[Question #4919] Confused

27 months ago
Hi doctors, my question maybe paranoid, but i still need professional opinion, so i hope you can help. 

Im male have been marriage for 6 years for now. Little over year ago i had affair with my colleague (women). Our affair last 7 weeks and we had 8 sexual intercourses all unprotected. 

My colleague have been tested herself for all stds 6 months before our affair and i have tested myself 2 times all Stds year before our affair. My colleague have not been any sexual contact after tests and between our affair and i my only sexualpartner is my wife, after my testing .  There is no change that my wife give me something for sure.

Problem for me is that my colleague little over year ago got some infection during our affair, she was in hospital few days, have some fever and abdomen pain. She  also had CRP over 150. Doctors tested all stds 2 times and made ct and gynecological exams and they dont exactly know what infection it was. They quess it might be PID or not. She get iv antibiotics and get well. 

When our affair ended, i wasnt really think about that, but when i see guidelines of CDC. They state that sexualpartner of PID women should also treated, i got conserned.  I have not have any symptoms after that affair nor my wife.

Is there something i should be worried over year after this event?

Is there possibility that some std did this ?If my tests (2 times all stds year before) and shes tests (all stds 6 months) before our affair. And also doctors test stds twice during hospital period. All tests all the time have been negative 

Sorry for my english im from Europe.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
27 months ago
Welcome to the forum. Thanks for your confidence in our services. Your english is fine -- your questions are clear.

I understand your concern; it's not at all "paranoid". It is reasonable to be concerned about your extramarital partner's apparent PID, or other abdominal problem, given the nature of your relationship and the timing. However, the evidence is very strong that either she did not have PID, but some other abdominal infection; or if PID, that it was not sexually acquired from you. It can be difficult to distinguish PID (fallopian tube infection) from other lower abdominal problems like ruptured ovarian cyst, appendicitis, diverticulitis, and other conditions. And a substantial minority of PID cases (probably 10-20%) are not sexually acquired. Or maybe she had sexually acquired PID, but from another partner. (Are you confident she had no other partners during or in the weeks prior to your relationship?) But most important, the only two STDs known to cause PID are gonorrhea and chlamydia, and the tests for them are highly accurate. With multiple negative tests done in your partner, as well as your own negative test results, you can be certain these were not responsible for your partner's infection. And even without those test results, it seems very unlikely you or your wife were at risk for STD. 

One thing isn't clear in your question. Exactly what STD tests did you have? Can you confirm your urine or a urethral swab was tested for gonorrhea and chlamydia? And not a blood test?

I hope this information is helpful. Let me know the details or your tests, or if anything else isn't clear.

HHH, MD
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27 months ago
Thanks very much for quick response doctor!

In our country, all STDs test include, HIV 4th gen, Hbsag, Anti-HCV, Syphils Igm/ Igg, Chlamydia/gonnorhhea Naat, Trichonomas and Mycoplasma genitalium. 

They ( public heart care) run these test nearest University Hospital. 

Colleague and i have been very open these things and we dont have responsibilities each other.  I totally trust him what she says and generally she have been very responsible all life matter of sexual behavior. These were the reason, including she had clean tests before me and my clean tests that, we dont chose proctected sex. 

So she test all these above 6 months before me once and at the time on infection twice( 5 weeks after we have started sexual intercourses. ) In hospital period they took swabs and urine samples both.

And my testing, all these above twice  more than 1 year before this affair. No other sexualcontacts, than my wife between tests and this affair and  my wife is kindest person in whole world and never would give me any STDs and maybe this reason this bother me so much. 

I havent test anything after affair, because i thought it wasnt possible have anything after all these tests both of us and without any symptoms me or my wife

Can i move on without worry, that would make any harm my wife?

I addition If it make any difference, in other reasons public health care take normal urine tests from me, few weeks before this affair and there was nothing abnormal,  no white blood cells or anything else. And my wife regular pap smear was clean six months before this affair.  Pap smear did not include naat chla/gono naat. 

Another thing, she had some problems with her menstruals cycle at time we had sex first time. Menstruals started again just week between them ( 2 days after we had sex first time). She said that she had some problems lately at that time with menstrual cycle. 
5 weeks after we had first sexual intercourse infection started,  about few days after menstruals 

I hope you understand my story :)


27 months ago
And doctor suspect Metritis, but they werent sure. I dont really know is that same as PID. This was language issue, sorry abou that.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
27 months ago
Thanks for the additional information. It's good to hear you were tested so comoprehensively. All those tests are highly reliable.

I think you mean endometritis, infection of the uterus. That's uncommon without PID -- in fact, a biopsy of the uterus lining is used in research as evidence for PID. 

I agree the timing of her problem was consistent with acquiring an infection from you. However, there are no STDs known to cause PID except those for which you were tested. It is true that standard practice is to routinely treat the sex partners of women with PID. However, I still doubt it is necessary in your case. However, this is something you could discuss with your colleague's doctor(s).




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27 months ago
They dont advice treament for me at the time and that is not routine in our country. Doctors explain her that new sex partner elevate risk of PID even without STD. New bacteries from new sex partner mess up sometimes balance of bacteries and it can lead PID.  She had bacterial vaginosis before our affair without STD and doctor told it might also raise of risk PID.  

Thanks for your view this  and i will continue my life.  It was over year ago. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
27 months ago
The doctors are correct that bacterial vaginosis increases the risk of PID. In fact, almost 100% of women with PID have BV at the same time. However, it is not known that new partners, without STD, can be a source of PID. This may be possible, i.e. your doctors may be right, and it is possible that new, non-STD bacteria may somehow be involved. But this has not been shown in research studies, it is only a theory to try to explain PID cases without STD. But if her doctors believe this, I do not understand why they would not routinely treat infected women's sex partners.

With a full year passing and no symptoms in you or your wife, I'm sure there's no problem. Indeed you can "continue your life" with no worries!

That completes the two follow-up comments and replies included with each question, and so ends this thread. I hope the discussion has been helpful and reassuring. Best wishes.



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