Can STDs Cause Abdominal Pain? the Risks and Symptoms - Urology

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Is abdominal pain caused by a sexually transmitted infection?


Thank you for your response.
If common sexually transmitted infections such as herpes, syphilis, chlamydia, gonorrhea, and HPV are not detected, does that mean they are unlikely to appear in the mouth, abdomen, or other organs? I am concerned because there has been manual stimulation of the genitals and kissing, and I fear that infections, including vaginal infections like bacterial vaginosis, could be transmitted.

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

Dr. Du Shixi reply Urology


Hello: Thank you for your response.
If common sexually transmitted infection tests for HIV, syphilis, chlamydia, gonorrhea, and HPV are negative, does that mean these infections are unlikely to appear in the oral cavity, abdomen, or other organs? I am concerned because there was manual stimulation, contact with my own genitals, and kissing, and I'm worried about potential transmission, including women's health issues like vaginitis and gonorrhea, etc.
--> If there were issues affecting the abdominal organs to that extent, imaging studies would likely show abnormalities.
As for the accuracy of blood tests for HIV and syphilis, they are very high.
Wishing you good health.

Reply Date: 2021/10/18

More Info


Sexually transmitted diseases (STDs) can indeed cause abdominal pain, and understanding the risks and symptoms associated with these infections is crucial for both prevention and treatment. While many STDs are primarily associated with genital symptoms, they can also lead to complications that manifest as abdominal pain, particularly if the infection spreads to other areas of the body.

Common STDs such as chlamydia, gonorrhea, and pelvic inflammatory disease (PID) can cause abdominal pain. Chlamydia and gonorrhea, if left untreated, can ascend from the cervix into the uterus and fallopian tubes, leading to PID, which is characterized by severe abdominal and pelvic pain, fever, and abnormal vaginal discharge. PID can also result in long-term complications such as infertility and chronic pelvic pain.

In your case, you mentioned that you have undergone testing for common STDs such as syphilis, chlamydia, and gonorrhea, and the results were negative. This is a positive sign, but it does not entirely rule out the possibility of other infections or conditions that could cause abdominal pain. For instance, infections like bacterial vaginosis or yeast infections, while not classified as STDs, can still lead to discomfort and pain in the pelvic area.

Regarding your concerns about oral sex and the potential transmission of infections to the mouth or throat, it is important to note that certain STDs can indeed be transmitted through oral sex. For example, gonorrhea and chlamydia can infect the throat, leading to symptoms such as sore throat or difficulty swallowing. Additionally, herpes simplex virus (HSV) can cause oral lesions and may also lead to systemic symptoms, including abdominal pain if the virus spreads.

You also mentioned engaging in activities such as fingering and the potential for introducing bacteria into the vaginal area. While this can lead to infections, it is essential to differentiate between STDs and other types of infections. For example, bacterial vaginosis is caused by an imbalance of normal vaginal flora and is not an STD, but it can lead to symptoms similar to those caused by STDs.

If you are experiencing persistent abdominal pain, it is advisable to seek further medical evaluation. A healthcare provider may recommend additional tests, such as a pelvic exam, ultrasound, or even a referral to a specialist, depending on your symptoms and medical history. It is also important to discuss any other symptoms you may be experiencing, such as changes in menstrual cycles, unusual discharge, or pain during intercourse, as these can provide valuable information for diagnosis.

In summary, while negative STD tests reduce the likelihood of certain infections, they do not eliminate the possibility of other conditions that could cause abdominal pain. If you have concerns about your symptoms or potential exposure to infections, it is crucial to communicate openly with your healthcare provider to ensure appropriate evaluation and management. Regular screenings and safe sexual practices, including the use of condoms, can help reduce the risk of STDs and their associated complications.

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