What is Chlamydia?
Genital chlamydia (just referred to as chlamydia from now on in this article) is one of the most common sexually transmitted infections (STI) in the Ireland. It often causes no symptoms and can be passed on to others without you realising. However, symptoms and complications may develop if it is left untreated. A short course of an antibiotic medicine clears the infection in most cases.
Chlamydia is a sexually transmitted infection (STI) caused by a germ (bacterium) called Chlamydia trachomatis. In men, it usually affects the pipe through which urine is passed (the urethra) in the penis. In women, chlamydial infection usually affects the neck of the womb (cervix) and the womb (uterus). Chlamydia also sometimes causes infection of the eye, throat and lungs.
How do you get chlamydia and how common is it?
Most people with chlamydia get the infection by having sex with an infected person. You can become infected with chlamydia if you come into contact with the semen or vaginal fluids of a person who has chlamydia.
In 2015 in England, there were 200,288 new cases of chlamydia. Around 3 to 7 in 100 sexually active young people in the UK are infected with chlamydia. It is most common in those aged under 25. Many of those infected have no symptoms - 7 in 10 infected women and 5 in 10 infected men. They would not be aware they have the infection. You can be infected with chlamydia for months, even years, without realising it. The risk of infection increases with the number of changes of sexual partner. Wearing a condom during sex helps to protect you from chlamydia and other STIs.
Note: you cannot catch chlamydia from hugging, kissing or from sharing cups or cutlery.
What are the common symptoms of chlamydia?
No symptoms occur in around 7 in 10 infected women and 5 in 10 infected men. Also, you may not have any symptoms until several weeks (or even months) after coming into contact with chlamydia.
If chlamydia symptoms do occur in men, they may include:
Pain or burning when you pass urine.
Discharge from the end of your penis.
Pain or discomfort at the end of your penis.
If chlamydia symptoms do occur in women, they may include:
Vaginal discharge. This is due to the neck of the womb (cervix) becoming inflamed.
Pain or burning when you pass urine.
Vaginal bleeding or spotting between periods. In particular, bleeding after you have sex.
Pain or discomfort in the lower tummy (abdomen) area (the pelvic area), especially when you have sex.
Do I need any tests?
Chlamydia tests for males
For men the usual test is a urine test. When testing urine for chlamydia you should provide a urine sample after not having passed urine for at least an hour. You catch the first part of the urine stream in the container.
The other option is for a health professional to take a swab from the pipe through which urine is passed (the urethra) in the penis.
The Everyman Centre will advise you on the necessary tests for your condition.
Chlamydia Tests for females
The best test is a vaginal swab. A swab is a small ball of cotton wool on the end of a stick which is used to obtain mucus and cells to send to the laboratory for testing. It is inserted about 5 cm into your vagina and turned (rotated) gently for a few seconds. This test can be done by a health professional but it is also possible for you to do the test yourself. This is usually an option you are given if invited to have screening tests for chlamydia.
This is the most accurate test. There are two other possible tests. One is a swab taken from the neck of the womb (cervix) by a nurse or doctor.
When testing urine for chlamydia you should provide a urine sample after not having passed urine for at least an hour. You catch the first part of the urine stream in the container.
Other tests for chlamydia
If you have had anal or oral sex then you may have a back passage (rectal) or throat swab taken.
At the Everyman Centre if infection with chlamydia is confirmed, you will be advised to have tests for other STIs.
What is the treatment for chlamydia?
It is important that treatment for chlamydia should be started without delay. In some people where chlamydia is strongly suspected, this may even mean starting treatment before test results are available. Prompt treatment reduces the risk of complications in the future.
A short course of an antibiotic medicine usually clears chlamydial infection. You should not have sex until you and your sexual partner have finished treatment (or for seven days after treatment with a single-dose antibiotic).
The most commonly used antibiotics are:
Azithromycin tablets - one gram as a single dose, or,
Doxycycline tablets - 100mg twice a day for seven days.
Other options are available if these are not suitable for you.
Does my partner need to be treated?
Yes. Also, any other sexual partners within the previous six months should also be tested for infection.
If your sexual partner is infected and not treated then chlamydia can be passed back to you again after you are treated.
Why should I have treatment if I have no symptoms of chlamydia?
If you are infected with chlamydia, it is essential that you take treatment even if you do not have any symptoms of chlamydial infection. Reasons for this include:
The infection may spread and cause serious complications (see below). This can be months or years after you are first infected.
You can still pass on the infection to your sexual partner(s) even if you do not have symptoms.
Do I need to be tested again after treatment for chlamydia?
You do not usually need to have a test to check the treatment worked if you have taken an antibiotic medicine correctly. However, st the Everyman Centre it is advisable to have another test for chlamydia in the following situations:
If you think you have had sex with a person with chlamydia.
If your symptoms do not improve after treatment.
If you had unprotected sex before you finished the treatment.
If you did not complete the course of treatment.
If you are pregnant. (If you are pregnant and have been treated for chlamydia, you should have another test three weeks later.)
If you are aged under 25 and have had a positive test for chlamydia, you should have a repeat test three months later. This is to check the infection has cleared completely and that you have not got it back again.
What are the possible complications of chlamydia?
Possibly reduced fertility in men.
Reactive arthritis is a rare complication which can occur both in men and in women. In this condition, you get painful swollen joints. When this is combined with inflammation of the eye and of the pipe through which urine is passed (urethra), it is called Reiter's syndrome. It may be due to the immune system 'over-reacting' to chlamydial infection in some cases.
For women, if left untreated, the infection may seriously affect the womb (uterus) and Fallopian tubes - this is called pelvic inflammatory disease (PID). 10-40 women in 100 with chlamydia develop PID. This may develop suddenly and cause a high temperature (fever) and pain. It can also develop slowly over months or years without causing symptoms (also known as silent PID). However, over time, scarring or damage to the Fallopian tubes may occur and can cause:
Persistent (chronic) pelvic pain.
Difficulty becoming pregnant (infertility).
An increased risk of ectopic pregnancy if you become pregnant. In this condition, the pregnancy develops in a Fallopian tube and can cause serious life-threatening problems.
The risk of developing some complications of pregnancy, such as miscarriage, premature birth and stillbirth, is increased in pregnant women with untreated chlamydia.
If you have untreated chlamydia during childbirth, your baby may develop a chlamydial infection of their eye or lung during the birth.
The risk of complications is much reduced if chlamydial infection is treated early.
Who can be screened for chlamydia?
Testing is still offered regularly to sexually active young people. You can request testing regularly if you are in this category. You can do this through the Everyman Centre. It may be available in other ways (for example, online) depending on the area in which you live.
Certain other groups of people are also recommended to undergo screening for chlamydia. For example:
If you have a partner with chlamydia.
If you have another STI.
If you are a semen donor.
If you have had two or more sexual partners in the past year.
At the Everyman Centre Men you will be asked to give a urine sample.
How can the Everyman Centre can assist you?
The Everyman Centre offers testing for all sexual transmitted infections and diseases. If you feel you have an STI or STD we can arrange testing as required. The Everyman Centre is a clinic where we treat all areas of men’s sexual health.
Call the Everyman Centre for an appointment at 01 678 8010.
This article is reproduced with permission and was originally posted here http://patient.info/health/genital-chlamydia-leaflet