What are the early symptoms of shingles in women?

Generally, before the onset of herpes zoster in women, the body may exhibit a series of warning signs, mainly including localized skin pain, sensory abnormalities, low-grade fever and fatigue, swollen lymph nodes, and a burning sensation on the skin. The details are as follows:

1. Localized skin pain: The most common early symptom is localized pain, often presenting as paroxysmal stabbing, dull, or throbbing pain. The painful areas typically concentrate in dermatomes such as the chest, back, waist, abdomen, head, and face. The severity of pain usually increases gradually as the condition progresses.

2. Sensory abnormalities: Before or during the onset of pain, affected skin areas may experience abnormal sensations such as numbness, itching, or a crawling sensation (like ants moving). Some women become highly sensitive to touch or temperature changes, which can interfere with daily activities like dressing or washing.

3. Low-grade fever and fatigue: In the early stage, some women may develop mild fever with body temperature ranging between 37.3°C and 38°C, accompanied by general fatigue, lethargy, and reduced appetite. These symptoms are easily mistaken for the common cold and should be carefully differentiated.

4. Swollen lymph nodes: Superficial lymph nodes near the affected nerves—such as those in the neck, armpits, or groin—may become enlarged. The swollen nodes are firm in texture and tender upon palpation. This swelling typically subsides gradually after the rash appears.

5. Skin burning sensation: Affected skin areas may first develop a noticeable burning sensation, as if scalded by hot water. This sensation may persist for several days, followed by the appearance of faint red macules that evolve into clusters of blisters.

When these symptoms occur, women should ensure adequate rest, avoid excessive fatigue, keep the skin clean and dry, and refrain from scratching. A light, nutritious diet rich in vitamins is recommended to help strengthen the body's immune resistance.