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Question:
My boyfriend and I started having sex about 5 months ago. He had a few partners from his past, and said he has been tested every 6 months, and he said that nothing has ever come up. Recently I have noticed like rough skin or bumps on my vaginal opening, but just on a small part. I have no idea what it is, I've looked at pictures and it doesnt look like any of the STD's...could it be because of my birth control?

Answer:
by Patricia Fawver:
(02/26/2005)
You need to visit your doctor or local clinic to find out what this is. A person cannot diagnose themselves by looking at pictures in a book. Sometimes this might work, if your condition happens to look just like the one pictured in the book. But, often times, the way it looks on you is different than how it looks in a book. Variations in skin color, texture, genital shape, and differences in the appearance of sexually transmitted infections make it very difficult to diagnose yourself. Plus, even if you could diagnose it correctly, you would still need to go to the doctor to confirm the diagnosis and then to get the prescribed treatment. So, make an appointment soon and get in and get it checked out. You mention a number of possible causes. One of them you asked about was birth control. You did not say what type of birth control you are using, but I assume you meant birth control pills. The pill will not cause the kind of skin changes that you describe. You also mentioned the possibility of scar tissue and the fact that your boyfriend said 'you ripped one time'. It is possible for the skin around the vaginal opening to look different due to tearing or stretching of the hymenal tissue after first vaginal penetration or vigorous intercourse. You also mentioned previous bacterial and yeast infections. These are unlikely to cause the type of condition you describe. Most likely if you had one of these infections, you would have additonal bumps inside the labia and they would probably be reddish or inflammed. There would probably be more of an overall irritation in the vulva and probably itching or burning as well. So, as you can see, there are several possibilities here. The only way to know for sure is to get in to the doctor or clinic and get it checked out. Do that soon, and then you will be able to get it taken care of and put your mind at ease. Good luck to you, Patty Fawver

Reviewed by: Patricia Fawver Ph.D. in Sexology

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