[Question #4167] Small white spots on lips

31 months ago
Dear doctors, I wonder if you can help me.

2 months ago i received unprotected oral sex from a new partner. She has not shown any symptoms of any STI before or after.

Approximately 4 days afterwards, i began to feel the need to urinate much more frequently. I didnt have any other common symptoms of an STI but i went to my physician.

I have had no further sexual contact since and undertook sexual health screening 8 days and 31 days after the event for STIs and everything came back clear. However i did have a heavy growth of Candida for which i have been undergoing treatment. My physician said there could be a number of reasons for this, including use of soap. I have been on antibiotics for another condition in the intervening period which may also have impacted.

My concern now  is that 2.5 weeks ago i noticed a number of tiny (pinprick size) white spots on the inside of my upper lip and at the corners of my mouth. They have not changed shape at all or become pustules or lesions in this period. There has been no discharge or pain from them. Are these likely to be STI related and am i at risk of passing these on to a future partner?

Thanks
Edward W. Hook M.D.
Edward W. Hook M.D.
31 months ago
Welcome to our Forum.  I'll be glad to comment.  The urinary frequency you experienced following receipt of oral sex about two months ago would be a most unusual sign of an STI.  We have just have submitted a paper in which we studied nearly 400 men evaluated for STIs and urinary frequency was rarely seen and almost never the only manifestation of an STI- I am not surprised that your tests were negative.

As for your recent Candida infection, such infections do occur from time to time and are not STIs.  Candida is normally found on the body and from time to time the yeast overgrows to cause symptoms of the sort you describe.  Antibiotics taken for something else are one thing that seem associated with the problem.  Candida is not an STI.

The spots you describe on the inside of your lip and at the corners of your mouth are likely normal glands which may have not been noticed in the past.  These can fluctuate in size with time and often go unnoticed unless we are looking for them. What you describe certainly does not sound like an STI of any sort.  My suggestion would be to point them out to your dentist the next time you go for a check up but I would not worry about them as manifestations of an STI.

I hope these comments are helpful. If any of this is unclear, we permit up to 2 additional follow-up questions per thread for purposes of follow-up and clarification.  EWH
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31 months ago
Thanks for the prompt and helpful reply Doctor. It is very much appreciated. 

So, just to clarify once and for all for my peace of mind, you are content that the symptoms (the white lip spots in particular) and the timescales i previously described, do not in your experience point towards any STI being present?

Thanks
Edward W. Hook M.D.
Edward W. Hook M.D.
31 months ago
Absolutely.  I see no reason for concern that the symptoms you mention, including the white spots on your lips represent any STI.  EWH
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