urination or sex

If you notice changes in discharge, early testing and treatment can help prevent complications.

• Vaginal, anal, or oral sex

• Kissing

• Skin-to-skin contact

• Sharing personal items (rare cases)

Herpes is most contagious during active outbreaks.

Diagnosis typically involves testing samples from sores or blood tests for antibodies.

Treatment may include:

• Antiviral medications to reduce symptoms and outbreaks

• Suppressive therapy to reduce transmission risk

• Lifestyle adjustments like safer sex practices and communication

If you need support or treatment, you can also explore online care options and connect with a licensed provider.

With Everlywell, you can test for common STIs at home—quickly, discreetly, and securely.

All tests are physician-reviewed and processed in certified labs, helping you take control of your sexual health with confidence.