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Anal herpes a pain in the butt perhaps youre feeling a little funky in the butt. anal herpes is caused by the sexually transmitted herpes simplex virus. Learn how to tell if you have anal herpes and what treatments are available. Like genital herpes, it is caused by hsv-2 and is passed on through sexual contact. An anal herpes flareup is sometimes preceded by tingling, burning or shooting pain in the area around the anus where the rash will subsequently erupt. Anal lesions can be particularly uncomfortable due to friction from undergarments and clothing, and irritation of the skin related to bowel movements. Anal herpes is an infection, which is an outcome of herpes virus infection. It causes painful sores or blisters to erupt near or inside the anus. Painkillers may help to reduce the pain and inflammation, but they are not the sole treatment for anal herpes. Anal herpes herpes, caused by two types called hsv1 and hsv2 , can be spread by sexual contact with someone infected by the virus, especially if they have an active outbreak of herpes sores on.