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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56599
Experience:  GP in the United States
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To a gynaecologist, I am going scan due to abdominal

Resolved Question:

To a gynaecologist,
I am going for a scan due to abdominal pain and pelvic pain during sex. I have been told by a radiologist in this group that this will not reveal anything about PID. How is this diagnosed??
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 2 years ago.
This is diagnosed by examination, history and vaginal tests.
Customer: replied 2 years ago.
Okay thanks well as I have mentioned before I have had chlamydia and gonnorhea. My vaginal swbs are coming back negative for these infections now. Is it possible I could be infected with either of these bacteria higher up in the pelvis where a swab cannot detect? E.g if the antibiotic before only destroyed bacteria in the vaginal area and not in Fallopian tubes/pelvis?
Expert:  Dr. Phil, MD replied 2 years ago.
No, that is not possible
Customer: replied 2 years ago.
But could it be possible I have PID from previous infection with these bacteria? I feel unwell as well as the pain during sex. Could I ask for a pelvic examination even if all swabs are clear?
Expert:  Dr. Phil, MD replied 2 years ago.
Yes, you can. absolutelypain during sex needs checked out
Customer: replied 2 years ago.
Yes to both questions?
Expert:  Dr. Phil, MD replied 2 years ago.
yes, to both
Customer: replied 2 years ago.
So would that mean I am still infected with this bacteria? Or is it due to previous I damage caused?
Expert:  Dr. Phil, MD replied 2 years ago.
yes, previous damage it causes scar tissue and adhesions
Customer: replied 2 years ago.
Ok but negative swabs mean no infection? How would scar tissue be treated or can it not be? I had the infection for about 3 months is this enough time for it to cause this extent of damage?
Expert:  Dr. Phil, MD replied 2 years ago.
It can be treated by LOA. Lysis of adhesions. That is where they go in and break up the adhesions surgically
Customer: replied 2 years ago.
Ok could you answer my other questions?
Expert:  Dr. Phil, MD replied 2 years ago.
Yes, this is enough time. Sorry about that. :(
Customer: replied 2 years ago.
Ok no problem I asked the question. Could you also answer 'does negative swab for stis mean no current infection?' Even if PID is present?
Expert:  Dr. Phil, MD replied 2 years ago.
yes, it does.
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Expert:  Dr. Phil, MD replied 2 years ago.
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