I have pain in pelvic area during intercourse with a history of UTI. Please help.

Hello,

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It is important in your case to rule out the possibility of pelvic inflammatory disease. Now points in favor are history of chlamydia and UTI in the past, pain on deep penetration and tenderness on the left side of abdomen. These are the sufficient point to evaluate for the possibility of PID (pelvic inflammatory disease). I guess you do not have any discharge per vaginum may be scanty.

One more thing is, just try to see if you are having this pain from the beginning from the intercourse or started after some time. Because if it is from the beginning then this may be dyspareunia and not related to PID. But if it has developed later then it becomes important that you undergo evaluation for PID. You will need an ultrasound of pelvis, CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate), vaginal fluid smear. However, the vaginal examination will also be helpful to see whether there is any cervical motion tenderness, which would give a fair idea about the possibility. It is important to rule out PID because it can have consequences later like fertility issues.

So if we get any clues regarding it then you will need a course of antibiotic treatment.

I hope this helps.