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Avatar universal

Questions in regards to PID and Gonorrhea

Good morning doctors.
I have a few last questions. You have both been kind enough to my questions in the last year and I appreciate all of your professional help.  After many hours of research and many hours of reading the posts from this site, I have come to the last questions I cannot find answers for.  My concerns – I received unprotected oral sex from a massage parlor back in March of 2012 – my wife was diagnosed with BV and Genital Herpes back in August of 2012 (I have carried the Herpes for 10 years and my wife was aware). Her OB did not run any STD tests based on her marrage.  My concern is that I contracted Gonorrhea from my March oral and passed it on to her.  I took a test for all STD’s in Sept and was negative for Gonorrhea.I am worried that between March oral and Sept test my body removed the gonorrhea and that I passed it on wihtout knowing– now 9 months later I am concerned that my wife has had asymptomatic Gonorrhea and maybe has progressed to PID – My questions
1- How long in females before they eradicate the gonorrhea without medication if at all?
2- What happens to the asymptomatic gonorrhea in females without treatment?  – if the body kills the bacteria on its own then is it possible the 50% of women with gonorrhea never knew they had it?
3- What percentage of asymptomatic cases of female gonorrhea develops into PID?
4- What are the warning signs of PID for females?
5- Should I be worried or am I crazy to think that I had gonorrhea from March of 2012 and passed it onto my wife in August and now she has had it for 9 months without knowing it – I know it sounds crazy just do not know if it is a possibility.
6- How long can you have PID and not know it?
7- Do headaches and heavy menstrual periods have concern in my situation?
I truly appreciate your assistance to these questions, I know that based on my reading of 4 years of posts these questions are rarely asked and I am sure they will help others in situations like mine.

Thank You
4 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
There is no immunity to gonorrhea -- as you suggest, maybe a little immunity to a particular strain, but there are hundreds of those, so it makes no important difference.

As you probably know -- and as your counselor undoubtedly has told you -- understanding the facts, i.e. intellectual understanding, isn't the key to resolving irrational anxieties, phobias, etc.  Rather than asking about (or doing any more online searching) about gonorrhea and STDs, you should emphasize the counseling and mental health care.  Further attempts to clarify facts and probabilities will probably just inflame the problem, not improve it.

And with that, indeed I'm telling you to stop.  I'll have nothing more to say.  Good luck with the counseling.
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Avatar universal
oh i did catch the post by Nate Silver - Thank you makes sense.  Last question - if your body eraticates the Gonorrhea are you then imune to that specific strain?  if someone had gonorrhea and passed it on and they have erraticated the bacteria can they again catch the gonorrhea from the person they first passed it on from?  I know you are going to tell me to stop and I am.  this was the last one promise.
Helpful - 0
Avatar universal
Thank you doctor for your kind response I truly apprecaite the compassionate care you have provided - that is rare in todays world.  I have been in counsling for about 8 months now and it is helping - I just have so much to lose and cant get over this - It is improving however with your help as well as this site.  So if I understand correctly If I had gonorrhea and passed it onto my wife last year - We would have have known by now. Also your link was to another post that was unrelated - it was not a Nate Silver post - if you can please resend I would appreciate it.  so last comment before I say bye - in your Professional oponion it would be almost impossible for her to have gonorrhea based on the situation?

Thank you and please keep up the very helpful good work.  it has been a pleasure.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome back. But this will have to be your last question on this forum.  More discussion below.

You continue to be concerned beyond reason, and it is clear your anxieties are leading you to read the internet selectively -- seeing mostly information that inflames your worries and misses the reassuring parts.  See the quote by statistician Nate Sliver in this thread:

http://www.medhelp.org/posts/show/1902993

1) Precise data are not available.  Probably most infections clear without treatment within 3-6 months, but maybe sometimes a year or more.

2) Most women who remain asymptomatic would never have a clue they had ever been infected.

3) Asymptomatic PID probably is rare for gonorrhea (unlike chlamydia), if it occurs at all.

4) Lower abdominal pain is generally the first and often the only symptom.

5) "Crazy" is your term, not mine.  I'll just say you are off the deep end in your anxities about this.  If you remain worried despite all the reasoned, science-based reassurance you have had, it suggests you might benefit from counseling.  This is not normal.

6) For gonorrhea, rarely or not at all.

7) These symptoms are not relevant to gonorrhea, PID, or any other STD.

MedHelp permits a maximum of 2 questions every 6 months in each of the professionally moderated forums (see Terms and Conditions).  The purpose is to prevent domination of forums from relatively few users with anxiety-driven questions (like yours).  This is your fifth question on this forum in 8 months, since last October.  It will have to be your last for at least a year.

Really, suck it up and put all this behind you.  If you cannot, see my advice above about counseling.  I suggest it from compassion, not criticism.

Regards--  HHH, MD
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