How Long Does Chlamydia Last

If I Have Chlamydia Am I At Risk Of Other Sexually Transmitted Infections

Yes. By definition, having unprotected sex means risk of STI. As well as chlamydia, there are also genital warts, genital herpes, gonorrhoea, HIV, pubic lice, and syphilis. Like with chlamydia, gonorrhoea may well cause no symptoms, so being tested is the only way to really know. This can be done at your local sexual health clinic.

What Are The Treatments For Chlamydia

If you are diagnosed with chlamydia, your doctor will prescribe oral antibiotics. A single dose of azithromycin or taking doxycycline twice daily for 7 to 14 days are the most common treatments and are the same for those with or without HIV.

With treatment, the infection should clear up in about a week. Do not have sex for at least 7 days until you have taken all of your medication, and do not stop taking the antibiotics even if you feel better.

Your doctor will also recommend that your partner be treated as well to prevent reinfection and further spread of the disease.

Women with serious infections, such as pelvic inflammatory disease, may require a longer course of antibiotics or hospitalization for intravenous antibiotics. Some severe pelvic infections may require surgery in addition to antibiotic therapy.

Make sure you get retested after three months to be certain the infection is gone. Do this even if your partner has been treated and appears to be infection free.

How Do I Know If I Have Chlamydia

Most people who have chlamydia have no symptoms. If you do have symptoms, they may not appear until several weeks after you have sex with an infected partner. Even when chlamydia causes no symptoms, it can damage your reproductive system.

Women with symptoms may notice

• An abnormal vaginal discharge
• A burning sensation when urinating.

Symptoms in men can include

• A discharge from their penis
• A burning sensation when urinating
• Pain and swelling in one or both testicles .

Men and women can also get infected with chlamydia in their rectum. This happens either by having receptive anal sex, or by spread from another infected site . While these infections often cause no symptoms, they can cause

• Rectal pain
• Discharge
• Bleeding.

You should be examined by your doctor if you notice any of these symptoms or if your partner has an STD or symptoms of an STD. STD symptoms can include an unusual sore, a smelly discharge, burning when urinating, or bleeding between periods.

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When To See A Doctor

If a person has symptoms of chlamydia after testing and treatment or thinks that they have come into contact with chlamydia again, they should see their doctor.

Females are less likely than males to have symptoms of chlamydia, so testing is especially important for them.

The recommend chlamydia testing every year for the following groups of people:

• sexually active females under the age of 25 years
• females over the age of 25 years who have new or multiple sexual partners
• anyone with a sexual partner who has an STI
• sexually active gay and bisexual males

Pregnant women should have a chlamydia test early on in their pregnancy.

How Can I Prevent Chlamydia

It’s easier to prevent an STI like chlamydia than it is to treat it:

• Don’t have more than one sex partner at a time. The safest sex is with one partner who has sex only with you. Every time you add a new sex partner, you are being exposed to all of the infections that all of their partners may have.
• Use a condom every time you have sex. Latex and polyurethane condoms keep out the viruses and bacteria that cause STIs.
• Be responsible. Don’t have sex if you have symptoms of an infection or if you are being treated for an STI.
• Wait to have sex with a new partner until both of you have been tested for STIs.

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Chlamydia Is Caused By Sexually Transmitted Bacteria

The bacteria Chlamydia trachomatis causes chlamydia infection, which usually occurs in the genital tract, so the cervix in women and the penis in men. In both women and men, the bacteria may also infect the rectum and the throat.

“Infections are spread during any kind of sexual activity: vaginal, anal, or oral intercourse,” says Jonathan Schaffir, MD, an ob-gyn at Ohio State University Wexner Medical Center in Columbus.

Chlamydia trachomatis can also cause conjunctivitis if the bacteria come into contact with the eyelids or the clear membrane covering the white of the eye.

Because chlamydia infections often cause no symptoms, individuals who have one may not seek medical attention or get treated for it. However, anyone who is infected with chlamydia can pass it to other people, who can, in turn, pass it to others.

How Long Does Chlamydia Last Untreated

Chlamydia is a sexually transmitted disease caused by a bacteria called Chlamydia trachomatis. These bacteria target mucous membranes, including the surfaces of the vagina, cervix, endometrium and urethra and the fallopian tubes.

Chlamydia is quickly treatable with antibiotics, however does not clear up on its own if left neglected. If left neglected, the bacteria continues and may eventually produce a hazardous condition.

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How Is Chlamydia Treated

The following are the recommended treatment regimens for chlamydia according to the Guidelines for Sexually Transmitted Diseases, released in 2015, but still considered current. Only one regimen should be chosen.

• Azithromycin 1 gram orally as a single dose
• OR

• Ofloxacin 300 mg orally twice a day for 7 days.

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.

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How Long Does It Take To Show Up In People With Penises

Theres no significant difference in the amount of time it takes for chlamydia symptoms to show up for people with penises as compared to people with vulvas.

The only major difference in the time it takes for symptoms to show up among people of various sexes may be related to how often symptoms show up.

According to the Childrens National Health System, 90 percent of people with vulvas dont ever experience any physical symptoms, while 70 percent of people with penises never notice any symptoms.

This difference in who actually experiences symptoms between these two groups may have some effect on how long it takes for symptoms show up. But theres never been any definitive link between your sex and when your symptoms appear.

Is It Possible To Get Chlamydia From A Toilet Seat

Chlamydia trachomatis, the bacteria that causes chlamydia infection, cannot survive outside the human body. Thus, you cannot get chlamydia from a toilet seat. Chlamydia can also not be transmitted through other means of casual contact, such as hugging, kissing, or by sharing towels, bed linen, swimming pools, or cutlery.

Some people are concerned about what will happen if they come in contact with a fresh droplet of the body fluid containing chlamydia left on a towel, bed linen, or toilet seat. However, merely coming in contact with the droplet just because it touched your skin or buttocks is not sufficient for you to get the infection. The bacteria need to come in contact with a suitable body tissue such as the cervix, urethra, or cornea of the eye to survive.

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When Can I Have Sex Again

If you had doxycycline, you shouldn’t have sex including vaginal, oral or anal sex, even with a condom until both you and your partner have completed treatment.

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

This will help ensure you don’t pass on the infection or catch it again straight away.

How Can I Reduce My Risk Of Getting Chlamydia

The only way to avoid STDs is to not have vaginal, anal, or oral sex.

If you are sexually active, you can do the following things to lower your chances of getting chlamydia:

• Be in a long-term mutually monogamous relationship with a partner who has been tested and has negative STD test results
• Use latex condoms the right way every time you have sex.

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Ways To Prevent Chlamydia Infection

In case if you are infected with Chlamydia then it is important to take preventive steps to stop spreading it further to other sex partners. Always prefer to follow these tips for prevention:

Any genital chlamydia symptoms in men like burning sensation at the time of urination or discharge can cause unusual rashes or sore. It is the right symptom to stop sexual contact and visit your doctor immediately. In case your doctor immediately identifies presence of Chlamydia in your body then it is good to start treatment from the same day.

Let your past partners know about this disease and ask them to have test fast at a trusted medical clinic. As Chlamydia symptoms are rarely noticeable so it is important to stay aware and protected with proper Chlamydia cure.

Where Can I Get More Information

Health care providers with STD consultation requests can contact the STD Clinical Consultation Network . This service is provided by the National Network of STD Clinical Prevention Training Centers and operates five days a week. STDCCN is convenient, simple, and free to health care providers and clinicians. More information is available at www.stdccn.orgexternal icon.

Division of STD Prevention Centers for Disease Control and Prevention

Research Triangle Park, NC 27709-38271-800-783-987

References

1. OFarrell N, Morison L, Moodley P, et al. Genital ulcers and concomitant complaints in men attending a sexually transmitted infections clinic: implications for sexually transmitted infections management. Sexually transmitted diseases 2008 35:545-9.

2. White JA. Manifestations and management of lymphogranuloma venereum. Current opinion in infectious diseases 2009 22:57-66.

3. Kreisel KM, Spicknall IH, Gargano JW, Lewis FM, Lewis RM, Markowitz LE, Roberts H, Satcher Johnson A, Song R, St. Cyr SB, Weston EJ, Torrone EA, Weinstock HS. Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2018. Sex Transm Dis 2021 in press.

4. CDC. Sexually Transmitted Disease Surveillance, 2019. Atlanta, GA: Department of Health and Human Services April 2021.

5. Torrone E, Papp J, Weinstock H. Prevalence of Chlamydia trachomatis Genital Infection Among Persons Aged 1439 Years United States, 20072012. MMWR 2014 63:834-8.

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What Are The Long Term Effects Of Chlamydia

For women, the long-term effects of an untreated chlamydia infection may include: Severe infection with pain and fever requiring a hospital stay. Pelvic inflammatory disease, an infection of the upper reproductive tract. Scarring in the reproductive tract that causes infertility. Higher risk of ectopic pregnancy.

Is Azithromycin Better Than Doxycycline At Curing Chlamydia

STD guidelines still favor azithromycin over doxycycline for the treatment of chlamydia. This is because of the following reasons:

• Cure rates of azithromycin and doxycycline are similar, 97% and 98-100% respectively, according to a meta-analysis of 12 trials.
• Azithromycin is given as a single dose, doxycycline needs to be given for seven days, either as a once-daily or twice-daily dose.
• The dose of azithromycin can be easily supervised if need be it is much harder to supervise seven days of once daily or twice daily doxycycline treatment
• People are more likely to take a single dose of azithromycin than finish a seven-day course of doxycycline.

Recently, some reports have suggested that doxycycline may be more effective than azithromycin, particularly when medication adherence can be assured. There is also some concern that azithromycin may not be as effective for anogenital chlamydial infections.

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When To Seek Medical Advice

If you have any symptoms of chlamydia, visit your GP, community contraceptive service or local genitourinary medicine clinic as soon as possible.

Find a sexual health clinic.

You should also get tested if you don’t have any symptoms but are concerned you could have a sexually transmitted infection .

If you’re a woman, sexually active and under 25 in England, it’s recommended that you have a chlamydia test once a year, and when you have sex with new or casual partners.

If you’re a man, sexually active and under 25 in England, it’s recommended that you have a chlamydia test once a year if you are not using condoms with new or casual partners.

Read more about chlamydia diagnosis.

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

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Youre Not Immune To Chlamydia Once Youve Had It

Once youve had some diseases, you cant catch them again. Unfortunately, this isnt true for chlamydia. Repeat chlamydia infections are common.

If youve had chlamydia in the past, you have no immunity against the infection. If youre sexually active with somebody who has the infection, you could catch it again. Since reinfection is common, you should get tested for chlamydia about three months after being treated for the infection.

What Are Symptoms Of Chlamydia

Chlamydia and gonorrhea have extremely comparable symptoms, if they are symptomatic at all

Therefore, since chlamydia will not disappear on its own if left neglected, if you are experiencing symptoms, or if you may have been exposed, you ought to go to a doctor for a diagnosis.

Symptoms include an inflamed anus or urethra, vaginal or penile discharge, burning while urinating, lower abdomen or back pain, pain during sex, irregular bleeding between periods, swollen testicles, fever or queasiness.

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What Happens If Chlamydia Goes Untreated

If a person is not treated for chlamydia, complications may occur. Women frequently develop pelvic inflammatory disease . PID can cause infertility , chronic pelvic pain, tubal pregnancies, and the continued spread of the disease. In men, untreated chlamydia can cause urethral infection and complications such as swollen and tender testicles. Chlamydia infection during pregnancy may result in premature rupture of membranes, preterm delivery and possible tubal pregnancy in a small percent of women. In addition, chlamydia can cause conjunctival and pneumonic infection in the newborn. Persons with a chlamydia infection have an increased chance of getting other infections such as gonorrhea or HIV.

What Complications Can Result From Chlamydial Infection

The initial damage that chlamydia causes often goes unnoticed. However, chlamydial infections can lead to serious health problems with both short- and long-term consequences.

In women, untreated chlamydia can spread into the uterus or fallopian tubes and cause pelvic inflammatory disease . Symptomatic PID occurs in about 10 to 15 percent of women with untreated chlamydia.30,31 However, chlamydia can also cause subclinical inflammation of the upper genital tract . Both acute and subclinical PID can cause permanent damage to the fallopian tubes, uterus, and surrounding tissues. The damage can lead to chronic pelvic pain, tubal factor infertility, and potentially fatal ectopic pregnancy.32,33

Some patients with chlamydial PID develop perihepatitis, or Fitz-Hugh-Curtis Syndrome, an inflammation of the liver capsule and surrounding peritoneum, which is associated with right upper quadrant pain.

In pregnant women, untreated chlamydia has been associated with pre-term delivery,34 as well as ophthalmia neonatorum and pneumonia in the newborn.

Reactive arthritis can occur in men and women following symptomatic or asymptomatic chlamydial infection, sometimes as part of a triad of symptoms formerly referred to as Reiters Syndrome.35

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Can Chlamydia Go Away On Its Own

It is highly unlikely for chlamydia to go away on its own. Although the symptoms may subside temporarily, the infection may persist in the body in the absence of treatment . It is important to seek diagnosis and timely treatment to get rid of the infection.

If treatment is not sought, chlamydia can lead to the following serious complications:

• Pelvic inflammatory diseases or PID
• Infertility
• Fitz-Hugh-Curtis Syndrome
• Untreated chlamydia in pregnant women can cause serious consequences such as preterm delivery , ophthalmia neonatorum , and pneumonia in the newborn.
• Reactive arthritis may develop in men and women following chlamydia infection.
• Men have less symptoms linked to chlamydia compared with women. Chlamydia infection can sometimes lead to epididymitis , causing pain and fever. Rarely, chlamydia can cause infertility in men.