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Question:
The day before Halloween I had sex for the first time unprotected. Right before Thanksgiving I developed what I thought was a yeast infection. There was internal and external itching and a white discharge. I treated it with OTC and I'm pretty sure it went away. Afterwards I used something on my vagina that I had used before I knew I had the infection in the first place without realizing it. The infection, or atleast the external itching returned. I tried to treat it with OTC again, but it wouldn't go away. My partner was tested for HIV, syphillis, chlamydia, and gonnheria and came up negative for all. I went to the gyno Jan 12 and had a pap smear and my doctor said it looked like a heat rash or could have to do with my excima and prescribed a pill for yeast infection and clobetasol propionate and recommended that I stop wearing jeans. I treated it with the propionate for almost two months. As far as I know the pap smear didn't turn up anything. I went back and he did a wet prep and said that it could be chronic vulvitis and represcribed the clobetasol propionate and a different yeast infection pill. I told him that I had never had this problem until I had sex for the first time and he said that he didn't see anything to lead him to believe that my problem is STD related. He told me to stop wearing jeans and that losing weight would help so that my thighs won't rub together. The itching occurs on and inside my labia, especially at the top above the clitoris and at the bottom. I'm worried that it might be some kind of herpes outbreak, but I've never had blisters or sores of anykind, just the itching. When I asked my gyno about it he said that he highly doubts it since I haven't had sores period. It's been five months and it hasn't gone away at all. It seems to get better, but there's always a spot at the top and bottom that never goes away and then I go one day without treating and it returns. My gyno also said that if it still doesn't go away that he would do a biopsy, but he really didn't want to do that to me if he didn't need to. I am at the end of my rope. Am I worrying needlessly or could something really be wrong?

Answer:
by Megan Andelloux:
(06/11/2006)
Hmmmm, this is a tough one, but I'm going to take a stab. You should throw that toy out and not use it again. It could be the source of your infection as it could be harboring bacteria from the first infection. You could get another toy, just make sure to always use a condom on it before it enters your body. Toys are not bad, but some toys could collect bacteria and since I don't know exactly WHAT type of material your toy is, err on the side of caution. I agree with the doctor about it being Herpes. You have not had any sores, therefore,likely no herpes. This statement though, "always a spot at the top and bottom that never goes away and then I go one day without treating and it returns" concerns me that you may have contracted HPV which is also known as genital warts. Many doctor's miss this disease, and it creates bumps, just like a wart on your finger would look like and can create itchness. Let me restate that MANY doctor's miss this type of disease even during a visual inspection of the vulva. I suggest going to another doctor, a gynecologist (a gyno specializes in women's anatomy), and telling them your story. I would also suggest that you believe you MIGHT have genital warts and POINT to where you see the bumps, otherwise the doctor might miss them. If they are not having any symptoms,males cannot be tested for genital warts, meaning he could have passed it onto you without him knowing it even though he was "tested". This needs to be addressed. It is unacceptable to have to walk around like this every day. You should not have to deal with that and due to the fact that your doctor doesn't know what it is, go and get a second opinion. Your doctor doesn't have to know about it and it could prevent you from having an unneccesary biopsy. Good Luck and thanks for writing in! Megan Andelloux

Reviewed by: Kathleen VanKirk DHS

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