If you've had shingles once, you probably won’t get it again.
That doesn’t mean it can’t happen, it’s just unlikely. Also called herpes zoster, shingles can come back a second or, rarely, a third time. But you can take steps to help prevent it, or ease it the next time around.
Although you can take steps to shorten the duration of a shingles outbreak, the virus must often simply run its course. Postherpetic neuralgia is difficult to manage and can last months or even years in rare cases. So the best approach is early and immediate treatment. Also, early medical attention may prevent or reduce the scarring that shingles can cause.
Experts don't know exactly how many people get shingles more than once. They do know it comes back more often in people with weakened immune systems.
If your immune system is healthy:
Your short-term chances of getting shingles again are very low. One study of people over age 60 found that only 1% got shingles again within about 3 years. Having shingles once lowers your chances of getting it a second time, at least for a while.
Over time, your chances of a second bout go up. Another study found that within 7 years, the odds of getting it again may be almost 6% in people 22 and older. That's about the same as the odds of getting shingles the first time.
Who Is Most Likely to Get Shingles Again?
You're more likely to get it again if:
You had severe pain from shingles that lasted more than 30 days. This is called post-herpetic neuralgia (PHN).
You are a woman.
You were 50 or older when you had shingles the first time.
Your immune system is weak from conditions like leukemia, lymphoma, or HIV, or you take medicines that suppress your immune system.