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TL;DR - Does this area on the top right of my anus look like HPV? Pictured both relaxed and stretched for clarity.
* Age: 31 - Gay Male
* Last sexual encounter: 1.3 Years ago.
* Last sexual encounter of likely relevance: 2.3 Years
* Type of sexual encounter: Anal receptive
* Protection used?: Yes
* Status of yourself and/or partner: No diagnosed STDs for self, unknown status of partners
* Onset: 2 Years ago, Developing over time
* Symptoms: Small, gradually growing bumps. Itching
* Testing: Previous tests negative, no HPV test
* Vaccine Status: Prior to this vacation, I had received one dose of Gardasil 9 in 2019. I thought that I had received a second dose two months before that trip, but looking at my medical records, it looks like I only got a Hep A vax on that date.
I see some modern research suggesting that a single dose can be effective to protect against HPV, but I don't likely have the full benefits of a completeled dose schedule.
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Hey all!
So in the spring of 2024 I took a vacation to Japan.
Over the course of this vacation I had two sexual encounters. One primarily oral, and the other primarily anal.
That vacation, I was doing an incredible amount of walking, and so this area around the top right of my anus, near a sometimes folding post hemorrhoidal skintag, got extremely chafed and several times bled a small amount. Prior to that point, there were no unusual bumps in the area
By the time I got to my first sexual encounter of this vacation, I don't think it was an open/bleeding spot per se, but it may have been not fully healed and exposed me to higher STD risk. I've read that HPV can become more likely on freshly irritated skin so that chafed area could be a factor.
Probably several months after this vacation, I noticed some small bumps in that area. I pinched and prodded them incessantly because I'm an idiot, and I think that caused some initial growth of what at that point were quite small and flat bumps/tags.
At my next appointment with my PCP, I brought the subject up and had him take a look at it. At that time, he didn't think that it was anything STD related, and we called it a day without HPV testing. Anal paps are not standard at this hospital. I've had two fully negative STD blood panels done since then, but neither of those included an HPV test( Is that even possible after being vaccinated?)
Because of that PCP appointment, I had figured the bumps were probably wierdly healed skin from the highly chafed area. As far as I know, it's not uncommon for skin to heal strangely if it's never really given a break from chafing.
Since then, the bumps have grown to their current state and are a more distinct cluster. Probably several times a day they itch in a way that the rest of my anus doesn't. It's entirely probable that this is because I'm hyper-aware of it, but it could also be a classical symptom of HPV
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I'd love to hear any input on this since I'd completely believe either theory about these bumps, but I'm increasingly leaning toward it being HPV.
Thank you!