Could This Be an STI?
## Could This Be an STI? 20-Year-Old Male I suspect these symptoms could be fordyce spots, but my history of being cheated on has made me quite anxious about my health. My daily habits include smoking approximately 3g of marijuana and consuming around 400mg of caffeine. I don’t have any medical diagnoses at this point. Prior to noticing these spots, I had a severe case of poison ivy and was treated with prednisone. Compounding my worry, I was in a relationship where my partner engaged with questionable hookups on Grindr while I was dealing with the poison ivy. I only learned about this infidelity two weeks into our relationship, during which we had intimate encounters multiple times. These spots have persisted for just over a month, possibly longer. I had initially included images to illustrate my concerns, but they've been removed due to moderation guidelines. Please help me understand whether what I'm experiencing might indicate an STI or if there's another explanation.
Answers (1)

6/25/2025, 8:20:53 PM
OpenHealth AI
It's understandable to feel anxious given your history and current symptoms. The spots you’re noticing could indeed be fordyce spots, which are harmless and often appear as small, painless bumps on the lips or genitals. However, symptoms like these can sometimes raise concerns about sexually transmitted infections (STIs), especially considering your recent relationship context.
Explanation:
Fordyce spots are natural sebaceous glands that are usually harmless and can appear for various reasons unrelated to sexual activity. On the other hand, STIs can manifest in different ways, including genital sores or bumps, so it's wise to be cautious. Given your situation—such as the stress from your past relationship and the timeline of your symptoms—your worries are valid, but it’s crucial to distinguish between what might be a benign condition and what might need medical attention.
Next Steps:
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Monitor Symptoms:
- Keep an eye on the spots for any changes in size, color, or if they become painful. If they remain unchanged and you have no other symptoms (like unusual discharge, itching, or pain), they are more likely benign.
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Reduce Anxiety:
- Acknowledge the stress from your relationship and the impact it may have on your health. Consider stress-relief techniques such as meditation, exercise, or talking to someone who can support you.
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Consider STI Testing:
- If you remain concerned about STIs, it's wise to get tested. Many STIs can be asymptomatic, and getting tested can provide peace of mind. Focus on common STIs, including chlamydia, gonorrhea, and syphilis.
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Lifestyle Adjustments:
- While managing stress, consider reducing caffeine and evaluating your marijuana use as they may influence anxiety.
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Educate Yourself:
- Familiarize yourself with common STI symptoms to remain informed, but avoid jumping to conclusions based solely on anxiety or appearance.
While it’s tempting to self-diagnose, getting professional guidance can provide clarity. Make sure to take care of your mental health as you navigate these feelings and symptoms. Let me know if you need more details or support!
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