### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi there, I had an STI check in March which was all clear. In May i fell pregnant and found out it was ectopic, i was treated at 8 weeks pregnant in July by being given the methadraxine injection. I split up with my partner after suspecting he had been cheating and started a relationship with a new partner at the end of July. At the end of August I went for an STI check (because of entering a relationship with my new partner) and tested positive for Chlamidiyah my new partner was also tested but was negative although they treated us him as well as myself for precautionary measures. I have been to the drs today as i have some mild pains now and again since the ectopic, no irregualr bleeding or discharge but just pains in my abdomen every so often (they could just be ovulation pains im not sure) anyway my dr has prescribed me Methonidazole and Cefalexin for a 7 day period incase i have Pelvic Immflamotary Infection. I am just a bit confused about having an ectopic and then Chlamidiyah as i was tested in March and was clear surely it is not long enough for the chlamidiyah to cause an ectopic pregnancy if i contracted it between march (when i was tested clear) and May when i fell pregnant with an ectopic? I am also worried about my fertilitiy after all of this. Could you please shed some light. Many thanks

### output:

Hallow, I have gone through your detailed history and have got the gist of it. We have to discuss your problem in two parts.1. Chlamydia can coinfect with gonorrhea also. This STI can block the tubes. If the block is complete, it will lead to infertility while if it is incomplete, it may cause ectopic pregnancy (which you had). Now I would advise you to undergo thorough investigations for tubal patency by hysterosalpingography (injecting a radio-opaque dye in the uterus and tubes and taking an X-ray). Depending up on the conditions of your tube(s) you may take further decision.2. Now you are having pain in the abdomen, your doctors have started antibiotics for you: both these facts indicate that you may have pelvic infection. Pelvic infection does result in adhesions in the pelvis resulting in to partial or tubal obstruction. To see the adhesions, laparoscopy will be right intervention through which these adhesions may be broken. I must appreciate your attitude and your doctors decision to treat both of you simultaneously. In fact that is the dictum of treatment of STI, otherwise the recurrence is known. Now please get investigated on the lines I have suggested you for achieving a normal pregnancy. For any further information and/or explanation, you may ask me direct question.