OpenHealth Q&A

Get answered by medical professionals

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.

Related Questions

Feeling Lost and Overwhelmed

I'm at a loss for what to do. As a 21-year-old woman, I’ve been unwell for an extended period. My symptoms include persistent headaches, dizziness, and a constant feeling of nausea. Various parts of my body experience sudden bursts of pain, but these episodes are brief, only lasting a few seconds before they fade away. Despite this, I find myself continuously on edge, anxiously anticipating what discomfort might strike next. My overall condition is dreadful; it feels as though I'm perpetually wound up inside. Even though I'm fatigued, restful sleep eludes me, leaving me in a state of chronic tension. A nagging fear keeps creeping in—what if something catastrophic is happening to my health? The thought of visiting a doctor makes me even more anxious. I feel utterly hopeless, both physically and mentally. The potential diagnoses racing through my mind, like leukemia or a brain tumor, terrify me. I sometimes entertain the notion that I might not be around much longer. In this overwhelming sense of despair, I wonder if I’d rather escape it all than confront the unknown. I just wish someone could provide me with clarity or support.

InsomniaAnxietyDepression
Male25-34
1 hour ago

Navigating Challenges with an Unhelpful Doctor

At 58 years of age, I have been dealing with various physical challenges since childhood. My early years involved treatment for being pigeon-toed, which required me to wear braces. Throughout my life, I have consistently experienced pain in my legs. During my teenage years, I began to notice my hip dislocating frequently but managed to reposition it myself without ever consulting a physician. Additionally, I have been diagnosed with a 24-degree curve of scoliosis, which specialists deemed insufficient for intervention. My foot structure is flat, and I also suffer from hammertoes. Standing at 5’4”, I wear a size 11 shoe — a rather challenging fit. Entering my thirties introduced new complications, including nerve pain within my feet and legs, accompanied by intense muscle spasms. At times, my hip would slip out of joint, requiring my partner's assistance to realign it. Muscle spasms commenced in my calves and feet but extended to my ankles and shins in my fifties. I have been experiencing similar nerve issues in my hands and wrists as well. A decade ago, I underwent nerve conduction studies for both my legs and hands, revealing significant nerve damage. Unfortunately, I lost my health insurance for a substantial period during the past ten years. An MRI I had back then was performed to rule out Multiple Sclerosis. Currently, I am being treated by the same neurologist for Myasthenia Gravis. Recently, I took a direct-to-consumer DNA test that suggested a potential risk for Charcot-Marie-Tooth disease, and I am also identified as a carrier of Retinitis Pigmentosa. When I approached my neurologist regarding the CMT findings and presented my test results, he was dismissive and condescending. He claimed that one must have a distinctly shaped foot to suffer from CMT and said that because I could sense vibrations in my big toe, my nerves must be functioning correctly. His remarks left me speechless and frustrated, especially considering they contradict information from the National Institutes of Health and do not align with current treatment protocols for Myasthenia Gravis. I am contemplating a consultation with a neuromuscular specialist, but I have reservations. I fear that transferring my medical records could include subjective assessments about my character that aren’t entirely accurate. Additionally, I worry that if I encounter difficulties communicating with the new doctor, I may exhaust my options for care. I am seeking guidance on how to navigate this situation effectively. Any suggestions would be immensely appreciated.

PsychiatryAnxietyDepression
Male25-34
1 hour ago

Understanding Post-Sexual Discomfort: A Personal Inquiry

At times, following intimacy, I notice minor pangs or a dull ache originating from within, appearing a day or two post-encounter. While the sensations are not intense and I can bear them, they do capture my attention quite a bit. Have you experienced something similar? What could this signify? Is it generally considered acceptable, or should I be alarmed? I am curious to know if others go through this and whether it’s deemed normal.

PsychologyAnxietyDepression
Male25-34
2 hours ago

Navigating Unease After Disclosing My Sexuality to My Doctor

To provide some context, I’m a 33-year-old woman living with Cystic Fibrosis, which means I have frequent interactions with healthcare providers. I recently started seeing a new primary care physician, whom I’ve known since November. She is relatively young, likely around my age, and I genuinely find her to be quite competent. I do have a CF center and team, but it’s located a couple of hours from my home, which complicates things. I apologize in advance; this may be lengthy. Now to the crux of the matter. A few days ago, I visited my doctor for a follow-up regarding some issues with my blood pressure. During this appointment, I also mentioned that I had been experiencing sharp and increasingly intense pain in my lower left abdomen for over a month. Given my history with Cystic Fibrosis, I expressed my concerns that this could be a case of Distal Intestinal Obstruction Syndrome (DIOS), although the sensation felt somewhat different from past episodes. My doctor suggested we start with an X-ray, and if that didn’t pinpoint the issue, we would then proceed with an ultrasound. This approach seemed reasonable to me. Then, she inquired whether there was any possibility of my being pregnant. I chuckled and replied, “Not a chance.” She pressed, asking, “Are you sure?” To which I jokingly retorted, “Unless it’s the baby Jesus, I’m definitely not pregnant.” She laughed lightly and asked, “So, are you refusing a pregnancy test?” I clarified that I didn’t mind taking the test; it just felt unnecessary given my situation. She nodded, indicating that it was just protocol to ensure we covered all bases. As I attempted to lighten the mood, I said, “I understand, but I’m gay, so pregnancy isn’t a concern for me.” At that moment, the atmosphere shifted. Her expression changed noticeably, and she seemed flustered as she stammered over her words. Her response was awkward, as she clumsily continued to assure me that regardless of my sexual activity, the pregnancy test was still necessary. I attempted to reassure her that I understood. She then quickly wrapped up our conversation, standing up abruptly and giving the impression that she wanted to exit the room as soon as possible. While her actions were not overtly negative, the transformation in her body language and demeanor was striking; it was evident that her comfort level had shifted. I don’t typically disclose my sexual orientation with every healthcare provider I see, but this wasn’t the first time I had shared that I’m gay. However, her reaction was unlike anything I had previously encountered, and it left me feeling somewhat uneasy. Now, I’m uncertain about how to move forward. If she harbors discomfort with the LGBTQ+ community, then I wouldn’t feel safe continuing as her patient. Yet, it’s important to note that she didn’t explicitly say anything prejudicial; her change in demeanor was the primary source of my concern. I’d like to think she was simply preoccupied with her next patient, but I doubt that explanation adequately captures the situation. Should I confront her about my feelings during our next appointment, or might that open a can of worms—especially if her reaction had nothing to do with my orientation? Is it prudent to assume she has an issue with LGBTQ+ individuals and start searching for another doctor? Or, should I try to brush off this discomfort and trust that it won’t affect my medical care? I would really appreciate any insights or advice on this matter. Thank you!

PsychiatryAnxietyDepression
Male25-34
2 hours ago

Struggling with Factitious Disorder

I’m a 25-year-old female facing a troubling dilemma. Lately, I’ve been overwhelmed by an intense desire to harm myself solely for the sake of obtaining attention. In the past, I have acted on these urges. I’ve been both open about my self-harm and sought proper assistance, but I’ve also hidden my actions, pretending to have a legitimate medical condition or claiming accidental injuries to receive treatment. I genuinely try to restrain myself; I know that my actions can divert crucial resources away from individuals who truly require medical assistance. At one point, I was intentionally making myself ill without seeking help, which culminated in a serious incident where I nearly lost my life. Although I am currently undergoing therapeutic sessions, I still find myself yearning for medical intervention, a craving intensified by the care I received during that critical episode. Recently, I’ve refrained from engaging in any significant self-harm and have solely attended therapy sessions, but I feel lost about what steps to take next. I fear that if I confide in a healthcare provider, I might be denied treatment in the future—even if I genuinely fall ill—because they could assume I’m being deceptive. I’m uncertain whether there are any available treatments for my situation. While I don’t pretend to be ill in all cases, only some, I truly doubt I could convince anyone of my honesty. Apologies if my message seems unclear, but I’m apprehensive about sharing this for understandable reasons.

OCDPsychiatryAnxiety
Male25-34
4 hours ago