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Q: Infection caused by anal sex?
asked by: DoctorQuestion on January 25th, 2007
Doctor Question
I've recently been experimenting with anal sex, and have had no problems until just a few days ago. I found a sore just below my tail bone (i think) that I assume was just from pressure and irritation by him, as I felt it during the intercourse. A few days later, I discovered sores all around my anus that are quite painful, and only mildly soothed by witch hazel. I also discovered that my lymph nodes around my pubic area are swollen.

I first thought it might have been herpies, or some other STD, but I had a pap just a few weeks prior and had been found clean. I realize a pap deals with only vaginal issues, but I have had vaginal intercourse with the same person, and like I said, the test results were clean. I did have a very mild yeast infection at the time of intercourse, so I was wondering if maybe that was the case. If not, can you please shed some light as to what this may be? Thank you!


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DoctorAnswer replied on January 31st, 2007
Doctor Answer
Sexual Health - Women Answer A2232
The main purpose of a Pap-test is to exclude or confirm the existence of neoplastic cells (malignant and premalignant-dysplastic) of a smear sample taken from the cervix. That’s why a Pap-smear is the most important screening method for preventing cervical cancer. Pap-tests can also identify some types of vaginal and cervical infections (categorized as benign cell changes) with more or less certainty... but that is not its main task. It is possible to use a Pap-test, for example, to identify Trichomonas or Candida –infections with a greater certainty than gonorrhea and other bacterial infections. Other types of infections can be identifued only by cells changes caused by viral infections. For precise detection of any vaginal infection, you'll need a vaginal smear for microbiological examination.
Swollen lymph nodes in the inguinal region are usually a sign of genital or anal infection. You should visit your gynecologist immediately. If an infection is present, your partner should also be also examined for diagnosis and treatment.



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