[Question #5071] hiv and std

25 months ago
hello dr hook.
i have been on this site before, i have asked about hiv. i am still very concerned. i was tested only for chlam/gonorrhea but both times i was tested were urine tests. the first test i urinated within an hour, and it says not to urinate for an hour before taking the test, but i did. the test came back negative. second time (stupid me) i urinated within an hour but i think around 45-50 min passed before i took the test (the second test was also negative). how accurate are these tests? i am so very concerned as i just noticed near the opening of the vagina (on the right side) i had something that looks white with black. i scratched it, it came off and as i was rolling it on a tissue paper blood came of off it (i feel like it was part of the vagina). i really dont know how else to describe this :(((((( i am so terrified ive never had this thing before :(((( now theres  a small black piece left still embedded on the wall of the vagina(or vulva I should say) :((((((((((((( what is this? can this be hiv???  thank you. i have scheduled a pap smear on monday so ill let the nurse know but im so worried as to what this may be :((((( also i have white discharge now (im pretty sure i have some sort of infection, i just dont know what it is) :((((( thank you very much for your time. 
25 months ago
i should add as i was rolling the thing on the tissue it definitely looked like it was some sort of tissue/skin that i have ripped off :(((((( is this hiv? its def not dirt or anything like that as i still have something black embedded within the wall :(((((( and its not coming off. its near the opening of the vagina:((( thank you again.
25 months ago
hi dr hook, it seems like you posted an answer but there is nothing on my end, i cant see the answer 
Edward W. Hook M.D.
Edward W. Hook M.D.
25 months ago
These answers will be brief.
1.  Believe your urine tests.  Even when less than an hour has passed since last urination, they provide accurate results.
2.  A white vaginal discharge may be normal.  Mention it to your GYN when you are tested on Monday
3.  There are no STIs that fit the description of the back particle that you describe.  You may want to mention it to your GYN but there is no reason to be concerned.  EWH
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25 months ago
It kind of looks like a genital wart to me:/ it had that cauliflower look to it 
Edward W. Hook M.D.
Edward W. Hook M.D.
25 months ago
A genital wart could not be scraped off or become dis-attached in the way you describe.  In addition, a genital wart would not be white or black.  As I said above, I would discuss it with your GYN and the time of your examination on Monday.  In the meantime, I urge you not to spend time worrying about it- my past experiences with your posts is that you do tend to worry yourself a lot about things that are difficult to change.  EWH---
25 months ago
hi dr hook
the white discharge is accompanied with itching as well. is it possible that the urine test might have missed the infection ? thank you.
25 months ago
and its painful too ( im not sexually active or anything, not after the incident) . it just hurts in the area :( thank you.  i wonder if the test missed the urine, since i was drinking chamomile tea at the time. thank you
25 months ago
miss the infection, sorry not the urine
Edward W. Hook M.D.
Edward W. Hook M.D.
25 months ago
You are clearly concerned with the discharge.  A white discharge, particularly if it is itchy could be a yeast infection or bacterial vaginosis, neither of which is an STI.  

As far as your repeated questions about the accuracy of your tests, the answer is not going to change, particularly after two tests.  Drinking chamomile tea is not going to change this either.  Believe your test results.  

This is my 3rd response to your questions, thus this thread will be closed after this response.  Please do not post further until, at least after you have spoken with a doctor on Monday.  Hopefully, at that time, all of your questions will be answered.  EWH
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