STIs

I'm 25 and have a glossy skin colored bump on my labia. I've had it for as long as I can remember and have STD and STI screenings annually. I've had two STI's simultaneously in the past and that's it. My OB has never seemed to be concerned with it but I've also never raised the question, thinking she would mention it if she felt she needed to. I used to get UTI's and kidney infections a lot when I was younger and had one with each of my past pregnancies, but not this one. I had my first pap when I was 14 and it came back abnormal but it hurt too bad to do a second time. Since then I've only had 1 abnormal when I miscarried and was diagnosed with Chlamydia and Gonorrhea, the 2 STI's I mentioned. I took the meds, went back and it was all clear. This was between my first and second child. I also have very heavy but short lived menses. I'm a redhead, so I hear that's common for us. I guess I'm just worried it may be HPV; Being why I included my history. I don't think it's herpes as it's only the one and never goes away or ruptures or even hurts. Any advice would be appreciated. I also have a pic but i don't know if that's acceptable or appropriate.

The lesion you describe could be a skin tag or HPV.  It is best to make an appointment with you primary care provider or OB/GYN.  Also, you are still within the age to receive Gardisil to protect again the HPV strain that can cause cervical cancers. 

You can always schedule an appointment at Corner Health to discuss further. 

 

So I gave my boyfriend a blow job, got him off, and didn't clean everything up own there. He put it away, then awhile later we had unprotected sex. Could I be pregnant?

If you are not using any type of birth control you put yourself at risk for pregnancy and sexually transmitted infections every time you have uprotected sex. 

Please call us to schedule an appointment to talk about birth control and to get a pregnancy test.   Or see your regular health care provider.  If you are 12 or older in the state of michigan you can be seen with out parent consent.  

 

What are the steps that I should take to have safe sex and to not worry about STDs and pregnancy?

Condom use is recommended every time you have sex if you want to protect yourself from STIs (sexually transmitted infections, same as STDs, sexually transmitted diseases) .  This includes protection against Gonorrhea, Chlamydia, Trichomoniasis, Hepatitis B and C, HPV and HIV/AIDS .

To prevent unplanned pregnancy there are many forms of birth control available. Please schedule an appointment at Corner Health or your health care provider to see what method is best for you.

In the state of Michigan you can receive sexual health services without parent consent if you are 12 years old or older. Corner also has condoms available for free at the front desk!  

 

I am really worried: 3 days ago a guy I just met gave me oral sex and fingered me for the first time in my life without any protection , but I didn't realize he had a wart on his finger and red eyes, so I'm really worried because of HPV. I'm not sure if he is seeing other people but that was my first sexual encounter, and I'm also worried about getting pregnant. We didn't have penetration but we were naked and his penis was near my tights and was really wet. Please help me I'm really worried about an STD.

I'm sorry you are in this upsetting situation. Thank you for asking us about your fears.

Generally, the warts on someone's fingers are different than the HPV wart.  Also you would have a very low risk of an sti considering there was not direct contact.  I would suggest you schedule an appointment here at the Corner for confidential testing and to receive the HPV vaccine that will prevent HPV in the future and to discuss all of your sexual health needs, such as birth control for the future. And don't worry, even if are under 18 you do not need parental consent to get these services. 

 

Do I have herpes simplex? First, some background. I have been seeing someone for a while, and we have been having protected sex for quite some time. Both of us only ever had one previous partner, and both previous partners say they were tested and were clean. In addition to this, neither of us have ever experienced symptoms of herpes, both types 1 and 2. Absolutely none. So around 2-3 weeks ago, we decided to have unprotected sex. Some more background: at the time, I had just finished a course of antibiotics for a sinus infection (and no I was not on contraceptives of any kind). I had also shaved my genitals rather aggressively a few days prior (against the grain, for that "smooth" feeling), after shaving them once already in the previous three or four days, and we had sex almost immediately after this. Additionally, the place I live in gets hot, and we had been teaching rigorous dances to people for at least three hours every single day - during which time I would often be dressed in clothing that fit quite tightly around my genital area. A few days after starting this pattern of unprotected sex, I noticed it was starting to get rather painful down there - which I first attributed to "overuse". Then, I suddenly noticed it was getting a bit sore over the areas I had shaved. Upon closer inspection, I noticed small red bumps, much like ingrown hairs, forming around my labia. These bumps didn't occur anywhere except where hair was growing, and were really sore to touch. I also experienced a burning sensation when I urinated, even after taking reasonable precautions against UTIs (urinating before and after sex). So I decided maybe a trip to the gynea was a good idea. I went in, did a pap smear and so on, and he gave me three options: a) It's a combination of folliculitis and thrush (from antibiotics), b) it's ingrowns and thrush, or c) it's herpes. So he prescribed some meds for thrush and sent me on my merry way. After taking the meds and using some antifungal cream, the vaginal pain and burning while urinating both went away. However, a week and a half after they appeared, the bumps have still not gone away. They are fading, yes, but they are still sensitive to touch. My partner took a look at them when we first saw them, attacking them with a (sterilised) pair of tweezers to see if he could find ingrowns. After some vicious exfoliation and constant harassment on my part, the sores became open, almost like ulcers. The thing that stopped me from being too worried is that the treatment for thrush worked almost immediately with the other pain, and that the sores never turned into blisters - they just kind of hurt a lot, and now are just a bit itchy. Then today I got a call from the gynea. He told me they found symptoms that COULD suggest herpes simplex on my cervix. I asked if there was any way to make a solid conclusion, but he told me a blood test would be unreliable, and that I should just wait and see if I have another outbreak. I had a good cry session and phoned my partner after hearing this, and begged him to get tested (which he is going to do). Based on what I have described, is it possible that it is herpes simplex? Or could it just be a culmination of symptoms that looks like it but isn't? I need some ease-of-mind, desperately. Not knowing is scaring me more than a conclusive answer. I should also point out that we had oral sex, and he developed what he believes is acne (he has had skin problems before) on his chin. Not only did he do the same as me (shave twice in a short space of time and then "perform" almost directly after), but he also uses a very specific face wash, which he did not have for the period during which this "acne" appeared. He is also not accustomed to the hot environment, and we both lacked a bit on hygiene in the craziness of our schedule. He also had a swollen lymph node after a few days. His skin seems to be clearing up too though. What's stopping me from thinking either of us was a carrier, and therefore that either of us have it, is that we got these symptoms at the same time, we both never showed symptoms prior to this, and we both had the above factors to contend with. Can I get a second professional opinion on this matter?

It's hard to know exactly what's going without looking at one of the sores.  Herpes lesions have a pretty distinct appearance. You can usually make a diagnosis of herpes just by looking at the sores.  If there is any doubt, taking a swab of the fluid from one of the sores and sending it a lab for HSV testing is the best way to know for sure. Doing a blood test will tell her if someone ever had an exposure to HSV I or II.  So, that means that the test will tell you if you have ever been exposed to HSV and not necessarily if what you are currently experiencing is related to herpes.  Your doctor is right, the herpes blood test can be misleading.  If you just need piece of mind, you can ask your doctor if they will do a HSV blood test.  A better test is to have a sample collected from one of the sores.  So, your doctor is right that it might be better to see if the sores reappear. 

Until you have more answers, I suggest abstaining from oral, anal or vaginal intercourse while sores are present.  I also recommend condoms or other barriers such as dental dams for intercourse.  Focus on reducing stress and taking good care of yourself to prevent any future outbreaks. 

Also, I would ask the doctor who did you Pap test if they saw signs of HSV or HPV.   They are two different viruses and require different  follow up.

 

I accidentally put nair in my vagina, like on my clitoris and the right side of my vagina lip. It burned for a day and then the next day, it was fine. I had intercourse with my boyfriend that same week. Two days later my vagina became itchy and I rubbed it a lot with tissue and then I got blisters or sores. I went to the doctor and they said it could be chemical burn but they did other tests to make sure. The blister however burst the very next day..what could this be? My boyfriend gets regular STD tests and he had one 2 weeks before having intercourse with me and it said negative for herpes, etc. I hope I don't have anything?

It is very likely that you do have irritation going on from using the nair in combination with having intercourse (sex). However, any sort of cuts, burn, blisters or open wounds on your genitals leaves you more susceptible (more likely) to get an STD during sexual intercourse. Our skin is a protective barrier to help us not get infections. In the future, if you have an open wound on your genitals, I would avoid having sexual contact of any kind to the area until it has healed. The only way to rule out STDs is to get tested and be sure for yourself. For herpes specifically, the only way to rule that out is to get the wound cultured at your doctor. We do that testing here, so please feel free to call us to schedule our next available appointment, 734-484-3600.

 

I'm seventeen years old and have currently been on birth control for 3 years now due to spontaneous cramping. I have regular unprotected sex with my partner and I'm due for my period in 4 days. However, the past week I experienced severe cramps which lasted on and off throughout 3 days, I also had a loss of appetite for that time but that could have been due to stress/anxiety. I went to the doctor and he believed it was a bug/virus that moved from my throat to my abdomen and told me to just keep an eye on it as it sounded like it was going away. The past 4 days however, I have had an unusual amount of pure white, non-elastic discharge. I know this isn't ovulation discharge because I'm on the pill and my period is in a few days not 2 weeks. I thought the discharge would go away but it hasn't, it comes and goes but I can feel when I have just had a lot. When I began cramping (I'm not anymore) there was about 2 days where I was stressing a lot and gave myself anxiety as I thought I may have been pregnant, I've taken 2 pregnancy tests and both came up as negative, however I'm aware it may be because it's too early. Just wondering what this discharge is? -could I have given it to myself because of my previous high levels of stress and anxiety, or could I be pregnant?

Vaginal discharge can happen for a wide variety of reasons, ranging from normal vaginal discharge to a possible infection going on. If you feel your vaginal discharge has increased and changed color, it is definitely worth an appointment to have this discharge evaluated by your doctor. Given that you have been on birth control for 3 years, I don’t think you are high risk for being pregnant, unless you had missed taking a pill recently. Stress/anxiety can definitely cause a decrease in your appetite and some cramping, however, given you have concerns about changes to your vaginal discharge, I would recommend STD testing as stomach cramping can also be a sign of that type of infection. I recommend a follow-up appointment with your doctor, or you can call us 734-484-3600 to schedule an appointment with us here at the Corner.

 

Is it possible to get Chlamydia in your stomach or intestines as a result of oral sex?

Chlamydia is a common sexually transmitted infection that both men and women can get. It is a bacteria that is passed from one person to another during unprotected oral, vaginal or anal sex. It can also be passed from a mother to her baby during birth.

A Chlamydia infection can occur in the mouth, reproductive organs, urethra, or rectum. You will not get Chlamydia infection in your stomach or intestines. Even though most people have no symptoms whatsoever when they have Chlamydia, women sometimes do have pain in their lower belly or back due to a Chlamydia infection in their reproductive organs.

The only way to know if you have Chlamydia is to get tested (AKA, go to a doctor and pee in a cup!). The great news is that Chlamydia can be cured with antibiotics! If left untreated, it can cause serious health issues (for example, it can leave women unable to get pregnant later in life).

Using a condom every time you have sex (and by sex, we mean vaginal, anal and oral sex!) will help you prevent getting Chlamydia. Stop by the Corner to pick up condoms for FREE!

 

I had unprotected sex the day before I started my birth control. I have forgotten to take my pill a couple of times since then and have experienced some bleeding. Could I be pregnant?

There is always the chance that you will become pregnant when you have unprotected sex. Missing pills or using birth control differently than prescribed can increase that chance.

If you are concerned that you might be pregnant, we suggest you make an appointment to have a pregnancy test. During that visit, we can talk with you about all the different birth control types.  If you are having trouble remembering to use your specific birth control method, there might be another type that could work better for you! We also have FREE condoms at the center. Remember, condoms help prevent STI transmission but birth control pills do not.

Sometimes, starting birth control for the first time or missing pills can cause your period to start earlier or later. It's still important to schedule an appointment or talk with a health care provider to help figure out why you might be having bleeding that you don't usually have. Feel free to call us or schedule an appointment online for a day and time that works for you!

 

Does birth control prevent you from getting pregnant?

In short, yes. While abstaining from vaginal intercourse is the only way to guarantee you won’t become pregnant, using birth control is the best way to prevent pregnancy if you are sexually active. There are many kinds of birth control methods that that you can choose from. We recommend using both a hormonal birth control method (like the pill, the ring, an IUD, etc.) AND condoms. Condoms are the only birth control method that help to prevent pregnancy and sexually transmitted infectsions (STIs). So it is very important to use a condom every time you have sex. To get prescribed a hormonal birth control method, you need to see a doctor. At the Corner, birth control appointments are confidential. Contact us to schedule an appointment!

 


Phone: 734.484.3600 Fax: 734.484.3100
47 N. Huron Street, Ypsilanti, Michigan 48197 | Map »