You Can Get Chlamydia Twice
You are not immune to Chlamydia once the infection has been cleared with antibiotics. If you have unprotected sexual contact with someone who is infected, this will result in another Chlamydia infection and you will need treatment again. If you test positive for Chlamydia, you should notify your sexual partners to prevent re-infection or the further spread of Chlamydia.
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Chlamydia Symptoms In Females
Chlamydia symptoms in females are rare. Roughly 7 in 10 women dont experience any symptoms. The infection may be asymptomatic, meaning that people dont know they have it.
If signs and symptoms occur, they usually happen one to three weeks after the exposure, but could start much later. The symptoms are often mild and passing, and easy to overlook.
Some of the potential signs and symptoms of chlamydia include:
- lower abdominal pain
How Is Chlamydia Diagnosed
The most common test for chlamydia is called a nucleic acid amplification test . Your provider takes a sample of fluid by doing a vaginal/cervical swab or collecting a urine sample. Then, they send the sample off to a lab to check for the bacteria that causes chlamydia. Your provider may do the test in an office, or they may ask you to do an at-home chlamydia test. Follow your providers instructions carefully to ensure you get accurate test results.
Because most chlamydia cases are asymptomatic, its important to get screened for chlamydia even if you dont notice any signs of infection. The CDC recommends that sexually active cisgender women who are high-risk for chlamydia get screened regularly. Women, more so than men, experience the most severe complications from chlamydia. Transgender men and nonbinary individuals with vaginas should be screened regularly, too, as they can experience the same complications of chlamydia.
Youre considered high-risk if you:
- Have had chlamydia infections previously.
Cisgender men, or trans and nonbinary individuals with penises, should be screened for chlamydia if:
- They live in a setting where chlamydia spreads frequently, like correctional facilities, adolescent clinics and sexual health clinics.
- They have sex with other men.
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What Do I Need To Know If I Get Treated For Chlamydia
If youre getting treated for chlamydia:
- Take all of your medicine the way your nurse or doctor tells you to, even if any symptoms you may be having go away sooner. The infection stays in your body until you finish the antibiotics.
- Your partner should also get treated for chlamydia so you dont re-infect each other or anyone else.
- Dont have sex for 7 days. If you only have 1 dose of medication, wait for 7 days after you take it before having sex. If youre taking medicine for 7 days, dont have sex until youve finished all of your pills.
- Get tested again in 3-4 months to make sure your infection is gone.
- Dont share your medicine with anyone. Your nurse or doctor may give you a separate dose of antibiotics for your partner. Make sure you both take all of the medicine you get.
- Even if you finish your treatment and the chlamydia is totally gone, its possible to get a new chlamydia infection again if youre exposed in the future. Chlamydia isnt a one-time-only deal. So use condoms and get tested regularly.
How Long Does Azithromycin Take To Cure Chlamydia
It usually takes approximately 7 days for azithromycin to cure chlamydia. However, it can take up to 2 weeks for the infection to go away completely.
Avoid having sex during treatment or until the infection has cleared. Youll want to make sure its completely cured, or else youll risk passing it to someone else.
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Male Complications Of Untreated Chlamydia
Men can also experience complications when chlamydia is left untreated. The epididymis the tube that holds the testicles in place may become inflamed, causing pain. This is known as epididymitis.
The infection can also spread to the prostate gland, causing a fever, painful intercourse, and discomfort in the lower back. Another possible complication is male chlamydial urethritis.
These are just some of the most common complications of untreated chlamydia, which is why its important to get medical attention right away. Most people who get treatment quickly have no long-term medical problems.
Top Things To Know About Chlamydia:
- Chlamydia is often asymptomatic, meaning that many people donât know they have it
- Chlamydia symptoms can include pus-like yellow discharge frequent or painful urination spotting between periods or after sex and/or rectal pain, bleeding, or discharge
- Untreated, it can lead to pelvic inflammatory disease, chronic pelvic pain, ectopic pregnancy, and/or infertility in women and people with female reproductive tracts
- Antibiotics are used to treat chlamydia infections
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How Will I Know If I Have Chlamydia
You can only be certain you have chlamydia if you have a test.
Anyone can get chlamydia. Youre more likely to have it if youre under 25, have a new sexual partner, or more than one sexual partner in the last year, and if you havent used condoms.
You should have a test if:
- you, or a partner, have or think you might have symptoms
- youve recently had sex without a condom with a new partner
- you, or a partner, have had sex without a condom with other partners
- during a vaginal examination, your doctor or nurse says that the cervix is inflamed and/or theres an unusual discharge
- a sexual partner tells you they have a sexually transmitted infection
- you have another STI.
If you live in England, and youre a woman who is under 25 and sexually active, its recommended that you have a chlamydia test when you change sexual partner and once a year.
If youre a man who is under 25 and sexually active, its recommended that you have a chlamydia test once a year if you are not using condoms with new or casual partners.
You could still have chlamydia even if a partner has tested negative. The only way to make sure you dont have chlamydia is to get tested yourself.
If you have chlamydia, youll be encouraged to be tested for other STIs as you can have more than one STI at the same time.
What Should I Do If I Have Chlamydia
Chlamydia is easy to treat. But you need to be tested and treated as soon as possible.
If you have chlamydia:
- See a doctor or nurse as soon as possible. Antibiotics will treat chlamydia, but they will not fix any permanent damage to your reproductive organs.
- Take all of your medicine. Even if symptoms go away, you need to finish all of the antibiotics.
- Tell your sex partner so they can be tested and treated. If they are not tested and treated you could get chlamydia again.
- Avoid sexual contact until you and your partner have been treated and cured. Even after you finish your antibiotics, you can get chlamydia again if you have sex with someone who has chlamydia.
- See your doctor or nurse again if you have symptoms that don’t go away within a few days after finishing the antibiotics.
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How To Take It
Azithromycin is taken one time orally and can be taken with or without food. Its important to take it as directed by your doctor.
It takes approximately 1 week for azithromycin to cure chlamydia. Avoid having sex while under treatment, as its still possible to pass or worsen the infection during treatment.
Sex Partners Need Treatment Too
If you are diagnosed with chlamydia, you will need to tell all of your sexual partners, because they will need the same treatment you are receiving.
In most states, a doctor or other healthcare provider can give you the medicine that your partner or partners will need to take. Then you can deliver it to those partners. This practice is called expedited partner therapy or patient delivered partner therapy.
These options can help a lot if your partner doesnt have a healthcare provider or feels embarrassed about seeking care, says Dr. Dombrowski.
Its natural to feel nervous or upset about having to tell your partner or partners about having an STD. Your healthcare provider can help with this problem. They may even rehearse the conversation with you, says Dombrowksi.
Learning about chlamydia and seeking advice from a healthcare provider about how to discuss it with your partner can help you handle the conversation with less anxiety and more confidence.
Remember, chlamydia is not just common: It is the most common infection reported to the Centers for Disease Control and Prevention . You are being helpful, mature, and responsible by telling your partners.
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Preventing Chlamydia And Recurrences
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 Is Chlamydia Treated
Chlamydia can be cleared up with antibiotics in about a week or two. But dont stop taking your medication just because your symptoms improve. Ask your provider about what follow-up is needed to be sure your infection is gone after youve finished taking your medicine.
Part of your treatment should also include avoiding sexual activities that could cause you to get re-infected and ensuring that any sexual partners who may be infected also get treatment. You should:
- Abstain from sex until your infection has cleared up. Starting treatment doesnt mean that youre in the clear. Take all your medication as your provider directs, and avoid all sexual contact in the meantime.
- Contact all sexual partners. Tell any sexual partners from the last 3 months that youre infected so that they can get tested, too.
- Get tested for other STIs . Its common to have multiple STIs, and its important to receive treatment thats tailored to each infection.
Antibiotics can get rid of your infection, but they cant reverse any harm the bacteria may have caused to your body before treatment. This is why its so important to get screened regularly for chlamydia, to see your provider at the first sign of symptoms, and get treatment immediately if youre infected.
How Long Does It Take To Show Up On A Test
There are several tests that you doctor might use to diagnose chlamydia:
- Urine test. Youll pee in a cup thats sent off to a laboratory testing facility to see if any chlamydia bacteria are present in your urine.
- Blood test. Your doctor will use a sterile needle to draw some of your blood and send it to a lab to see if antibodies to the chlamydia bacteria are present in your bloodstream.
- Swab. Your doctor will use a cotton round or stick to take a small sample of tissue or fluid that carries the infection, which is then sent to a lab to be cultured so that lab technicians can see what bacteria grows from the sample.
How long it takes for the results to show up depends on the test and on your specific health insurance plan.
- Urine tests take about 2 to 5 days to show a positive or negative result.
- Blood tests can come back with results in a few minutes if the blood is analyzed on site. But they can take a week or more if sent to an off-site lab.
- Swab results take about 2 to 3 days to show a positive or negative.
1 to 3 weeks to show up in people with vulvas.
Symptoms may take up a few months to show up. This is because bacteria are living creatures and have an incubation period that affects how long it takes them to cluster together and become infectious.
This incubation period is dependent on a variety of factors, including:
- how much of the bacteria you were exposed to
- how quickly the bacteria reproduce
- how strong your immune system is against the bacteria
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How Chlamydias Passed On
Chlamydia is usually passed from one person to another through sexual contact.
Chlamydia is most commonly spread through:
- sharing sex toys that arent washed or covered with a new condom each time theyre used.
It can be spread by giving or receiving oral sex with someone who has chlamydia. The risk can be lowered by using a condom or a dam to cover the genitals.
If youre pregnant its possible to pass chlamydia to the baby .
You cant get chlamydia from kissing, hugging, sharing baths or towels, swimming pools, toilet seats or from sharing cups, plates or cutlery.
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Can You Get Chlamydia More Than Once
Yes, you can get the infection even if youve successfully treated it already.
A sexual partner who has chlamydia can transmit it to you again, even if youve already had it and treated it.
You can also get chlamydia again if it wasnt fully treated the first time. This can happen if you stop taking the necessary treatment. Its important to complete the antibiotics youve been given, even if your symptoms get better.
The CDC recommends getting tested 3 months after treatment of your initial infection to ensure the infection is cleared.
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How Is Chlamydia Treated In Pregnant Women
Doxycycline, levofloxacin, and ofloxacin are all contraindicated in women who are pregnant or breastfeeding. Because of this, the recommended treatment is a one-time dose of azithromycin. If azithromycin is not well-tolerated, alternative treatments include amoxicillin or one of several formulations of erythromycin .
Pregnant women who have been treated for chlamydia should return after three weeks to be retested to establish that they have been cured. They should return again after three months to evaluate for reinfection. Untreated chlamydia in pregnant women can lead to early rupture of the fluid sac containing the fetus and premature delivery. It can also lead to pneumonia or conjunctivitis in the newborn .
How Is Chlamydia Transmitted
Sex without a condom or other barrier method and oral sex without a barrier method are the main ways a chlamydia infection can be transmitted.
Newborn babies can acquire chlamydia from their mother during birth. Most prenatal testing includes a chlamydia test, but it doesnt hurt to double-check with an OB-GYN during the first prenatal checkup.
A chlamydia infection in the eye can occur through oral or genital contact with the eyes, but this isnt common.
- bleeding from this area
Having oral sex with someone who has the infection raises the risk of getting chlamydia in the throat. Symptoms can include a sore throat, cough, or fever. Its also possible to carry bacteria in the throat and not know it.
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What Does A Chlamydia Test Involve
- You may be asked to provide a urine sample. Before having this test, youre advised not to pass urine for 12 hours.
- A doctor or nurse may take a swab from the entrance of the urethra .
- If you have symptoms of conjunctivitis swabs will be used to collect a sample of discharge from your eye.
A swab looks a bit like a cotton bud but is smaller and rounded. It sometimes has a small plastic loop on the end rather than a cotton tip. Its wiped over the parts of the body that could be infected. This only takes a few seconds and isnt painful, though it may be uncomfortable for a moment.
Cervical screening and routine blood tests dont detect chlamydia.
If youre not sure whether youve been tested for chlamydia, just ask.
Practicing Safe Sex Methods
It is extremely important to practice safe sex methods in order for you to stop the spread or possible contraction of chlamydia. Abstaining from sex is the only 100% sure way to prevent spreading or contracting any sexually transmitted diseases, but there are other methods you can use to keep your chances of contracting or spreading chlamydia quite low. Safe sex methods you should seek to practice are:
Combined with practicing safe sex methods, you should also make yourself aware of the risk factors associated with chlamydia. Risk factors for chlamydia include:
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