Soft Chancre: Transmission, Healing, and Menstrual Care

I have a question regarding chancroid?

1.
I have never had a sexually transmitted infection (STI) with my girlfriend, but she developed chancroid last weekend.
I would like to know if this disease can be transmitted indirectly.
I asked her if she uses a sit-down toilet in her company's public restroom, and I wonder if splashes could be a possibility.
2.
How long does it typically take for this disease to heal, and is there a chance of recurrence or transmission to others after recovery?
3.
How should she manage her menstrual period? Should she use tampons? Thank you for answering my questions.

Qǐngwèn, 20~29 year old female. Ask Date: 2019/03/09

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
My girlfriend and I have never had a sexually transmitted infection, but she developed chancroid last weekend.
I would like to know if this disease can be transmitted indirectly.
I asked her if she used a sit-down toilet in her company's public restroom, and I wonder if splashes could be a possibility.
2.
How long does it typically take for this disease to heal, and after recovery, is there a chance of recurrence or transmission to others?
3.
How should she manage her menstrual period? Does she need to use tampons?
Answer: The diagnosis of chancroid should be made at a medical center's infectious disease department.

Reply Date: 2019/03/09

More Info

Soft chancre, also known as chancroid, is a sexually transmitted infection caused by the bacterium Haemophilus ducreyi. It is characterized by painful ulcers on the genitalia and can lead to complications if left untreated. Understanding its transmission, healing process, and menstrual care is crucial for both the affected individual and their partner.

1. Transmission of Soft Chancre:
Soft chancre is primarily transmitted through direct sexual contact with an infected person. The bacterium is not known to survive long outside the human body, which makes indirect transmission through surfaces, such as toilet seats, highly unlikely. While it is theoretically possible for splashes of infected bodily fluids to contaminate surfaces, the risk of contracting soft chancre from a public restroom is extremely low. The bacteria require a warm, moist environment to thrive, which is not typically found on surfaces like toilet seats. Therefore, unless there was direct contact with an infected sore, the chances of indirect transmission are minimal.

2. Healing and Recurrence:
The healing time for soft chancre can vary depending on the individual and the treatment received. With appropriate antibiotic treatment, which is typically effective, the ulcers usually begin to heal within a week. However, it is essential for your girlfriend to complete the full course of antibiotics as prescribed by her healthcare provider to ensure complete eradication of the infection. After treatment, the risk of recurrence exists, particularly if she is re-exposed to the bacteria through sexual contact with an infected partner. It is crucial for both partners to be tested and treated if necessary to prevent reinfection.

3. Menstrual Care:
During menstruation, your girlfriend can manage her hygiene as she normally would. Using sanitary pads or tampons is a personal choice, but it is advisable to avoid tampons if she has open sores or ulcers, as they may irritate the affected area. If she chooses to use tampons, she should ensure they are changed frequently to prevent any risk of infection. It is also important to maintain good hygiene by washing the genital area gently with mild soap and water. If she experiences increased pain or discomfort during her period, it may be wise to consult her healthcare provider for further advice.

In summary, soft chancre is primarily transmitted through sexual contact, and the risk of indirect transmission is very low. With proper treatment, healing can occur within a week, but precautions should be taken to avoid reinfection. During menstruation, your girlfriend should prioritize hygiene and consider her comfort when choosing menstrual products. If there are any concerns about symptoms or treatment, it is always best to consult a healthcare professional for personalized advice.

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