Recurrent genital herpes outbreaks will occur after a period of herpes dormancy. The amount of time that herpes lies dormant varies by person (each person’s health, immune system and overall biology is different). Genital herpes stays at the base of the spine (in the sacral ganglia), invisible until something triggers the herpes symptoms. At that point, it wakes up and makes its way to the surface of the skin via the nerve pathways to generally end up at or around the original site of herpes infection.
None of these herpes triggers are absolute since it’s very difficult to prove causality at all times between these factors always leading to herpes outbreaks. Also, even if you find that one trigger does actually cause herpes symptoms for you, it isn’t guaranteed to do so every time. Each person has a different experience of what triggers their outbreaks. The bottom line is the more you stay healthy (both your body and mind), the less chance of triggering a herpes outbreak.
Potential herpes triggers include: