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There are several questions involved here. 1. I'm not sure what you mean by "if your doctor isn't thorough." Testing for STDs usually involves performing a speculum exam and taking cultures (taking some swabs and having them analyzed in a lab) from the vagina and around the cervix; a pap smear also should be performed as well. If there are "bumps" on the outside of the body, a culture for herpes can be taken. To truly be thorough, a urinalysis to look for certain STDs and blood tests for syphillis and HIV should also be performed. 2. If you have already been treated for an STD and haven't had any contact, it is still possible to have another STD since the treatments for each are different. If all of the above (see #1) were done, then it's unlikely that you still have any STDs. 3. A "small itchy crack in the vaginal lip" does not sound like a normal symptom of the common STDs; several things, including a lack of lubrication, dry skin, trauma to the area, or a skin infection could be causing this. If you have concerns about the care you are receiving, you can certainly seek a second opinion or discuss your concerns with your physician.

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Q: If your doctor isn't thorough could you still have an STD after you've already been treated for one and haven't had sexual contact and would a small itchy crack in the vaginal lip be considered an std?
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