Sexually Transmitted Diseases/Pimple like or blisters in anus


Small bumps in the anus
Small bumps in the anu  
QUESTION: Hi! About a week ago, I felt bumps on my anus. I just finished my menstrual period at that time so I thought it could have been allergy to my period pads. I've had 3 different sexual partners in the past 12 months. But fOr the past 6 months, there was only one. Whe used condom when we do it. But recently around a month ago, he tried putting it on me for few seconds then withdrew it right away.  Is this anal herpes? Anal warts? I am freaking out. I also need to mention that I develop a lump  eveytime i strain during  bowel movements  or when I stand and walk too much during the day. It goes away with rest or after few hours.

I have uploaded a picture of my anus and the bumps that I am concerned with. Thank you.

ANSWER: Hello Anonymous lady,
The bump that comes and goes with straining is probably a hemorrhoid that is mildly irritating.  Stop straining, and use a stool lubricant such as docusate or senakot or stool softener such as psyllium seed (Metamucil) should help.

The smaller bumps you have noticed are NOT related to HPV/warts or herpes.  These are retained oil and sweat glands with plugs of epithelial cells that may sometimes occur around the anus, and are considered normal variations in the texture of the skin there. The recent episode of attempted anal intercourse may have been with or without a lubricant, and this too may have contributed to these bumps.  Usually, moist heat to the affected area will cause these bumps to dissipate.

Good luck!

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

Anal abscess
Anal abscess  
QUESTION: Follow up on my situation and updated recent pictures. Is that anal abscess? And the boils seem to have been growing. And looks very concerning.

ANSWER: Hello Again, Anonymous Lady,
It appears that you may have three different problems, and the more recent photograph demonstrates anal warts, which were not obvious or apparent when you wrote the first time.   The bump that sometimes protrudes although not visible, is a hemorrhoid, that extrudes from the anus occasionally during straining, and then goes back inside. It is NOT herpes. The third item is a large plugged oil gland looking like a white tipped pimple.  Moist heat and gentle massage should help this resolve after the sebum is released. You should seek care from a knowledgeable health care provider (family medicine, gyn, or dermatologist).

Good luck!

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

QUESTION: When i touch the bumps, they are movable. Like i can just twist and remove them. Is there any possibility that these are skin tags? I failed to mention that i have mild hemorrhoids when I strain or stand And walk too long but goes away with rest for few minutes.

Im planning to visit a walk in clinic this coming weekend. Will they be able to diagnose such?

Hi Again, Anon Lady,
Whether they can diagnose your problem depends on their comfort and level of expertise.  Mention it, and they should be able to help you. It is easier to diagnose something after examining the area, and they should be able to do so!

Good luck!

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Mark P. Behar


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!


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.

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)

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

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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