Uterine Inflammation: Should Your Partner Get Tested? - Obstetrics and Gynecology

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Uterine inflammatory sexual activity


During the period when I was unaware of my uterine inflammation, I had sexual intercourse with my boyfriend without using a condom.
I experienced bleeding during the intercourse and sought medical attention.
The doctor informed me that the inflammation of my uterus was quite severe.
I am concerned whether my boyfriend might have been infected and if he needs to get tested.

Miss Lin, 20~29 year old female. Ask Date: 2016/09/25

Dr. Yang Wangjun reply Obstetrics and Gynecology


Hello: (1) Most cases of acute endometritis are caused by sexually transmitted pathogens from the vagina, primarily Chlamydia and Gonorrhea.
Other infections can be caused by Trichomonas, Mycoplasma, and other pathogens.
Non-sexually transmitted pathogens such as Staphylococcus aureus, Escherichia coli, Streptococcus, and Enterococcus are typically secondary infections.
Only a few cases, such as in women with intrauterine devices, may lead to primary infections as these bacteria can ascend directly.
(2) In men, sexually transmitted pathogens can lead to infections such as urethritis and balanitis, with symptoms and signs being quite evident.
If symptoms or signs appear, it is important to seek medical attention promptly.
Thank you for your message!

Reply Date: 2016/09/25

More Info


Uterine inflammation, also known as endometritis, can be a serious condition that may arise from various causes, including infections, retained products of conception, or other underlying health issues. When it comes to sexual partners, the concern about potential transmission of infections is valid, especially if there is a diagnosis of uterine inflammation.

1. Understanding Uterine Inflammation: Uterine inflammation can lead to symptoms such as pelvic pain, abnormal bleeding, and sometimes fever. It is often associated with infections, which can be sexually transmitted or arise from other sources. If you experienced bleeding during intercourse and were subsequently diagnosed with severe uterine inflammation, it is crucial to consider the potential implications for your partner.

2. Should Your Partner Get Tested?: While uterine inflammation itself is not directly contagious, the underlying causes, particularly if they are due to an infection, could potentially affect your partner. If the inflammation is due to a sexually transmitted infection (STI), there is a risk that your partner could be infected as well. Common STIs that can lead to pelvic inflammatory disease (PID) and subsequently uterine inflammation include chlamydia and gonorrhea. Therefore, it is advisable for your partner to get tested, especially if you have had unprotected sex during this period.

3. Testing and Symptoms: If your partner experiences any symptoms such as unusual discharge, pain during urination, or pelvic pain, it is even more critical for them to seek medical attention. Testing typically involves a physical examination, urine tests, and possibly swabs to check for STIs. Early detection and treatment are essential to prevent complications.

4. Impact of Treatment: If your partner tests positive for an infection, they may require treatment, which could include antibiotics. It is important for both partners to be treated simultaneously to prevent reinfection. Additionally, during this time, it is advisable to abstain from sexual activity until both partners have completed their treatment and have been cleared by their healthcare providers.

5. Preventive Measures: Moving forward, consider discussing preventive measures with your partner, such as the use of condoms, to reduce the risk of STIs and other infections. Regular screenings for STIs, especially if you have multiple partners or are in a new relationship, can also help maintain reproductive health.

6. Follow-Up Care: After treatment for uterine inflammation, follow-up appointments with your healthcare provider are essential to ensure that the inflammation has resolved and to monitor for any potential complications. If symptoms persist or worsen, further evaluation may be necessary.

In summary, while uterine inflammation itself is not contagious, the underlying causes may pose a risk to your partner. It is prudent for them to get tested, especially if there has been unprotected sexual contact during your diagnosis. Open communication with your partner about health concerns and preventive measures is key to maintaining both of your reproductive health.

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