#STIs

For many women, a bit of cramping or an abnormal discharge is often dismissed as nothing more than “just another bad period” or a routine infection. However, recent medical research warns that these subtle symptoms could, in fact, be the body’s urgent distress call about a condition far more severe than it appears: pelvic inflammatory disease (PID). Frequently ignored and frequently misunderstood, PID represents a significant, silent threat to fertility—a risk that is often only discovered when women try to conceive, sometimes years after the initial, nearly invisible damage has been done. In the United States alone, more than one million women are estimated to be affected by PID each year, making it one of the leading causes of preventable infertility (Rolling Out).

A mild cramp or a touch of fatigue might seem like an everyday nuisance, but new research highlights that dismissing these subtle signs could have serious long-term effects on women’s fertility. Pelvic Inflammatory Disease (PID)—an often silent and preventable disorder affecting the female reproductive system—remains one of the leading causes of infertility, yet public awareness in Thailand and around the globe is worryingly low (Rolling Out).

This news has wide significance for Thai readers, as reproductive health is intrinsically bound not only to personal wellbeing but also broader demographic trends and social stability. While Thailand has made progress in expanding access to reproductive healthcare, conditions like PID—often overshadowed by more high-profile women’s health issues—have a hidden toll, affecting families, livelihoods, and the nation’s future. According to the Department of Obstetrics and Gynecology at Chiang Mai University, PID is frequently underdiagnosed in Thailand because of its subtle presentation and the stigma around sexual health conversations (med.cmu.ac.th).

Sexually transmitted infections (STIs) are fast emerging as one of the most serious yet often overlooked threats to women’s health and fertility globally, according to the latest research highlighted by experts. Mounting evidence indicates that untreated STIs not only cause acute symptoms but can lead to long-term reproductive health complications, with grave implications for women across all regions—including Thailand.

Recent research reviewed by international health authorities reveals an alarming surge in the incidence of common STIs, such as chlamydia, gonorrhea, and syphilis. These infections, when left untreated, can progress silently to cause pelvic inflammatory disease (PID) and subsequent infertility, especially among women of reproductive age. According to a 2024 review in Drug Topics, millions of women each year are at risk of permanent reproductive harm due to preventable and treatable infections.