I have been tested positive for chlamydia. What are the chances of PID?

Question

Hi doctor,

I have recently been tested positive for Chlamydia, which I believe to have contracted around 3.5 years ago. In the past one year, I have been to the doctor for the following symptoms. Increased menstrual pain, dull pain during ovulation, yellow discharge, sickness during menses and one-sided pain for a few days after the menses. At that time, I was given medication to ease the blood flow and pain. However, now I have been tested positive for Chlamydia. Due to the fact that I must have had it for three to four years with no symptoms until the last year, I believe it has developed into PID. I am taking a course of Doxycycline 100 mg and Metronidazole 400 mg twice daily for 2 weeks which my GP gave me. However, he does not believe I have PID. I am going on a holiday next week and will be exposed to sunlight a lot. Should I hold off taking the antibiotics during this time? What are the chances I have PID? I am worried about scarring of the fallopian tubes and infertility. Would an ultrasound detect scarring if any?

Answer 1

Hi,

Welcome to icliniq.com.

Well, it is essential that you start the antibiotics as soon as possible. If you can postpone your holiday and go after the course, then it would be ideal for you. However, if you cannot, then please start as soon as you come back. Having Chlamydia implies there is already a degree of pelvic infection and inflammation, which will be helped to a large degree by the medications. Whether it causes fertility issues or not, it cannot be gauged at the present time. After a few months you can get a hysterosalpingography done to determine the status of your fallopian tubes. Usually, it is not a major issue. You must also contact your current sexual partner if any and any people you may have been in a sexual relationship with over the past three to four years. Let them know that they need to get tested as they may have contracted the infection and passed it along as well.