Infertility/Fertility/Group A Strep
I have had two C&S confirmed vaginal swabs growing Group A Strep [GAS]and received treatment between for recurrence of initial GAS [I believe it was Strep A but swab not cultured].
The last infection was diagnosed as a PID [based on blood work and physical symptoms].
I am a 56 and until Nov/12 have never had any problem with infections or Gyne issues. Postmenopausal for last ten years.
The symptoms I experienced before going to Emerg with PID [04/13] continue....pubic bone pain, yellow discharge [scant to moderate], lower abdominal and mid abdomen discomfort. My Dr.is investigating an extruded disc at L1-L2. I am going to try an ilioinguinal nerve block to see if this relieves the pelvic symptoms.
At this point I can't read my body very well, I just know something's not right.
My question is three part.
1. Have you heard of recurrent GAS in women my age and why does this recur? My gyne had no answer....could my partner or I be a Strep carrier?
2.Could I still be harbouring a mildly chronic form of GAS
3. Can the Ilioinguinal nerve become entrapped with so many infections [treated for BV three times, Strep A three times in last eight months]
Also had an endometrial biopsy which showed 4+ acute inflammatory cells [vag swab +for BV one week prior].
Thank you in advance for your comments.
Hello Kathy from Canada,
This question is probably better answered by an infectious disease specialist rather than a gynecologist but I'll tell you what limited information I know regarding your issues.
1. Group A strep is a very common pathogen and ready found in multiple areas including the skin. It is not usually associated with gynecologic, pelvic or vaginal disease. I wonder if the cultures were contaminants. If is very easily treated with penicillin type antibiotics. I would not expect this to be the source of a PID, if that is in fact what you had (PID is overly diagnosed).
2. Bcause it is so common, just about anyone can get a culture positive for this bacteria. Can you be harboring it chronically? I would say this is a possibility.
Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com
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