Sexually Transmitted Diseases/std...something else

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Question
white markings
white markings  

wrinkly inner lips
wrinkly inner lips  
Hi Mark


I am a 23 year old female only ever at intercourse with one man my partner for the last 5 years.But the left side of the inner(all the time) and sometimes other vagina lips the are extremely itchy is its also pretty swollen.Its only ever been the left side and has been like that the last 9 months year.it just seems to be getting worse.Hot weather can be horrible as it makes it more itchy and swell more,its does go down a bit but always stays swollen.Long walks would make it worse or sometimes very weird way for describing it but its like its just heats up down there.the other left vagina lip look the only way i can describe it as scaly bit not extra skin scaly.I also have tons of white markings on my inner lips(pic added) and the inner lips just look very wrinkly(pic added).no abnormal discharge

Answer
Hello Kelsey,
The most common condition responsible for your symptoms are vaginal yeast (candida). Sometimes, this condition causes a profuse whitish curdlike vaginal discharge, but sometimes not! There is swelling and itching of the entire vulvovaginal area including the labia and introitus of the vagina. Prescribed medications such as Diflucan (fluconazole) and Terazol (terconazole), as well as a bunch of others including some over-the-counter preparations may also be effective. Annoying, but not serious. Less commonly, viral infections such as herpes may cause such reactions, but this requires previous or new infection from oral, penile, or vaginal contact with a partner. Although this does not seem likely, it requires a more thorough sexual history of both you and your partner of 5 years.

Good luck!
--mark  

Sexually Transmitted Diseases

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Mark P. Behar

Expertise

Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “pre-screen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and consequences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!

Experience

Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Organizations
Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Publications
Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Education/Credentials
Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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