How Can Chlamydia Be Transmitted

What Should I Expect During A Chlamydia Test

Your provider gives you a clean cup and asks you to urinate in it. Follow your providers instructions carefully when collecting a urine sample. Youll need to collect the urine as soon as it starts to come out .

Instead of a urine sample, your provider might collect a sample of secretions from your genitals or anus. They gather this sample by rubbing a cotton swab on the inside of your vagina, penis or anus. If your provider suspects that you have a chlamydia infection in your eye, they will collect a fluid sample from your eye.

If youre using an at-home chlamydia test, you will collect the sample yourself. Be sure to follow the instructions on the test kit carefully.

What Should I Expect After A Chlamydia Test

After collecting a sample, your provider sends the sample to a lab. If youre using an at-home kit, you will mail the sample to a lab. The lab will test the sample to check for bacterial DNA. Your provider will contact you when the results are ready and discuss the next steps.

While youre waiting for results, its very important to avoid having sex. If you do have the infection and you have sex, you can spread it to others.

Are There Complications Of Chlamydia

Chlamydia can cause serious complications if it isnt treated promptly and properly.

Untreated chlamydia can trigger arthritis, skin rashes, and inflammation in the eye or rectum.

For women, chlamydia can spread into the uterus and the fallopian tubes and cause pelvic inflammatory disease . This can cause problems with pregnancy, such as ectopic pregnancy. Women with untreated chlamydia have up to a 1 in 12 chance of becoming infertile. In men, chlamydia can spread to the testicles and the tubes that carry sperm, causing pain and fertility problems.

Pregnant women who are infected with chlamydia have a higher chance of miscarriage or premature birth. Their babies may also get an eye or lung infection. You can read more about chlamydia and pregnancy here.

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How Common Is Chlamydia

CDC estimates that there were four million chlamydial infections in 2018.3 Chlamydia is also the most frequently reported bacterial sexually transmitted infection in the United States.4 However, a large number of cases are not reported because most people with chlamydia are asymptomatic and do not seek testing. Chlamydia is most common among young people. Two-thirds of new chlamydial infections occur among youth aged 15-24 years.3 It is estimated that 1 in 20 sexually active young women aged 14-24 years has chlamydia.5

Disparities persist among racial and ethnic minority groups. In 2019, reported chlamydia rates for African Americans/Blacks were nearly six times that of Whites.4 Chlamydia is also common among gay, bisexual, and other men who have sex with men . Among MSM screened for rectal chlamydial infection, positivity has ranged from 3.0% to 10.5%.6,7 Among MSM screened for pharyngeal chlamydial infection, positivity has ranged from 0.5% to 2.3%.7.8

Will My Birth Control Work If I Am Taking Antibiotics

There is very little evidence to show that antibiotics make hormonal forms of birth control not work very well. Examples of hormonal birth control include the pill, the patch, the ring or the shot. If you are being treated with antibiotics, it is important to keep using your birth control as you normally would. If you have concerns, use condoms until your next period comes after completing the antibiotics, or speak to your health care provider for more information.

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How Can Doctors Tell If I Have Chlamydia

• Doctors suspect chlamydia based on your symptoms

• To tell for sure, theyll do tests on your urine or on a sample from your penis, vagina, throat, or rectum

Your doctor may put a small cotton swab in your penis, throat, or rectum to get a sample of fluid to test. If you’re a woman, your doctor will look in your vagina using a plastic speculum and swab the discharge from your cervix .

If you’re pregnant or are at higher risk of having chlamydia, your doctor may do a urine test for chlamydia when you don’t have any symptoms. Women are at higher risk if they:

• Are having sex and are under age 25

• Have ever had an STI

• Do risky sexual activities

• Have a partner who does risky sexual activities

Men are at higher risk if they:

• Have had sex with a man in the past year

Doctors may also test your blood or urine for other STIs because many people have more than one STI.

How Do You Get Tested

There are several different reliable tests for chlamydia. Newer tests, called NAATs , are very accurate and easy to take. Your healthcare provider can explain what testing options are available . If you dont have a regular healthcare provider, you can search here for a clinic near you.

People infected with chlamydia are often also infected with gonorrhea, so patients with chlamydia are often treated for gonorrhea at the same time, since the cost of treatment is generally less than the cost of testing.

If you live in Alaska, Maryland, or Washington, D.C., you can have a free at-home chlamydia test. Visit iwantthekit.org for more information.

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Treating Other Types Of Chlamydial Infections

Two other conditions caused by Chlamydia trachomatis are uncommon in the United States, but very common worldwide:

• Lymphogranuloma venereum : Lymphogranuloma venereum is treated in the same way as standard genital chlamydia infections, but a longer course of therapy is used . Other care may also be required to treat genital ulcers or abscessed inguinal nodes if they occur.
• Trachoma: Trachoma is the leading preventable cause of blindness worldwide and often requires aggressive treatment with antibiotics and surgery addressing unsanitary living conditions is also necessary.

You Can Get Chlamydia More Than Once

With some diseases, having one infection makes you immune to future infections. That’s not the case with chlamydia. If you engage in sexual activity with a person who has a chlamydia infection, you can get it again, even if you’ve just completed treatment for it.

“Both partners should be treated before reinitiating sexual intercourse to prevent relapse,” Schaffir says.

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Symptoms Can Differ For Men And Women

By and large, most cases of chlamydia are asymptomatic they are picked up by screening, which is why it’s so important to have good screening programs in place, notes Dr. Stoner. Men or women who have chlamydia symptoms may experience painful urination.

Women may also have these symptoms:

• Smelly discharge from the cervix
• Pain during sex

And men may have these symptoms:

• Discharge from the penis

Can You Prevent Chlamydia

You can lower your risk of getting chlamydia and other STIs by:

• using a condom every time you have vaginal, oral or anal sex
• not having sex with someone with chlamydia, even with a condom, until theyve finished treatment and 1 week has passed since their last dose of antibiotics
• regularly getting tested for STIs, especially if you are under 30 and sexually active

Remember that most people with chlamydia dont show any symptoms and dont know they have it, so feeling ‘well’ does not mean that you or your partner are not infected. If in doubt, get tested.

If you have chlamydia, you can help reduce the spread by letting your recent sexual partners know so they can get tested and treated.

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How Is Chlamydia Diagnosed

There are a number of diagnostic tests for chlamydia, including nucleic acid amplification tests , cell culture, and others. NAATs are the most sensitive tests, and can be performed on easily obtainable specimens such as vaginal swabs or urine.43

Vaginal swabs, either patient- or clinician-collected, are the optimal specimen to screen for genital chlamydia using NAATs in women urine is the specimen of choice for men, and is an effective alternative specimen type for women.43 Self-collected vaginal swab specimens perform at least as well as other approved specimens using NAATs.44 In addition, patients may prefer self-collected vaginal swabs or urine-based screening to the more invasive endocervical or urethral swab specimens.45 Adolescent girls may be particularly good candidates for self-collected vaginal swab- or urine-based screening because pelvic exams are not indicated if they are asymptomatic.

NAATs have demonstrated improved sensitivity and specificity compared with culture for the detection of C. trachomatis at rectal and oropharyngeal sites.40 Certain NAAT test platforms have been cleared by FDA for these non-genital sites and data indicate NAAT performance on self-collected rectal swabs is comparable to clinician-collected rectal swabs. 40

How Is Chlamydia Spread

You can get chlamydia by having vaginal, anal, or oral sex with someone who has chlamydia.

If your sex partner is male you can still get chlamydia even if he does not ejaculate .

If youve had chlamydia and were treated in the past, you can still get infected again. This can happen if you have unprotected sex with someone who has chlamydia.

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What It Looks Like

Symptoms of oral chlamydia look very similar to tonsillitis or strep throat. The throat will be red, and the tonsils will be swollen. White spots might appear on the back of the throat. In addition, a person might feel swollen lymph nodes on the sides of the neck.

The most accurate way to know whether you have oral chlamydia is through swab testing. Testing for chlamydia outside of the genital area is not a routine part of STD screening, which means that throat infections can go undiagnosed and untreated.

Untreated chlamydia of the throat could be a reason for the ongoing spread of the disease.

How Easily Is Chlamydia Transmitted During Sexual Intercourse

Unfortunately, chlamydia is very easily transmitted through unprotected sexual contact. This is especially true because chlamydia infections are sometimes asymptomaticâmeaning they donât cause noticeable symptoms.

In fact, any time you come in contact with the bacteriaâeven if your sex partner doesnât ejaculate or you arenât fully penetratedâyou could become infected or pass along the chlamydial infection. This being the case, men and women should get tested for STIs before beginning any new sexual relationship.

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Home Remedies For Chlamydia

Chlamydia is caused by a bacterial infection. The only true cure for this type of infection is antibiotics.

But some alternative treatments may help ease symptoms. Its important to remember that untreated chlamydia can lead to long-term complications, including fertility problems and chronic inflammation.

Home remedies for chlamydia that may be effective include:

• Goldenseal.This medicinal plant may limit symptoms during an infection by reducing inflammation.
• Echinacea. This plant has been widely used to boost the immune system in order to help people overcome infections of many types, from the common cold to skin wounds. It may help reduce symptoms of chlamydia.

Although compounds in these plants might help to ease inflammation and infection in general, there arent any quality studies that show theyre effective specifically for chlamydia symptoms.

Can Chlamydia Be Cured

Yes, chlamydia can be cured with the right treatment. It is important that you take all of the medication your doctor prescribes to cure your infection. When taken properly it will stop the infection and could decrease your chances of having complications later on. You should not share medication for chlamydia with anyone.

Repeat infection with chlamydia is common. You should be tested again about three months after you are treated, even if your sex partner was treated.

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How Often Should I Get Checked For Chlamydia

Sexual health check-ups are recommended for anyone who is sexually active. Frequency of testing also depends on your STI risk:

• An annual sexual health check-up is highly recommended if you are sexually active especially if you are under 25.
• Get checked more often during the year if you frequently change sexual partners.
• Remember, you are at greater risk if you have sex without a condom with 1 or multiple sexual partners.

Condom Use During The Treatment Period

• Avoid having sex without a condom during treatment because the infection can still be transmitted. Use condoms for 7 days after the start of treatment and until 7 days after all current sexual contacts have been treated.
• If you are on a combined oral contraceptive pill, use a condom for 14 days when having sex, as antibiotics can affect the reliability of the contraceptive pill.

After completing the treatment, phone your doctor or return to the clinic for a follow-up after 3 months to check you have not been re-infected.

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What Happens If I Dont Get Treated

The initial damage that chlamydia causes often goes unnoticed. However, chlamydia can lead to serious health problems.

If you are a woman, untreated chlamydia can spread to your uterus and fallopian tubes . This can cause pelvic inflammatory disease . PID often has no symptoms, however some women may have abdominal and pelvic pain. Even if it doesnt cause symptoms initially, PID can cause permanent damage to your reproductive system. PID can lead to long-term pelvic pain, inability to get pregnant, and potentially deadly ectopic pregnancy .

Men rarely have health problems linked to chlamydia. Infection sometimes spreads to the tube that carries sperm from the testicles, causing pain and fever. Rarely, chlamydia can prevent a man from being able to have children.

Know Your Sexual Health Status

If you have recently changed sexual partners, or have multiple sex partners, getting regularly tested for STIs will tell you if you have an infection. Some people can have an STI and not have any symptoms. Finding and treating an STI reduces the chances of passing infections on to your partner.

The more partners you have, the higher your chances of getting exposed to STIs.

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Chlamydia Is Common But Many People Dont Realize They Have It

About 1.7 million chlamydia infections were reported to the Centers for Disease Control and Prevention in 2017, but the real number is likely higher because chlamydia is considered an underreported infection.

“The number of reported cases is substantially lower than the true estimated incidence,” says Bradley Stoner, MD, PhD, associate professor of medicine at the Washington University School of Medicine in St. Louis and former president of the American Sexually Transmitted Diseases Association.

The National Notifiable Diseases Surveillance System relies on state and local public health departments to collect and report data on chlamydia to the CDC. Those public health departments depend on individual physicians, hospitals, and laboratories to report cases of chlamydia to them. Accurate statistics require all parties to routinely comply with disease-reporting mandates.

How Do You Get Oral Chlamydia

A person can get oral chlamydia by giving vaginal, penile, or anal oral sex to another person already infected with the bacteria.

Chlamydia trachomatis can also be spread from an infected persons throat to the penis. Research has not shown that the infection can spread from an infected persons throat to the vagina or rectum during oral sex.

Chlamydia does not seem to spread through kissing.

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How Chlamydia Is Treated

Chlamydia can usually be treated easily with antibiotics.

You may be given a course of doxycycline to take for a week or azithromycin to take once a day for 3 days.

If you have doxycycline, you should not have sex until you and your current sexual partner have finished treatment.

If you have azithromycin, you should wait 7 days after treatment before having sex .

It’s important that your current sexual partner and any other recent sexual partners you have had are also tested and treated to help stop the spread of the infection.

Under-25s who have chlamydia should be offered another test 3 to 6 months after being treated.

This is because young adults who test positive for chlamydia are at increased risk of catching it again.

Sexual health or genitourinary medicine clinics can help you contact your sexual partners.

Either you or the clinic can speak to them, or they can be sent a note advising them to get tested.

The note will not have your name on it, so your confidentiality will be protected.

How Common Is It

Oral chlamydia is not as common as genital chlamydia. Research shows that approximately 10% of people who visited a sexually transmitted disease clinic had genital chlamydia, but only 1.5% also had an infection in the throat.

Genital gonorrhea is not as common as genital chlamydia, but oral gonorrhea is more common than oral chlamydia.

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How Is Chlamydia Infection Diagnosed

Doctors have several tests they can use to screen for chlamydia. Note that screening for chlamydia in the throat isnt a part of usual STI testing.

If youve had a sore throat that doesnt seem to go away or have a partner that youve had oral sex with who tested positive for chlamydia, you might want to ask your doctor about pharyngeal chlamydia screening.

Doctors can use urine samples to diagnose chlamydia, but that doesnt help them diagnose chlamydia in the throat.

As a result, a doctor may swab your throat to test for chlamydia there. They send this swab to a laboratory, which tests the specimen for the presence of DNA from the bacteria that cause chlamydia.

This test is a little tricky because the Food and Drug Administration hasnt approved a swab test for pharyngeal chlamydia. Your throat contains a lot of bacteria, and this can make it hard to pinpoint chlamydia bacteria.

When a doctor uses a swab to test for chlamydia in the throat, its possible theyre doing so in an off-label fashion. This means the FDA hasnt specifically given the OK to use the test for pharyngeal chlamydia, but some doctors think swabs can help in detection.