Abdominal Pain: Could It Be a Sexually Transmitted Infection? - Urology

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Abdominal pain due to a sexually transmitted infection?


You mentioned that during the first-year hospital examination, urine and stool tests are conducted.
Are you saying that if there are Chlamydia, gonorrhea, or other pathogens, they can be detected without specifically addressing sexually transmitted infections (STIs) with the patient? However, I also paid separately for tests for Chlamydia and gonorrhea.
Are there differences between the two tests? I'm sorry for the confusion.

Xiao Qiang, 50~59 year old female. Ask Date: 2021/10/18

Dr. Du Shixi reply Urology


Hello: The tests from the laboratory can provide reference for physicians, but if the most common symptoms of sexually transmitted infections are absent, the occurrence of abdominal symptoms is extremely rare.
Personally, I have not encountered similar cases.
Additionally, a CT scan has been performed, which further reduces the likelihood of any related issues.
Wishing you good health.

Reply Date: 2021/10/18

More Info


When it comes to understanding abdominal pain and its potential link to sexually transmitted infections (STIs), it's essential to consider various factors, including the symptoms, the nature of recent sexual encounters, and the results of medical tests. Based on your inquiry, it seems you are concerned about the possibility of STIs, particularly chlamydia and gonorrhea, and how they relate to your abdominal pain.

Firstly, STIs can indeed cause abdominal pain, particularly if they lead to complications such as pelvic inflammatory disease (PID). PID can occur when infections like chlamydia or gonorrhea ascend from the cervix into the uterus and fallopian tubes, causing inflammation and pain. Symptoms of PID may include lower abdominal pain, fever, unusual vaginal discharge, and pain during intercourse. However, not all abdominal pain is related to STIs; it can also stem from gastrointestinal issues, urinary tract infections, or other non-infectious causes.

Regarding your question about testing for chlamydia and gonorrhea, standard urine tests can detect these infections. If you have undergone urine tests at a medical facility, they typically include screening for these STIs. However, if you have opted for additional testing at a private lab, it is crucial to ensure that the tests are comprehensive and specifically designed to detect the infections you are concerned about. Different laboratories may have varying testing protocols, and some may offer more extensive panels than others.

It is also important to communicate openly with your healthcare provider about your sexual history and any concerns you have regarding STIs. This information can help guide the appropriate testing and treatment. If you suspect that you may have been exposed to an STI, it is advisable to inform your healthcare provider so they can consider this when interpreting your test results.

In terms of treatment, if you test positive for chlamydia or gonorrhea, both infections are typically treated with antibiotics. It is essential to complete the full course of medication and to inform any sexual partners so they can also be tested and treated if necessary. This helps prevent reinfection and further spread of the infection.

Lastly, if you are experiencing persistent abdominal pain, it is crucial to seek medical attention. Your healthcare provider may recommend further evaluation, which could include pelvic exams, ultrasounds, or additional laboratory tests to rule out other potential causes of your symptoms.

In summary, while STIs can cause abdominal pain, it is essential to consider all potential causes and to undergo appropriate testing. Open communication with your healthcare provider is key to receiving the best care and treatment. If you have concerns about your health, do not hesitate to reach out for professional medical advice.

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