[Question #7043] PID

61 months ago

Dear Doctors,

Thanks for your help and I am sorry that I found it is necessary to return one more time.

My wife started to feel pain in her pelvic again one month after finishing 14 days of clindamycin with another medication for vaginal yeast infection which she has no discharge but this is her doctor decision.

She is feeling not a big pain and usually within or after stool and stopped without taking any medication and it isn't not all of the time and everyday, she has no discharge and no pain during sex.

Her doctor said that her PID is due to using douching while her IUD makes it bigger.

Both of us had been taken ogmantine antibiotics before on different periods without stopping unprotected sex together.

1- are the a ove symptoms mean that PID treatment flailed?

2- Dr. Hook told us before that no need to test for std if we had antibiotics but now i am wirried again from HIV as it is mentioned at Healthline.com and CDC that PID is a symptom for HIV in women due to low CD4 or high viral load, After how long period this could be happening as she is suffering from this only 2 months from our first sex together and now is 8 months after?

3- after 01 month from my exposure I started to have red skin on the head of my pains usually taking 2 up 4 days to last and repeat every several weeks also almost all my skin hair of my 2 legs had dropped, is tut his syphilis?

4- Dr. Hook at another answer said that syphilis could prolong hiv antibodies test for a short period, for how long exactly?

Thanks and waiting for your answers.

Descriptio

DescriptioClindamycin

Edward W. Hook M.D.

61 months ago

I'm sorry to hear that your wife has continued to have pelvic discomfort and that this has fueled your unwarranted paranoia regarding HIV and other STIs. your questions are largely redundant. Nothing you have reported above or in earlier posts suggest that you had an STI or that your wife's PID was due to your misstep in Belgium. You need to get over this. Dr. Handsfield has told you that your concerns are unwarranted and would benefit from professional counseling. I strongly endorse that recommendation. I will provide brief responses to your questions and VERY limited follow-up.

1. No. One of the residual problems that is common among persons who have PID is chronic pelvic discomfort of pain. the intermittent data of your wife's symptoms suggest that this is nor a PID treatment failure.

2. You are over interpreting what you have read on the internet (again). you have proven that you do not have HIV. Most women with PID do not have HIV although a small proportion do since the same sort of risk taking that leads to PID lead to HIV. As I understand it, in your wife's case, the risks are yours, not hers and you have conclusively proven that you do not have HIV.

3. No. If it were syphilis a blood test would be positive and if you have not had a syphilis test, that may resolve your concerns. The symptom of syphilis do not come and go in the fashion you describe.

4. I do not recall making the statement you describe. That said, WITHOUT A DOUBT, you have proven that you do not have HIV.

Please seek counseling your guilt. EWH

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61 months ago

Dear Dr. Hook,

Thanks for your answers, please correct me if I didn't understand your answers correctly.

1- My wife's pelvic pain is a normal reaction after treatment of PID but she had recovered.

2- I know that PID is increasing the risk for HIV but this isn't my question (unless I didn't understand your answer), my question is, does HIV cuse a PID for women? If yes is this only at the later stage or could be also after few months from infection of HIV?

3- I didn't have syphilis test, and I don't want to have any further STI test as I am in bad need to forget this story, only my doubt is regarding loosing of my skin hair of my 2 legs? Is this a symptom for syphilis?

4- I understood that syphilis doesn't prolong HIV2 window period, is this correct?

I hope after receiving your answers, that helping to move forward.

Thanks again in advance.

Edward W. Hook M.D.

61 months ago

1. Continued discomfort is a common problem following successful of PID.

2. HIV does NOT cause PID.

3. No

4. Correct

EWH

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61 months ago

Dear Dr. Hook,

Thanks alot for your answers, I think that I can start to move on, and my a

61 months ago

Dear Dr. Hook,

Thanks for your answers that really help me to move forward, I do apologize to you and to Dr. Handsfeild for disturbing you all the pervious time.

I am sorry for this confusion I did for my self as there are many websites are mentioning that HIV causes PID at least/ often in later stage and even some of them mentioned that it is the first red flage or symptoms for positive HIV women.

Kindly find hereunder this link

https://www.webmd.com/hiv-aids/hiv-symptoms-men-women

As I just need your comment or clarification for me

And I promise you that I never back again unless for the same issue.

Thanks a lot once more for your help

Edward W. Hook M.D.

61 months ago

I will repeat one last time. HIV does not cause PID! The web site you have found is misleading you. Women with PID may also have HIV but that does not mean that one causes the other.

I'll have nothing more to say on this subject and am going to close this thread now. Should you return with further posts on this topic, it is probably that the thread will be closed without a response and wthout refund of your posting fee. EWH

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