Suggest Treatment For The Non Itchy Anal Bump And Vagina Bump

Posted on Mon, 11 Aug 2014

Question: Hello, three to four months ago I noticed a bump in my anal area. This bump was painless and didn't burn or itch. It eventually disappeared on it's own after a couple of weeks. Now about month I noticed another bump on my vagina. This bump is also painless and does not burn or itch. I have been sexually active for the past couple of years with a few different casual partners. I am convinced I have a std but am not sure of which one. I think either hpv or herpes based on what I've read online. I have included pictures of the anal bump from a few months ago me a current bump on my vagina (you may need to scroll down on the pictures to see the vagina bump). Can you inform which std I have likely contracted? That you so much for the help.

Answered by Dr. Hardik Pitroda (23 minutes later)

Brief Answer:
Pictures and investigations required

Detailed Answer:
Hello,
Thank you for posting on HCM.
I am sorry to say the photographs you have attached is too hazy to make a specific diagnosis and moreover definitive diagnosis is difficult without actual examination.
Anyways after keen review of your history and pictures, I would like to rule out syphilis on primary basis. For which I will order investigations like VDRL and TPHA. Secondly (though less
likely) mycobacterium infection is a possibilty can be ruled out by Mantoux test and if possible a skin biopsy.
But I dont think it is Herpes or warts or even any sebaceous cyst.
I would insist you to post some clear pictures if possible with the results of following investigations:
1. Serum VDRL in Serial dilution
2. TPHA
3. Serum HIV Antibody test
4. Mantoux test

Hope you will revert back soon with the details asked for.
Thank you
Dr Hardik Pitroda

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj