Sexually Transmitted Diseases / Question
Published: January 11, 2008
Dear TeenHealthFX,
im 21 and have not been a virgin for a long time, I've been with my fiancee for a year now,lately like last couple months when I masterbate or have hard sex I start to get stomach cramps then I bleed but only for a couple hours,and it's light,what could cause this. Plus I had a threesome and I heard the guy might have had an STD(clymdia) but I don't feel I have it and my fiancee said it was a lie,should we still get tested?
Signed: Should We Get Tested For STDs?
Dear Should We Get Tested For STDs?,
The stomach cramps and bleeding that you are experiencing could be caused by some sort of injury or trauma – they could also be the result of an STD. TeenHealthFX recommends that you schedule an appointment with a medical care professional immediately to assess what is causing the cramping and bleeding that you are experiencing following sex. In addition, since you have had multiple sex partners, you have been with someone who may have an STD, and you are experiencing these symptoms, FX strongly suggests that you speak with a doctor about being tested for various STDs, including Chlamydia. And until you know what is causing your symptoms and you have the results of your STD tests, FX recommends that you abstain from any sexual activity. In addition, since there are some strong indicators that you require testing at this point, it is also very important for your fiancée to be tested as well.
If you don't have a doctor and live in northern
Since you specifically mention Chlamydia, here is some information on this particular STD.
Signs and Symptoms:
- Painful urination
- Lower abdominal pain
- Vaginal discharge in women
- Discharge from the penis in men
- Painful sexual intercourse in women
- Testicular pain in men
When To Get Tested Diagnosing:
Because of the chance of other health problems if you contract Chlamydia, ask your doctor how often you should have Chlamydia screening tests if you are at risk. The Centers for Disease Control and Prevention recommends all pregnant women be screened for Chlamydia during the first prenatal exam, and women should be screened again later during the pregnancy if they have a high risk of infection. All people who have a high risk of infection should also consider screening. Many STDs are not initially symptomatic, and people are not necessarily aware that they have contracted an STD, which is why whether or not to be tested depends on whether you are in a higher risk category. Being in a high risk category includes people who have:
- Had multiple sex partners
- Not used a condom every time they engaged in vaginal, anal or oral sex.
- Had other sexually transmitted diseases.
- Had a sexual partner who they know or have any reason to suspect has an STD.
Screening and diagnosis of Chlamydia involves relatively simple procedures. A culture swab can be done of the discharge from a women’s cervix, of the urethra in a man’s penis, or of the anus. A urine test can also be done where a laboratory will analyze a urine sample for the presence of this infection.
Treatment:
Doctors generally treat Chlamydia with prescription oral antibiotics taken as one-time dose, or taken daily or multiple times a day for 5-10 days. While the STD is being treated it is best to abstain from sexual activity.
Your sexual partner or partners will also need treatment even though they may not have signs or symptoms. Otherwise, the infection can be passed back and forth as it is possible to be re-infected with Chlamydia.
Signed: TeenHealthFX
Teens whose parents talk to them regularly about the dangers of drugs are 42% less likely to use drugs than those whose parents don’t, yet only 1 in 4 teens report having these conversations. 
