Category Archives: STD

Do you have Fordyce Spots?

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There are spots that occur on different places of the body, and cause a lot of stress when they are found under your belt.  I get a LOT of questions and pics sent to me with people very concerned that they have various Sexually Transmitted Infections (STIs), depending on what they have recently performed an internet search on. Some should cause some serious concern and some are benign.  Fordyce spots can occur inside your lips on your oral mucosa, or on the shaft of your penis, or on your labia.  I totally understand the freak out that it might be genital warts, or something else, so you should go get tested and assessed, but this is a little information to ease your worry before you get your results!

What are Fordyce Spots?

They are small, painless bumps that are 1cm to 3 cm in size and they can either be skin toned, white, or a little pink/red in color.  As I stated before, they are commonly found in on the inside of the lips, on the shaft of the penis or scrotum, and on the labia, and they are really a common occurrence, but occur more with age. Usually you only notice them when you see or feel them, but at times they can be a little itchy. They occur because the sebaceous glands, the oil glands associated with hair follicles normally that secrete sweat and oils, instead of being inside of the epidermal layer (deeper in the skin) are more superficial, and close to the outer layer of skin, making them very visible. These glands fill with oil, and there is no hair shaft for them to leave the skin, so they are basically little oil filled cysts. That’s it. They are not known to lead to a disease or are not a sign of cancer or any other virus/disease, but they just tend to be a visual disturbance for some people…and their partners.

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What can I do if I have them?

If you go to your Healthcare Provider (HCP), and get diagnosed with Fordyce Spots, they will give you some options for treatment, if it really is bugging you from a cosmetic standpoint, because they are not detrimental to your health in any way. And, they usually go away without treatment on their own. But healthy diets including Vitamin A, B, D, E, and K can usually help them from forming, and go away faster when you have them, so basically, if you get Fordyce spots, take a multivitamin daily and it can help to prevent them.  Good hygiene including exfoliation and moisturizer can help to decrease them from forming (so that your body doesn’t produce excess oil; this works on both the lips and the genitals), and there are some reports that people with either eat more garlic or take garlic supplements have a lower rate of the spots.  Your HCP may prescribe Trentinoin cream, which is a cream that can basically makes the cells replenish faster, so you ave never skin cells forming, which can prevent the skin from getting clogged up with oils. But, again, the only treatment you may need is time.

All of this being said, you do need to get checked out by your HCP if you do have any new skin issues, especially in your genitals, and you are sexually active, you really need to make sure that it is something benign and not Human Papilloma Virus (HPV) in the form of genital warts, herpes, or any other Sexually Transmitted Infection (STI). Get yourself checked out to be on the safe side, but also realize that every bump isn’t contagious or infectious!

Yours in Good Health

B

An at home HIV test?

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The reason why many people don’t go get regular HIV and Sexually Transmitted Infection (STI) testing is because they are embarrassed to talk to their healthcare practitioner (HCP) that they have a relationship with, and get nervous to go to STD clinics because they are worried about stigma if they see anyone they know. One way to break that stigma? the new OraQuick at home HIV testing kit. It only takes about 20 minutes to get results, and has everything that you need to test yourself for HIV-1 and HIV-2 (the two main strains of HIV).  Of course, if you are at high risk for STI’s and have symptoms, you should still go and get a full HIV and STI panel of testing with physical assessment by your HCP. But it is fast, efficient HIV testing in the comfort of your own home; but how it works might be confusing.

 How does the at-home test work?

This OraQuick HIV test is the only FDA approved at home HIV testing kit currently on the market.  The kit comes with very easy to read and specific directions, but the test itself does not require any blood, so you do not need to poke or prick yourself to draw blood.  It uses the fluid and cells from your gums to test for the HIV antibodies; you just need to use the swab that is included in the kit, rub it over your upper and lower gums, then put it in a little test tube of fluid (provided).  That will test the cells and fluid of your gums for the HIV antibody and you will have your results in 20 minutes. The results read in a similar fashion to a pregnancy test, there is always one line that should show, once you start the test, which is the control line, to let you know that the test is working properly.  If both lines illuminate, then you are positive.  Of course positive results do need to be sent to a lab for a further test and you need to have them confirmed by an HCP, just to ensure that the test is correct. They offer 24/7 support online, along with videos on how to perform the test and interpret the results directly on their website.

Where can I get the test?

You can buy the OraQuick at any local pharmacy here in the US (CVS, Walgreens, Wal-Mart, Kroger, Rite Aid, and Navarro.)  And you can also check out the OraQuick website to purchase the test directly from them.  The tests cost $39.99 USD per test and are good for one sample.

The bottom line?

If you are specifically in need of HIV screening/testing, this is a great option for those without an HCP or if you cannot get into a clinic for testing. That being said, if you are at risk for HIV, you are most likely at risk for other STI’s and I do suggest getting checked out by an HCP so they can physically assess you and test for a whole array of STI’s that you may or may not be aware that you are at risk for.  HIV is just one of many Sexually Transmitted Infections, so please know your risks, cut those risks by using condoms, or other barrier methods, to prevent the spread of infection. So be safe, choose your partners wisely, and get tested frequently.

Yours in Good Health

B

 

What is the most contagious STD?

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I was quite shocked that crabs (AKA pubic lice) is as prevalent as it is. But in the past week I have been asked about it three different times from people all over the US, which made me think that this topic needed a little discussion related to what crabs are, how you get them, and how to treat them.  I wasn’t sure how prevalent they are, but they are clearly around, and infections are on the rise.

What are crabs?

Crabs are also known as pubic lice (Pthrius pubis) and they are parasitic insects that feast off the blood of humans and live in coarse hair (i.e. pubic hair, eyebrows, eyelashes, chest hair, armpits, mustaches, & beards) causing itching, discomfort, and rashes. So you can understand how they can not only be really irritating, awkward, and kind of gross to think about, right?  They pass from person to person usually through sexual intercourse (or sexual acts) but they can also jump from person to person through hugging or other close contact (sharing towels, clothes, bedding, etc.) Despite the fact that crabs can’t live very long away from the warmth of a human body, they are still the most contagious STD, and if an infected person has sex with a non-infected person, the risk of getting crabs is about 90% for that previously non-infected person.  That is pretty shocking, and horrifying…a 90% chance?!?  Plus the lice live from about 1 to 3 months, and in that “lifetime” the average female lice has about 300 eggs, which means they breed quickly and frequently! These parasites spread quickly.

What are the signs and symptoms of infection?

Usually the only symptom is itching….extreme itching.  Sometimes you can visualize the bite marks on your skin, they are bluish in color, due to the bruising from them sucking your blood to the surface, but it is very hard to see. Sometimes there are little red bumps from the bites, and then scratching them. Most often the itching and discomfort brings people in to their HCP.

How do I treat it?

First, when you find out that you are infected, let the people you live with and sexual partners know about the crabs, and clean all sheets, clothing, towels, etc in water that is at least 130F and dry it thoroughly in a dryer to kill off the lice living in the sheets.  If some of these items cannot be washed, then have them dry cleaned.  You can also buy an over the counter (OTC) treatment from your local pharmacy, like Permethrin 1% creme, that you apply to the affected areas (not near eyes), leave on for 10 minutes, then wash out and with a fine toothed comb, comb through the hair to remove all eggs and dead lice.  Usually this one time treatment works, but you MUST see an HCP to get treatment if the OTC doesn’t work, if you are pregnant, children under 2 years old, or teens under 18.  There are some treatments that are prescription only, so you need to see your HCP and get diagnosed. One other option, after you treat the area, is to shave off all affected areas (this is a little radical and not usually suggested by most HCPs) but if there is no hair to cling onto, there will be no pubic lice….just make sure to kill off the current infestation you have. Makes sense right?

Can I prevent it?

Well, you can ask partners if they have crabs, which I would hope they would abstain from sexual contact if they knew they had crabs, but its worth an ask.  Unfortunately, condoms do not prevent the spread of crabs, which is a total bummer.  If you have previously been infected (or are infected currently), make sure to wash or dry clean everything (as stated above, use the OTC treatment, and if symptoms are not cleared up, go see your HCP for further treatment, and bleach your bathroom/anything you use on your hair/body hair for grooming.

So unfortunately, it is highly contagious and can be an awkward treatment, but limiting your sexual partners, and asking about STD’s is a start at prevention.  Also, use your intuition: if you see someone scratching their crotch or just all over when you’re out with them, ask them if they have some sort of skin issue or lice.  If they say they are just super itchy and they don’t know why?  Steer clear!!

Yours in Good Health

B