[Question #2626] Question 2387 follow-up. Obtained labs from Gyno

42 months ago
Hello, 

I first would like to thank you for your time. Your advice is greatly appreciated. As you predicted, my lab results were negative for everything and my urine culture was clear. I am baffled as to what could be causing these conditions. Lower stomach cramps that go to the lower back. The yellowish greenish discharge has diminished since taking Flagyl but I still have symptoms of lower stomach cramps and low back pain that comes and goes. The ER Dr told me I have cervicitis. I understand that you told me not to worry about testing for herpes but when researching I read where herpes is a cause of cervicitis. All of my results for gonorrhea, chlamydia, and trich is negative. The only STD is Herpes. Is it possible to have herpes on the cervix without lesions? 
I am thinking that I should go for a second opinion. 
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
 My impression is that the time you are spending on the Internet is misleading you and making you anxious about something you should worry about. The Cervicitis you describe is almost certainly not consistent with herpes.  As I explained earlier, in a substantial proportion of women there is no infection causing Cervicitis which is harmful to them.  My earlier and continuing recommendation is that you should see a health care provider who you feel good about and work on the problem, including possibly observing it over time without treatment rather than going from Doctor to Doctor.   EWH---
42 months ago
Hello Dr,  thanks for the reply. I am still experiencing symptoms. Based on my previous posts and diagnosis of cervicitis is it possible I may have developed PID.  I reseaeched that normal bacteria in the vagina can cause PID. I felt like the previous gyno was not much help so I am seeking help from another gyno
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
Certainly non-STI bacteria can cause PID, unrelated to sex.  My sense is that is not the case but getting a second opinion is reasonable.  I worry that your apparent fixation on a possible STI may keep you from finding out what is really happening.  I also know that if you ask enough health care providers, you'll find someone who will tell you that you have PID but I suspect that treatment will not address your problem.   EWH
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42 months ago
Thanks Dr Hook,  you have been a life saver for me during these times. This website is so convenient. Your health opinions and predictions are spot on every time!. I told my friend about this wonderful website who is also going through a similar problem. 

One more question: If it's not PID what is it likely to be? My mother who is a retired nurse believe that my symptoms are  not that serious. The symptoms comes and goes. Right now I feel fine but tomorrow the symptoms of lower belly cramp and lower back pain will come back .


Thanks a lot.  I'll be sure to give an update on the new gyno findings
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
There are many potential causes of lower abdominal pain of the sort you describe.  They can originate from numerous sites in the GI tract, the kidneys and elsewhere within the abdominal cavity.  As I have already indicated in this an past replies, there is no obvious reason from what you describe to worry that this is an STI of PID.  If you feel the problem needs further evaluation, I once again suggest hat you see your regular doctor and believe them. 

This is my third and thus final reply to this series of questions.  It is time for us both to move on.  Take care.  EWH
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