If my doctor did not see them when she found the warts and theblood test showed up the genital herpes how do I know if I have an outbreak now. I have a tingling feeling but I had the wart thing and vaginitis right now so how do I know if I have an outbreak right now. Im itchy inside and Im over my medication today for the vaginitis does that mean because im tingling inside and itchy i have outbreaks i dont understand.