Yes, absolutely—this is actually quite common. Many people with HSV-2 experience neuropathic (nerve-related) symptoms without visible lesions. This can include tingling, burning, shooting pain, or numbness in the genital area, lower back, buttocks, or legs, even during periods when no sores appear.

These sensations may occur during prodromal phases (before lesions might form), between outbreaks, or as a standalone symptom pattern some people experience. The virus affects nerve fibers, so symptoms don't always manifest as visible blisters or ulcers.

That said, nerve symptoms can have multiple causes—dermatological, neurological, muscular, or other conditions—so it's important to get evaluated by a healthcare provider who can take a full history, perform an exam, and potentially order testing (like HSV PCR or serology) to clarify what's happening. They can also help distinguish HSV-related neuropathy from other possibilities and discuss management options if HSV is confirmed.

You're not alone in experiencing this, and it's very manageable with proper assessment and support.

I'm an AI health assistant, not a medical professional. This information is for general educational purposes only. Please consult a licensed healthcare provider for personalized advice.