Herpes outbreaks can be triggered by various factors, including illness, stress, hormonal changes, and fatigue. Some other triggers that may cause herpes outbreaks are:

• Sexual intercourse: The friction of sexual intercourse can irritate the skin and bring on symptoms.
• Menstrual periods: Hormonal changes during the menstrual cycle can affect genital herpes outbreaks.
• Exposure to sunlight: Sunlight exposure can trigger outbreaks of oral herpes (cold sores) .
• Surgery: Trauma to the body, such as having surgery, may make herpes symptoms appear.
• Weak immune system: Having a weakened immune system due to HIV, chemotherapy, or other factors can make outbreaks more frequent.

Its important to note that triggers may not be the same for everyone, and doctors are not certain how much lifestyle affects herpes symptoms. If you think a particular factor triggers your symptoms, you should discuss it with your doctor to determine what you should do about it. To reduce the risk of herpes outbreaks, you may consider taking antiviral medicines regularly as prescribed by your doctor, getting adequate sleep to keep your immune system strong, minimizing emotional stress and fatigue, and following a healthy diet.