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What causes lesion on labia minora with negative STD panel test?

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Posted on Sat, 30 May 2015
Question: I recently had a STD panel done and everything was negative. I'm currently dealing with a pimple like symptom on my labia minora. I can see the pores are blocked with a white substance. I'm afraid this could be HPV 6 or 11. Can genital warts have a white substance inside??
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Answered by Dr. Soumya (31 minutes later)
Brief Answer:
Likely to be fungal infection

Detailed Answer:
Hello,

Thanks for your query.

I have read you query and I understand your concerns about wart possibility.

Following is my reply:

1) In my opinion, this is unlikely to be wart or HPV as it does not present like this with blocked pores and white substance. It sounds more like fungal ( yeast) infection which is spreading out.

2) I feel you need to get prescription for antifungal vaginal pessaries for 7 days and also apply antifungal cream locally. Please get examined by a doctor if possible.

3) I will not relate this to HPV, atleast not by the way you described. Visit your doctor and let me know if he/she concurs.

I hope I answered you query and addressed your concerns.

Let me know if you wish to ask any further questions. I will be glad to help you.

Regards,
Dr. Soumya

Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Soumya (19 hours later)
Sorry about the graphic nature of these photos......i started my period today also. I'm extremely prone to cystic/hormonal acne as i experience it pretty severly ln my face. My hormones are imbalanced and I'm slightly overweight (5'7", 180lbs). Does this look like a yeast infection that brought forth this bump/rash? I also wear tight bottoms often and bottoms that like to "ride" up between my vaginal lips. Does this still look like a fungal infection or am I possibly experiencing genital warts? The only possibility would be genital warts, if it is in fact STD related. I have an appointment with my gyn Monday. Can genital warts look like this, can they seemingly contain a fluid? I've been using apple cider vinegar and oganic aloe vera as a topical.
doctor
Answered by Dr. Soumya (1 hour later)
Brief Answer:
Appears like fungal infection.

Detailed Answer:
Hi,

Thanks for uploading pictures.

They dont appear like warts. They are more like fungal infection. This is also a possibility as you wear tight bottoms which causes increased sweating and increased chances of fungal infection.

Hormonal imbalance is in no way associated with this.

You need to take anti fungal medicines as I described previously after seeing your doctor on Monday.

Let me know if you need anymore help.

Regards,
Dr. Soumya


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Soumya (18 hours later)
After reading up on thrush, this appears to be what I'm experiencing. The opening to my vagina has a white substance, that I'm not sure is discharge or spread of the infection. I uploaded a new picture I took today of the area....and a prescription for an antifungal cream that i never used when i was diagnosed with a yeast infection last year during my annual pap. Should i start treatment with this antifungal cream or should i wait until monday, once i talk to my doctor and he examines me? Also if you could inform me how serious my infection looks. Thank you very much, look forward to hearing back from you.
doctor
Answered by Dr. Soumya (5 hours later)
Brief Answer:
Start treatment after examination by doctor

Detailed Answer:
Hi,


Thanks for additional information.

I saw the new pic.

This looks like fungal infection as we discussed earlier.

The white discharge seems to be coming from inside vagina. Hence I suggest you also get prescription for antifungal vaginal pessaries along with antifungal cream.

It is better to start after consulting doctor on Monday. This is not serious infection. Don't worry about it.

You can directly contact me next time by pasting following link in your browser:

http://bit.ly/askdrsoumya
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dr. Soumya

OBGYN

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What causes lesion on labia minora with negative STD panel test?

Brief Answer: Likely to be fungal infection Detailed Answer: Hello, Thanks for your query. I have read you query and I understand your concerns about wart possibility. Following is my reply: 1) In my opinion, this is unlikely to be wart or HPV as it does not present like this with blocked pores and white substance. It sounds more like fungal ( yeast) infection which is spreading out. 2) I feel you need to get prescription for antifungal vaginal pessaries for 7 days and also apply antifungal cream locally. Please get examined by a doctor if possible. 3) I will not relate this to HPV, atleast not by the way you described. Visit your doctor and let me know if he/she concurs. I hope I answered you query and addressed your concerns. Let me know if you wish to ask any further questions. I will be glad to help you. Regards, Dr. Soumya