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Sexually Transmitted Diseases/Does this look like genital warts, or any other type of STD?


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QUESTION: My sexual history has involved 6 males, all casual sex. It has been 2 months since i first became sexually active. Today, i noticed when i wiped after using the bathroom, there was a bit of blood on the toilet paper. There are these skin tag like things on my labia minora. What do you think this could be? Thank you!

ANSWER: Hi Natalie,

Skin tags along the labia can normally be associated with just papilla and are not a sign of any disease or abnormality. However, skin tags in women can often be confused for genital warts or HPV, which is why you should get them checked every year (if you notice changes, otherwise a pap can be done every three) by your OBGYN to make sure they haven't grown or spread, which would indicate viral behavior and not dermatological. If these concern you and you have never had them checked before then I would ask your doctor for a pap to test for HPV.

Best wishes,


Please note the changes in parenthesis! :-)

---------- FOLLOW-UP ----------

QUESTION: I am wondering if i had always had these, because i am just now noticing them. Could they be a result of rough sex, or sex that was a bit dry with not too much lubricant?

They would be caused by sex period. The act of sex shears the surface layer of the vaginal wall and creates the texture you see. It looks like sandpaper, but don't take my analogy to heart as I don't want to scare you into thinking that's a bad thing. Lubrication is a great thing to prevent further inflammation and dryness, but the changes will always remain.


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John Brice


Educated and certified in STI information, HIV and AIDS, and trained in comprehensive sex education for teens and young adults. Providing counseling in sexuality, sexual interests, and sexual orientations, pregnancy prevention, safer sex initiatives, and teaching health education seminars to adults ages 18-65 for the past 3 years. Serve underserved clients in homeless shelters, workplace readiness programs, and detention centers. Three term AmeriCorps domestic service volunteer and Peace Corps nominee for Health Service to Lesotho and Rwanda. Providing services to the GLBTQIA populations of which I am a member.


3 years as a volunteer Emergency Medical Technician (Advanced) for 3 years and comprehensive sex educator for 3 years and parenting educator for 3 years. *North Carolina State Certified Emergency Medical Technician, #P083512 *Certified Health Education Specialist, #22589

*American Public Health Association *National Commission on Health Education Credentialing

American Public Health Association, Student Assembly, Quarterly Newsletter 2012-2014

*Doctor of Education (candidate), K-12 Teacher Leadership; Capella University *Master of Public Health, Social and Behavioral Sciences; Capella University *Master of Education, Curriculum and Instruction; Concordia University-Portland *Bachelor of Arts, Psychology and English; East Carolina University

Awards and Honors
Graduated with Distinction from Capella University AllExperts, Top Experts of 2014 (One and Multiple Categories)

Past/Present Clients
*Over 180 clients, lasting 30 sessions, in 5 locations during Florida service. *Over 150 clients, lasting 18 sessions, in 2 locations during South Carolina service.

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