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STDs (Expert Forum)
STD or Hemorroids?
Answered by
University of Washington
Seattle - WA
This forum does not cover AIDS/HIV issues. This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomonas, Warts, Yeast Infection.
IMPORTANT
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
STD or Hemorroids?
by ricky114, Oct 31, 2007 09:39AM
I am a 20 y/o male. I've had anal sex a few times with my recent partner of 3 months.It's been unprotected and everything has been fine until this recent intercourse.We had sex and he ejaculated inside for the first time. It has been about a week since now intercourse and ive had constant itching when i wake up in the morning in my rectum and a little bit of blood when i wipe. I do not have any forms of ulcers or worts outside just itching on the inside of the anus and im just freaking out because its been a week already and its never happened to me. Sometimes ill be sore for a few days but I dont know if this is normal, what should I do? I spoke with my partner and he has'nt had any unprotected sex with anyone in the last 6 months. He got tested with his ex-partner at the time they were going out around early 2007 and both were clean...he said it could be a possibility that it is hemorrhoids because all I feel is itching and a little blood inside my anus but no discharge or puss or bumps. Could this be true? If so what do I do to cure it?
Doctor's Answer
by H. Hunter Handsfield, M.D., Oct 31, 2007 03:47PM
, Oct 31, 2007 03:47PM
There are many causes of anal bleedinng and itching. Anal sex is inherently traumatic, probably especially the first few times--so just minor injury might be the cause, especially given the apparent vigor of the last event, as you describe below. You might have an anal fissure, a common problem in everyone, but more frequent in people who participate in receptive anal sex. However, you are right to be concerned about STD and you must immediately go get examined and tested: gonorrhea, chlamydia, syphilis and herpes all are possibilities. You need to be tested for HIV as well. (That doesn't mean I think you have it; I do not.) Your partner also should be checked, despite his previous negative test results. For example, 70% of gay men have genital or anal herpes and most have no symptoms; and other STDs often are asymptomatic as well and can be missed in routine tests. It would be best if you and he go together to the same provider.
And some general advice for you. First, establish health care with a clinic or doctor who has experience providing health care to gay men. You probably can find someone reliable by word of mouth among other gay men, especially if you live in a good sized town or city.
Second, I am nervous about your lack of condom use. If you are absolutely certain your partner and you will be permanently monogamous with one another, and if indeed both of you have been tested and negative for HIV and common STDs, in theory there is no risk. But at your age, most male-male partnerships are at high risk for other partnerships. At a minimum, you should speak openly and sensitively with your partner, and consider whether you should be using condoms for anal sex. Absolutely you must do that if either of you has other partners or admits to the potential for temptation in that regard.
Good luck-- HHH, MD
And some general advice for you. First, establish health care with a clinic or doctor who has experience providing health care to gay men. You probably can find someone reliable by word of mouth among other gay men, especially if you live in a good sized town or city.
Second, I am nervous about your lack of condom use. If you are absolutely certain your partner and you will be permanently monogamous with one another, and if indeed both of you have been tested and negative for HIV and common STDs, in theory there is no risk. But at your age, most male-male partnerships are at high risk for other partnerships. At a minimum, you should speak openly and sensitively with your partner, and consider whether you should be using condoms for anal sex. Absolutely you must do that if either of you has other partners or admits to the potential for temptation in that regard.
Good luck-- HHH, MD
Member Comments (2)
by ricky114, Oct 31, 2007 10:46AM
..just to add to my question.The intercourse was pretty aggressive.If it is a possible STD which one does it mostly sound like with these symptoms?
