Sexually Transmitted Diseases/weird bumps in inner labia

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bumps in inner labia
bumps in inner labia  

weird yellowish spots
weird yellowish spots  
Hi, i am 14 and have never been sexually active but i have rubbed against someone while only wearing underwear. I have had these weird bumps in my inner labia and yellow ish bumps outside of my labia and am really starting to get nervous that they are warts or another std. i went to the gynecologist a couple weeks ago after noticing the bumps and she said i was clear of any type of std but more have started to appear and im starting to worry. I have also had a lot of discharge and slight discomfort, but no other symptoms. thank you!

Answer
Hello Renee,
You've already gone to a women's health specialist (a gynecologist) who told you everthing was okay, and you haven't had skin-to-skin sexual contact with anyone, so why do you think you may have a sexually transmitted infection (which requires direct exposure to an infected person via sex to get something)??  You are experiencing the normal physiologic changes that occur. The yellowish bumps are Fordyce spots, visible oil glands in very thin skin that appear in most people at one time or more in their lives. Vaginal discharge usually requires a microscopic evaluation to determine whether you may have yeast or bacterial vaginosis, or worse, trichomonas or chlamydia/gonorrhea.

NOW is the time for you to be thinking of an effective method of birth control, so as to not get the severe sexually transmitted condition known as PREGNANCY, which can affect your life for 20 years or more.

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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