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

### input:
Hello, About three years ago I was diagnosed with PID, however I didnt get tested until about a month after having sex, so it was unidentified for that period of time. I was then given the antibiotics and have now stopped seeing that partner. I have now been with my current partner for two years, and we have been trying for a baby for nine months. Over the last few weeks i have been getting lower abdominal pains which are constantly there, but go from a dull to a sharp pain. I have seen several gps, the first doctor said it was ibs, the second doctor said it was a pulled muscle, and the third doctor said it could be an infection, so i was told to go the STI Clinic. I had tests done and the nurse there seemed to think it could be PID again, so both me and my partner have been given antibiotics which we have both nearly finished. I am still suffering with the pains, and especially after sex. I am growing really concerned as to whether I am infertile and thats why we didnt conceive, or whether the pains and PID could be linked to that? Please can you help me as my mind needs to be put at rest.

### output:

Hi. Thanks for your query and history in detail. Your concerns are about the dyspareunia, meaning painful sex, pain in lower abdomen and infertility. The cause is obviously the PID which you have already been diagnosed with. The therapy of both the partners is the most proper treatment and needs to be repeated every month for three months. I would suggest you the following:Repeat the course of an antibiotic, metronidazole, antifungal every month for 3 months for both of you. Ultrasonographic evaluation of ovulation. Diagnostic Laparoscopy with tubal patency test. Hormonal Assay of both of you. Semen analysis of your partner. These will help you to get the exact diagnosis and give a plan for treatment.