Sexually Transmitted Diseases/Bumps around vaginal opening

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bumps
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QUESTION: I had unprotected rough sex two days ago. Now my vagina just feels weird and different. There are lots of bumps around my vaginal opening which also just feels sore and maybe even a little bit swollen. I am really worried I could be pregnant and/or have gotten an STI. Any idea what this could be?

ANSWER: Hello Julia,
Get a pregnancy test and STI testing at a local Planned Parenthood or your doctor's office, to make sure you are okay.  And use an effective method of birth control, so you won't get an unwanted pregnancy which can affect your life and career for the next 20 years!

The tiny bumps at the upper right part of the opening of the vagina may be warts, or a normal variation, however they must be checked in person to know for sure.

Good luck!
--mark


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

QUESTION: The bumps are gone and every tj ING down there seems like it's back to normal by I am still going to get tested asap. It's now the the 6th day after. I had a sore throat and nasal congestion and a cough for the past few days but today the sore throat and cough and congestion are pretty much gone but now I am very nauseated and have what seems to be a bad stomach flu. is it possible this could be a sign of being pregnant this early on? Or could it just be a coincidence and just be a flu? I am still going to get tested for everything but I just wanted some peace of mind

Answer
Hello Again, Julia,
Not sure what this typo represents: "The bumps are gone and every tj ING down there...."  Lots of winter viruses can cause the respiratory and abdominal ailments you describe, but so can early pregnancy, however nausea associated with pregnancy ("morning sickness") usually occurs during the middle part of the first trimester, not a week or two after the sexual encounter. You know what you need to do, so go to a women's health/family planning clinic and find out what is going on!

Good luck!
--mark  

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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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