How does genital herpes spread?

It is spread through contact with a partner who is usually completely unaware of their own genital or oral herpes simplex virus infection. These people do not have any obvious infection at the time they spread it to the next person. Unfortunately most patients with HSV-2 do not know that they have the infection, as they often do not recognize the herpes symptoms. They think the irritation is from sanitary napkins or toilet paper or soap, lack of lubrication, too tight jeans or thong underwear or recurrent urinary tract infection, vaginal dryness or shaving or even symptoms of hemorrhoids.