Feb 24, 2016 3 min read

Q.My teenage daughter had pain in her belly. I took her to the MD. They told me she has something called PID, and she got it from chlamydia. I didn’t even think she was having sex. I was so upset I didn’t really listen when the nurse explained things. What do I need to know? Could she have gotten this without having sex?

Upset parent

Mary Jo’s response: Chlamydia is an STI (a sexually transmitted infection) and is spread through sexual contact. Yes, she was involved sexually when she was infected.

Chlamydia is a common STI caused by the bacteria Chlamydia trachomatis. The bacteria spreads when mucous membranes (mouth, throat, genitals or rectum) come in contact with infected body fluids like semen or vaginal fluids. It can be spread through unprotected oral, vaginal or anal contact. Chlamydia is easily treated, and a simple test can diagnose it. If unsure, a medical checkup can help.

Most individuals infected with chlamydia have no symptoms, which is why it is often called a “silent infection.” Even when silent, this bacterial infection can damage a person’s reproductive system.

If symptoms occur, both men and women may notice:

• Vaginal or penile discharge

• Burning when urinating. This symptom can also signal a UTI (urinary tract infection). UTIs are not considered STIs.

Men may experience testicular pain or swelling. Women may have bleeding in between periods or painful sexual intercourse.

Your daughter needs to contact any past sexual partners, since anyone exposed needs treatment. Treatment is easy; prescription antibiotics remove the infection when taken as directed. If a person has chlamydia and receives treatment, reinfection is possible if the individual has unprotected sex with an infected partner. More information is available at http://www.cdc.gov/std/chlamydia/stdfact-chlamydia.htm.

PID stands for pelvic inflammatory disease. PID is an infection of a woman’s reproductive organs typically caused when an STI like chlamydia or gonorrhea is untreated. The infection spreads through the cervix (the opening of the uterus) to the fallopian tubes. Fertility – the ability to make babies – can be affected. PID can be treated. A reinfection of PID is possible. More information on PID can be found at http://www.cdc.gov/std/pid/stdfact-pid-detailed.htm

Behavioral changes are important to ensure your daughter’s health. She needs to follow her doctor’s instructions carefully, taking all medication. Avoiding sexual contact is the only way to totally prevent an STI. If a person is sexually involved, using a latex condom correctly, with every encounter, can reduce risk.

Your daughter is a person of worth. Supporting her through this challenging time with love and empathy can create a strong parent/youth connection. She needs your wisdom. If you’d like me to meet with her, just let me know. Thanks for writing.