[Question #7016] PID or bad PMS?

8 months ago
Good day doctors 

Thanks in advance for your guidance. My last unprotected encounters date from this March the 12th, and a couple weeks before then. A new partner that in his opinion was due to be tested and he claims he goes once a year as I do. I am female and be is male. I’m 37 and he is 27. In these two encounters, we had vaginal unprotected sex about 2-3 times each. Because of the whole pandemic, we stopped seeing eachother. Directly after the encounters I started taking a new b/c pill and took it for 3 months. I stopped it mid pack about 3-4 weeks ago. I have had no symptoms of any STD or odd discharge, no pain, burning. In the last week or two, i’ve had intense lower abdominal period like pain, now lower back ache. It feels like the worst PMS ever. I know it may take about a month or so for my cycle to come back.. what are the chances that I have PID from an std? He claims that since his last test over a year ago, he’s only had unprotected sex with one other female, a couple of times. I also have muscle aches and pains but my period should be due around now, i’m just very anxious.  Would I never get any symptoms in the whole 3 months and suddenly get PID? Sorry for the panicked mode, my anxiety is just all over the place. Thanks again 
Edward W. Hook M.D.
Edward W. Hook M.D.
8 months ago
Welcome to the forum. Thanks for your question. Your question is a challenging one. PID is a difficult diagnosis which can be mimicked by large numbers of alternative processes including menstrual cramps related to hormonal disruption, gastrointestinal disturbances, etc. You don’t mention why you ceased taking your new birth control pills and disordered menses could be what is going on.  Although your description suggests that both you and your Partner are at relatively low risk for STI’s however, as you point out he has had at least one other partner since his last test. I presume he remains asymptomatic.  If he had an STI, it is also possible or even probable that he would have some sort of genitourinary symptoms. Muscle aches would not be typical for PID.

Despite the overall relatively low risk that you have PID, my suggestion is to go on and see your Gyn, have her/him evaluate your symptoms and get tested. This is the only reliable way to rule out the low probability of PID and I sense that your current uncertainty is troublesome.  Thus addressing it directly is the way to go.

Sorry I cannot be more definitive. I hope my comments are some help. EWH
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