Pelvic Inflammatory Disease: Risks of Oral Sex During Infection - Obstetrics and Gynecology

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Pelvic Inflammatory Disease (PID)


If a physician performs oral sex during a pelvic inflammatory disease (PID) episode, could it worsen the symptoms? Additionally, if two individuals engage in kissing and exchange saliva before continuing with oral sex, will it exacerbate the symptoms?

Xia Xin Xin, 10~19 year old female. Ask Date: 2020/08/28

Dr. Wu Xianghui reply Obstetrics and Gynecology


1.
Vaginal infections (including female pelvic inflammatory disease) can cause abnormal discharge, itching, fever, and lower abdominal pain, which are among the most common symptoms in women.
The causes are numerous, and treatment should be accompanied by comprehensive health education.
It is recommended to seek evaluation from a specialist in obstetrics and gynecology at an outpatient clinic.
2.
Various forms of sexual contact are risk factors for vaginal infections (including female pelvic inflammatory disease).

Reply Date: 2020/08/28

More Info


Pelvic Inflammatory Disease (PID) is a serious infection of the female reproductive organs, which can lead to long-term complications such as chronic pelvic pain, infertility, and ectopic pregnancy. When considering the risks associated with oral sex during an active PID infection, it is essential to understand the nature of the disease and the potential for exacerbating symptoms or spreading infection.

Engaging in oral sex while experiencing PID can pose several risks. Firstly, PID is often caused by sexually transmitted infections (STIs) such as chlamydia and gonorrhea. If the infection is present, oral sex could potentially introduce bacteria into the oral cavity, which might lead to oral infections or exacerbate existing conditions. Furthermore, if the male partner has any oral lesions or infections, there is a risk of transmitting those back to the female partner, potentially worsening her PID.

When it comes to kissing and exchanging saliva, this can also be a concern. While the primary pathogens responsible for PID are typically not transmitted through saliva, the act of kissing can still introduce bacteria from the oral cavity into the genital area if oral sex follows. This could potentially lead to further irritation or infection, especially if the female partner has open sores or inflammation due to PID.

In summary, engaging in oral sex during an active PID infection is not advisable. It could lead to the worsening of symptoms or the introduction of additional infections. If both partners are aware of the PID diagnosis, it is crucial to prioritize treatment and recovery before resuming any sexual activities.
From a medical standpoint, it is recommended that individuals diagnosed with PID refrain from sexual activity until they have completed their treatment and have been cleared by a healthcare provider. This not only helps in managing the current infection but also protects both partners from potential complications and further infections.
If you or your partner are experiencing symptoms of PID, such as pelvic pain, fever, unusual discharge, or painful intercourse, it is essential to seek medical attention promptly. Treatment typically involves antibiotics, and in some cases, hospitalization may be necessary. Following treatment, a follow-up appointment is crucial to ensure that the infection has resolved and to discuss safe practices for future sexual activity.
In conclusion, while the desire for intimacy is understandable, prioritizing health and safety is paramount. Engaging in sexual activities during an active infection like PID can lead to complications and should be avoided until both partners are fully healed. Always consult with a healthcare professional for personalized advice and treatment options.

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