[Question #3563] GF Symptoms

36 months ago
Hello Drs,
You were such a help a year ago through my stress and I had let everything go.  There had been a few symptoms for both me and gf over the year that made me revisit your words for assurance.   I had my epi removed but continue to have pain that drs have treated as if it were orchitis.
Since my gf’s uti last year, she continued having some brown discharge symptoms off and on that troubled me.  But she took several rounds of z packs and other antibiotics for sinus and skin issues. 
My question is:
Could PID all of a sudden cause bleeding and UTI symptoms this long past original symptoms?   
Could macrobid have squashed symptoms but not totally rid infection to where symptoms just now progressed?  Could other antibiotics kept symptoms at bay until now?
She is being evaluated by a professional but I’m nervous all over again.  Thank you.






H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
Welcome back to the forum.

I briefly reviewed your other discussions and understand why your wife's symptoms may be alarming. However, vaginal discharge is one of the most common of all day to day minor symptoms, as almost any woman will tell you. The large majority of cases are not due to STDs and most are not due to infection of any kind. Among the many causes is yeast infection, which can be triggered by antibiotics like azithromycin (Z pack) or others used for sinusitis and skin infections, as well as nitrofurantoin (Macrobid), which is used for urinary tract infections. But neither of these would be likely to suppress PID, and in any case, you describe no symptoms that suggest PID (e.g., abdoinal pain).

I would also make the (obvious?) comment that when one person in a relationship finds need for outside sexual experimentation, it's pretty common that the other is doing so as well. You know your relationship and I do not, so I cannot judge the likelihood you wife has had other partners. But of course if she has, it is conceivable her vaginal discharge is related to an STD from that relationship.

Since your wife's symptoms are bothering her sufficiently to see her doctor, of course she should follow through with that evaluaton. From all you had said, I doubt she has any STD and seems especially unlikely to have PID. This probably almost certainly is unrelated to your distant past extramarital sexual contact.

I hope these comments are helfpul. I'll be happy to comment further if you'd like to let me know the outcome after she has been evaluated. But stay mellow in the meantime.

HHH, MD
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36 months ago
Sorry, my oversite.  Current symptoms are abdominal pain and bleeding.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
Thanks for clarifying. Such symptoms could be PID. However, there are plenty of other gynecological conditions that could do this. And I looked back to review your previous threads in more detail. I agree with Dr. Hook's assessment:  you had a low risk exposure; you're of an age when most epididymitis is due to infections other than STDs; the antibiotics you had would have been effective against any STD likely from the sexual exposure described and against the STDs that can cause epididymitis; and I agree with Dr. Hook's comment about the low likelihood you infected your wife and/or transmitted an infection back and forth from her before completing treatment.

So all the evidence remains very strong that you had no STD and that that sexual event has nothing to do with your wife's current problem. But for now let's sit tight and see what comes of her examination and testing.

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