Pelvic Inflammatory Disease and Its Impact on Partners - Obstetrics and Gynecology

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Pelvic Inflammatory Disease (PID)


Hello Doctor,
I recently visited a gynecologist due to vulvar itching and was diagnosed with pelvic inflammatory disease and a Candida infection.
The vulvar itching has been recurring for over a year, and previous doctors (different ones) had only mentioned a fungal infection.
This time, the doctor said it was pelvic inflammatory disease (which I had never heard of before and was a bit shocked).
The doctor explained that pelvic inflammatory disease often starts as a fungal infection and then progresses to a bacterial infection, stating that I had not been treated properly before.

Now I have a question: Does my husband need to seek treatment? I found information online stating that to prevent reinfection, he should also be treated, but my husband says he feels fine and is normal.
So, does he still need to see a doctor? Thank you.

Ah Hui, 30~39 year old female. Ask Date: 2021/12/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, as long as a man keeps his genital area clean and experiences no discomfort, there is generally no need to seek medical attention.
Wishing you good health.

Reply Date: 2021/12/16

More Info


Pelvic inflammatory disease (PID) is a significant health concern that can arise from various infections, often starting with sexually transmitted infections (STIs) like chlamydia and gonorrhea, but can also be associated with other pathogens, including yeast infections. Your situation, where you have been diagnosed with both PID and a yeast infection, is not uncommon. It’s essential to understand the relationship between these conditions, their potential impact on your partner, and the importance of treatment for both partners.

PID occurs when infections spread to the reproductive organs, including the uterus, fallopian tubes, and ovaries. It can lead to serious complications, including chronic pelvic pain, infertility, and ectopic pregnancy. The symptoms you are experiencing, such as itching and pain, can be indicative of underlying infections that need to be addressed comprehensively. Your doctor’s suggestion that your PID may have originated from a yeast infection is plausible, as untreated infections can lead to more severe complications.

Regarding your partner's involvement, it is crucial to recognize that many STIs can be asymptomatic, meaning that your partner might not show any signs of infection but could still be a carrier. This is particularly relevant in the case of chlamydia and gonorrhea, which are common causes of PID. If you have been diagnosed with PID, it is generally recommended that your partner also undergo testing and treatment, even if he does not exhibit any symptoms. This approach helps prevent reinfection and ensures that both partners are treated adequately.

The concern about your partner needing treatment stems from the fact that STIs can be transmitted through sexual contact, and if one partner is infected, the other can easily become infected as well. If your partner has not been tested, it would be wise for him to see a healthcare provider for a thorough evaluation. This is especially important if you have had multiple episodes of infection, as recurrent infections can lead to more severe complications over time.

In terms of treatment, both you and your partner may need antibiotics to clear the infection. The specific medications will depend on the pathogens identified during testing. It’s also important to follow up with your healthcare provider to monitor your recovery and ensure that the infection has been fully resolved.

In addition to medical treatment, consider discussing preventive measures with your partner. Using condoms can significantly reduce the risk of transmitting infections during sexual activity. Regular screenings for STIs, especially if you have multiple partners or a new partner, can also help catch infections early before they lead to complications like PID.

Lastly, it’s essential to maintain open communication with your partner about sexual health. Discussing any symptoms, concerns, and the importance of mutual treatment can foster a supportive environment for both of you. Remember, addressing these issues together not only helps in your recovery but also strengthens your relationship.

In summary, PID is a serious condition that requires prompt and comprehensive treatment. Both you and your partner should be evaluated and treated to prevent further complications and ensure a healthy future together. Regular check-ups and open communication about sexual health are key components in managing and preventing infections.

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