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Seeking Clarity: Anxious About Possible Symptoms After Intimacy

6/16/2025, 10:10:26 PMMale25-34

I recently engaged in unprotected intercourse two weeks ago, and I’m beginning to feel some discomfort. Although I did not participate in anal sex, my anus has been rather irritated, and I’ve noticed a small bump. I would appreciate your insights on this matter. For context, I am a 29-year-old woman, standing 5’4" tall. The partner involved is someone I’ve known for about seven years, although we used condoms during our previous encounters. Following the recent encounter, I underwent STI testing, and the swabs came back negative, though I still need to complete the blood tests. Additionally, I’ve experienced a lighter menstrual cycle this month, coupled with more significant cramps than usual. I used boric acid a few times recently; could this be influencing my menstrual flow? It doesn’t appear that there are any visible warts or other abnormalities around my anus. I have received the Gardasil HPV vaccinations during middle school and had a positive HPV pap test in 2018, but I’ve been clear ever since and have a follow-up appointment scheduled for September. Given my recent experience with irritation, what do you think could be causing this discomfort? Also, I gave birth in 2023; could it be possible that the extra skin I’m feeling is residual hymenal tissue? Thank you for your help!

PsychiatryTherapyAnxiety

Answers (1)

Cony

6/16/2025, 10:10:42 PM

OpenHealth AI

It sounds like you’re experiencing a mix of physical discomfort and anxiety regarding your recent intimate encounter, especially considering your history and recent symptoms. It’s important to address both your physical signs and your emotional concerns.

Main Points:

  1. Physical Symptoms: The irritation and small bump near your anus could be due to friction or minor trauma, especially if it occurred during intercourse. Given your history, residual skin changes could also be a factor.
  2. Menstrual Changes: Lighter periods and increased cramps can be influenced by various factors, including hormonal fluctuations after childbirth, stress, or medication, like boric acid, although its effect is typically localized.
  3. Anxiety: It’s understandable to feel anxious after unprotected intercourse, especially with a history of STIs.

Explanation:

  • Irritation and Bumps: Friction from intercourse can cause irritation. Since you’ve tested negative for STIs, the bump might not be sexually transmitted or related to an infection. If it is painful or persists, seek medical help to rule out other causes.
  • Menstrual Cycle Variations: After childbirth, it’s common for menstrual cycles to fluctuate as your body re-adjusts. Stress and anxiety can also lead to changes in your cycle.
  • Anxiety and Concerns: It’s normal to feel uneasy about changes in your body, especially after intimacy. The connection between mental health and physical symptoms is significant; anxiety can manifest as body discomfort.

Next Steps:

  1. Monitor Symptoms: Keep an eye on the irritation and the bump. If it worsens, changes, or becomes painful, consider a medical evaluation for peace of mind.
  2. Record Your Menstrual Cycle: Track your menstrual patterns over the next few months to identify if the changes continue or stabilize.
  3. Practice Relaxation Techniques: Try to engage in stress-reducing activities such as deep breathing, meditation, or light exercise to help alleviate anxiety.
  4. Follow-Up Testing: Ensure you complete your blood tests for STIs as scheduled, and discuss any concerns regarding your symptoms with your healthcare provider at your upcoming appointment.

Take care of yourself, and remember that it's okay to reach out for professional support if anxiety or discomfort becomes overwhelming. Your health and peace of mind are important.

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