Im Pregnant How Does Chlamydia Affect My Baby
If you are pregnant and have chlamydia, you can pass the infection to your baby during delivery. This could cause an eye infection or pneumonia in your newborn. Having chlamydia may also make it more likely to deliver your baby too early.
If you are pregnant, you should get tested for chlamydia at your first prenatal visit. Testing and treatment are the best ways to prevent health problems.
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What Are The Different Types Of Chlamydia Medication
Chlamydia is among the most common of sexually transmitted infections, and there are several types of antibiotic medications available to treat it. The two most popular chlamydia medications are doxycycline and azithromycin, antibiotics that are considered the most effective. Ofloxacin and levofloxacin also are usually successful at eliminating the infection, but they are often more expensive than the top two medications. Pregnant patients usually have to use other options when it comes to chlamydia medication, because one of the most popular treatments, doxycycline, is not considered safe during pregnancy. Thus, pregnant women are more likely to be prescribed erythromycin or amoxicillin.
Ofloxacin is another type of chlamydia medicine, and while it is considered as effective as doxycycline and azithromycin, it is usually more expensive. This is the main reason it is not given out frequently by doctors. Like doxycycline, ofloxacin needs to be taken twice a day for a week and cannot be taken by pregnant or breastfeeding women. Levofloxacin is a similar drug that is sometimes substituted for other chlamydia medications, but it is usually just as expensive as ofloxacin.
Effects Of Chlamydia Treatment
After you have begun your course of chlamydia treatment, you should start to notice an improvement in your symptoms within a few days. Generally, most symptoms should resolve completely within 24 weeks. If any symptoms persist, such as pelvic pain or pain during sex, please return to the clinic as further treatment or investigations may be necessary.
If you are diagnosed with chlamydia you may need to inform anyone you have had sex with within the last six months as they may also be infected. They should be advised to attend a sexual health clinic for a chlamydia test and will usually be offered treatment on the day they attend. This advice is regardless of whether they have any symptoms or not, or whether or not you used a condom.
If you feel unable to inform previous sexual partners one of our Health Advisers will be able to notify them on your behalf without revealing your identity.
You should not have oral, anal or vaginal sex during your course of chlamydia treatment or for seven days after a single dose of chlamydia treatment and also until your current partner completes their treatment and until both you and your partners symptoms have abated. This is to avoid being re-infected and requiring further treatment.
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How Do I Test For Chlamydia
You can get tested for chlamydia even if you dont have any symptoms.
Getting tested for chlamydia is easy and doesnt hurt. A healthcare professional will ask for a urine sample and/or take a swab from the area that might be infected. This is usually the lower part of the womb or the vagina for women, and the tip of the penis for men. If youve had anal or oral sex, you may have a swab taken from your anus or throat.
In some countries you can get a self-testing kit to do at home.
If you test positive for chlamydia, its important to tell any recent sexual partner/s so they can also get tested, and treated if necessary. If you need advice about how to do this, speak to your healthcare professional. You should also test for other STIs.
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Management Of Sex Partners
Sex partners should be referred for evaluation, testing, and presumptive treatment if they had sexual contact with the partner during the 60 days preceding the patients onset of symptoms or chlamydia diagnosis. Although the exposure intervals defining identification of sex partners at risk are based on limited data, the most recent sex partner should be evaluated and treated, even if the time of the last sexual contact was > 60 days before symptom onset or diagnosis.
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Testing And Treating Sexual Partners
If you test positive for chlamydia, it’s important that your current sexual partner and any other recent sexual partners you’ve had are also tested and treated.
A specialist sexual health adviser can help you contact your recent sexual partners, or the clinic can contact them for you if you prefer.
Either you or someone from the clinic can speak to them, or the clinic can send them a note to let them know they may have been exposed to a sexually transmitted infection .
The note will suggest that they go for a check-up. It will not have your name on it, so your confidentiality will be protected.
Page last reviewed: 01 September 2021 Next review due: 01 September 2024
What Is Chlamydia Like
Chlamydia is a common sexually transmitted infection . Most people who have confirmed cases of chlamydia are recorded to have no symptoms. When symptoms do appear, it occurs in the form of a pus-like yellow discharge, frequent or painful urination. Additionally, some women experience spotting between periods or after sex. Also, rectal pain irritation, bleeding or discharge can occur. Some patients may experience lower abdominal pain, swollen or tender testicles. If left untreated, chlamydia may lead to infertility or irreversible reproductive issues.
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How Long Can Chlamydia Lay Dormant
22 February 2021
Chlamydia is one of the most common sexually transmitted diseases in the UK. In 2018 alone, 49% of all new diagnoses of STDs were Chlamydia. A possible reason for this is that the Chlamydia can lay dormant for many years without the carrier knowing. In this blog, we will look at how Chlamydia is transmitted, and how to prevent and treat it.
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How Accurate Are The Tests
The accuracy of a chlamydia test depends on the kind of test used and the type of sample thats collected. The recommended tests are over 95% accurate in picking up chlamydia. As no test is 100% accurate theres a small chance that the test will give a negative result when you do have chlamydia. This is known as a false negative result. This can sometimes explain why you might get a different result from another test or why you and a partner might get a different test result.
Its possible for the test to be positive if you havent got chlamydia, but this is rare.
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What Is The Best Chlamydia Treatment
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The best antibiotic to treat chlamydia is doxycycline. If doxycycline cannot be taken, the second line choice of medication to treat chlamydia is azithromycin. Both treatments are over 90% effective and should only be taken if you, or a recent sexual partner, has tested positive for chlamydia.
How Can I Tell My Partner Will They Think I’ve Cheated On Them
You may feel embarrassed, scared or angry. However it is important and respectful to let your partner know as soon as possible so they can get tested and treated. Remember that chlamydia often has no symptoms, so a diagnosis doesn’t necessarily mean the infection was caught recently. You may not be sure when you were exposed. Many people are surprised how supportive their partner is, and how they appreciate being confided in.
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Parents Have A Role In Chlamydia Prevention
Parents can do two main things to help their kids avoid getting chlamydia and other sexually transmitted infections , says Dombrowski. These two things are:
Chlamydia Treatment And Prevention
Milly DawsonSanjai Sinha, MDShutterstock
Chlamydia is easy to cure. If you test positive for chlamydia, basically you take an antibiotic, says Jill Rabin, MD, cochief in the division of ambulatory care for womens health programs and prenatal care assistance program services for Northwell Health in New Hyde Park, New York.
Your partner must take an antibiotic, too, to keep them from reinfecting you, she says.
You have to have your partner treated, and if you have more than one partner, they should all be treated, says Dr. Rabin, regardless of your partners genders.
Even if you dont have chlamydia now, its wise to learn how to protect yourself so you wont develop this common infection in the first place. In women, chlamydia can create serious health problems, including infertility. Besides, no one ever wants to have a sexually transmitted disease and then have to tell other people about it.
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Does Chlamydia Treatment Have Side Effects
An antibiotic called Doxycycline is the most common medicine used to treat chlamydia. Like most medicines, it can cause mild side effects. The most common side effects of Doxycycline are nausea, vomiting, upset stomach, loss of appetite, mild diarrhea, skin rash or itching, change in skin color, vaginal itching, or discharge. These side effects should go away after you finish taking the medicine. Talk to your nurse or doctor about any medicines youre already taking and any medical issues you already have before taking Doxycycline.
Does Azithromycin Also Cure Chlamydia
Azithromycin was the first choice antibiotic to treat chlamydia until February 2019 when BASHH guidance was issued recommending a 7-day course of doxycycline as the first choice treatment based on recent data. Azithromycin is now recommended only for pregnant women and those with an allergy to doxycycline.
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Chlamydial Infection Among Neonates
Prenatal screening and treatment of pregnant women is the best method for preventing chlamydial infection among neonates. C. trachomatis infection of neonates results from perinatal exposure to the mothers infected cervix. Initial C. trachomatis neonatal infection involves the mucous membranes of the eye, oropharynx, urogenital tract, and rectum, although infection might be asymptomatic in these locations. Instead, C. trachomatis infection among neonates is most frequently recognized by conjunctivitis that develops 512 days after birth. C. trachomatis also can cause a subacute, afebrile pneumonia with onset at ages 13 months. Although C. trachomatis has been the most frequent identifiable infectious cause of ophthalmia neonatorum, neonatal chlamydial infections, including ophthalmia and pneumonia, have occurred less frequently since institution of widespread prenatal screening and treatment of pregnant women. Neonates born to mothers at high risk for chlamydial infection, with untreated chlamydia, or with no or unconfirmed prenatal care, are at high risk for infection. However, presumptive treatment of the neonate is not indicated because the efficacy of such treatment is unknown. Infants should be monitored to ensure prompt and age-appropriate treatment if symptoms develop. Processes should be in place to ensure communication between physicians and others caring for the mother and the newborn to ensure thorough monitoring of the newborn after birth.
Summary Of The Evidence
There is no evidence relating to patient values and preferences but the Guideline Development Group agreed that there is probably no variability in the values people place on the outcomes. Research related to other conditions indicates that adherence may be improved with simpler medication regimens. The GDG therefore agreed that azithromycin may be more acceptable to patients since it is a single dose regimen . There is little to no evidence for equity issues and feasibility. Resistance in other infections that often co-occur with chlamydia may restrict the use of some medicines, such as ofloxacin. For many of these medicines, costs may differ between countries in places with high incidence of chlamydia, the cost differences between azithromycin and doxycycline may be large due to greater numbers of people requiring treatment.
In summary, there was moderate quality evidence for trivial differences in benefits and harms between azithromycin and doxycycline, and although the cost of azithromycin is higher, the single dose may make it more convenient to use than doxycycline. While the differences are also trivial with the other medicines, the evidence is low quality and these are therefore provided as alternatives, with the exception of delayed-release doxycycline, which is currently expensive.
See for list of references of reviewed evidence, and for details of the evidence reviewed, including evidence profiles and evidence-to-decision frameworks .
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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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How To Take The Medicine
- you should take these pills with food
- you should have 2 pills of azithromycin. Each pill contains 500g of the medicine. You should take both with water at the same time. You need to take 2 pills to be cured
- do not take antacids for 1 hour before or 2 hours after taking the azithromycin pills
- do not share or give this medicine to anyone else.
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Does Azithromycin Cure Chlamydia
Cure rates of 97% were reported in an analysis of 12 randomized clinical trials that investigated the use of azithromycin 1 gram for the treatment of chlamydia. That means for every 100 people with chlamydia who take azithromycin, 97 will be cured and 3 will not be cured.
This relies on the person with chlamydia taking azithromycin exactly as directed and not sharing the medication with anyone. Any sexual partners must be also treated.
Although azithromycin cures chlamydia in most people, it will not repair any permanent damage done to tissues by the disease.
If you have been symptomatic with chlamydia before treatment and your symptoms continue for more than a few days after receiving treatment, then ask to be re-evaluated by your health care provider.
Unfortunately, repeat infection with chlamydia is common. This means that even though azithromycin has cured your current infection with chlamydia, this does not mean you will not get chlamydia again. If your sexual partners have not been appropriately treated, you are at high-risk for reinfection. Having chlamydia multiple times puts women at high risk of fertility problems, ectopic pregnancy, and pelvic inflammatory disease. Infants born to mothers who are infected with chlamydia may develop chlamydial conjunctivitis and/or pneumonia. Chlamydial infection in infants can be treated with antibiotics.
When Can I Expect For Chlamydia Signs To Show Up
Chlamydia is a serious issue for both women and men. The majority of the infected experience no signs, which is why 70% of the women infected, and most men have no clue they carry it.
If the signs do show up, it will take 1 to 3 weeks after the patient has been exposed to the infection for the bacteria to manifest and produce symptoms. What most people dont know about is that every bacteria has an incubation period, chlamydia has one as well.
This period can vary for every individual. For example, for some individuals, the incubation period can last for a couple of days, so the first signs of the infection will start to develop just days after they have been exposed to the bacteria.
For others, it can take months for any signs to show, which means the incubation period lasts much longer, and the only way to know if that individual is infected with chlamydia is to get tested. But, on average, it takes 1 to 3 weeks after the person has been infected for any signs to show.
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Can 1500mg Of Azithromycin Cure Chlamydia
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Milly DawsonSanjai Sinha, MDShutterstock
Chlamydia is easy to cure. If you test positive for chlamydia, basically you take an antibiotic, says Jill Rabin, MD, cochief in the division of ambulatory care for womens health programs and prenatal care assistance program services for Northwell Health in New Hyde Park, New York.
Your partner must take an antibiotic, too, to keep them from reinfecting you, she says.
You have to have your partner treated, and if you have more than one partner, they should all be treated, says Dr. Rabin, regardless of your partners genders.
Even if you dont have chlamydia now, its wise to learn how to protect yourself so you wont develop this common infection in the first place. In women, chlamydia can create serious health problems, including infertility. Besides, no one ever wants to have a sexually transmitted disease and then have to tell other people about it.