May 202003

I’d like to thank you for all the advice that you have been offering people, both amateur and pro, who are anal lovers. Your advice has allowed my girlfriend and I to have a wonderful anal sex life. My girlfriend of two and a half years and I have been tested negative for all STDs and are 100% monogamous. This and her taking birth control pills has allowed us to feel comfortable enough to have vaginal and anal sex without the use of condoms. We have never had any problems until recently when I have experienced swollen and somewhat painful lymph nodes around the genital area after having anal sex. Is there anything, concerning anal sex, that could have caused this other than an STD which I am sure that we both don’t have?

–Swollen Lymph Nodes

Lymph nodes are a part of the immune system and they protect the body from “foreign” invaders like bacteria, viruses, cancer, injury, or other harmful substances. Lymph node swelling may or may not cause pain. Swollen lymph nodes around the genitals can be a symptom of a variety of STDs including early HIV infection, herpes, syphillis, pelvic inflammatory disease (PID) and others; since you’ve been tested and are monogamous, you can probably rule them out. But your swollen lymph nodes can also be indicative of a bunch of other conditions, including a hernia, a viral infection, an allergic reaction, a malignancy, or trauma to the groin area — none of which are related to anal sex. My advice to you is to see a doctor and get checked out.

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