What causes pain in pelvic area during intercourse with a history of UTI?

Question

Hello doctor,

I have had only one sexual partner for almost a year. However, during intercourse, I feel that I am having pain in my pelvic area, and it is a sudden, sharp pain. Sometimes it is random or happens during deeper penetration. It feels like pressure and almost seems like it is gas, but I am not sure what it is that I am experiencing.

A while back, I had a UTI, and since then, I have been experiencing this at times. Sometimes, it does not bother me. I just want to make sure I am fine, or see if this is a concern that I need to come in. Yesterday, I experienced pressure pain on my left side more, and it drew enough concern. I do not know if it is gas or something else.

Kindly guide.

Answer 1

Hello,

Welcome to icliniq.com.

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

One more thing is, try to see if you are having this pain from the beginning of 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 the pelvis, CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate), and 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.

Please feel free to reach out in case of further queries.

Thank you.

I hope this helps.