Urogenital Infection In Men
In men, chlamydial infection of the lower genital tract causes urethritis and, on occasion, epididymitis. Urethritis is secondary to C. trachomatis infection in approximately 15 to 55 percent of men, although the prevalence is lower among older men.2 Symptoms, if present, include a mild to moderate, clear to white urethral discharge. This is best observed in the morning, before the patient voids. To observe the discharge, the penis may need to be milked by applying pressure from the base of the penis to the glans.
The diagnosis of nongonococcal urethritis can be confirmed by the presence of a mucopurulent discharge from the penis, a Gram stain of the discharge with more than five white blood cells per oil-immersion field, and no intracellular gram-negative diplococci.2 A positive result on a leukocyte esterase test of first-void urine or a microscopic examination of first-void urine showing 10 or more white blood cells per high-powered field also confirms the diagnosis of urethritis.
For diagnosis of C. trachomatis infection in men with suspected urethritis, the nucleic acid amplification technique to detect chlamydial and gonococcal infections is best .4 Empiric treatment should be considered for patients who are at high risk of being lost to follow-up.
What Other Problems Can Chlamydia Cause
In women, an untreated infection can spread to your uterus and fallopian tubes, causing pelvic inflammatory disease . PID can cause permanent damage to your reproductive system. This can lead to long-term pelvic pain, infertility, and ectopic pregnancy. Women who have had chlamydia infections more than once are at higher risk of serious reproductive health complications.
Men often don’t have health problems from chlamydia. Sometimes it can infect the epididymis . This can cause pain, fever, and, rarely, infertility.
Both men and women can develop reactive arthritis because of a chlamydia infection. Reactive arthritis is a type of arthritis that happens as a “reaction” to an infection in the body.
Babies born to infected mothers can get eye infections and pneumonia from chlamydia. It may also make it more likely for your baby to be born too early.
Untreated chlamydia may also increase your chances of getting or giving HIV/AIDS.
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.
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Your Chlamydia Was Poorly Treated Or Left Untreated
Its possible to have chlamydia infection with no symptoms of the disease. In some women and men, it could take weeks for chlamydia signs to appear. If you just started having symptoms, purchase chlamydia kit to know if its chlamydia or not.
Poorly treated chlamydia, either due to wrong antibiotics or not completing your doctors prescribed medications, may cause chlamydia to persist with resistance.
If you have chlamydia symptoms months after treatment, it is advisable to let your doctor know ASAP.
How Do I Take Doxycycline
Take two doses a day for one week. Gullet irritation is a risk with doxycycline. To avoid this swallow the capsules whole, taking them with water. This ensures they go straight into the stomach without sticking in the gullet. Taking them whilst upright, sitting or standing, will also help. For this reason don’t take doxycycline just before bed.
There is evidence that unlike some other tetracycline antibiotics, doxycycline absorption is not significantly slowed when taken with a meal. If nausea and tummy upset is a problem when taken on an empty stomach, the advice is to take with food.
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How Do You Get Chlamydia
Chlamydia is usually passed on through unprotected vaginal, anal or oral sex.
Chlamydia can be passed on through genital contact. This means you can get chlamydia from someone who has the infection if your genitals touch, even if you dont have sex or ejaculate .
You can also get chlamydia if you come into contact with infected semen or vaginal fluid, or get them in your eye.
Chlamydia cant be passed on through kissing, hugging, sharing towels or using the same toilet as someone with the infection.
Chlamydia Can Live In Your Gut And Reinfect You After Youre Cured
Doctors have known that chlamydia can reappear, but until now theyve been stumped as to how exactly it happens
Chlamydia is the most commonly reported sexually transmitted diseases in the United States. Thankfully, its also curable. But new research suggests that for some people, curing chlamydia doesnt prevent reinfection, even if theyre not exposed to it again. Apparently the disease can live inside your gut, and reinfect you out of the blue.
Apparently doctors have known that chlamydia can reappear in cured patients for about 80 years, but theyve been stumped as to how exactly it happens. This study points out that, in many animals, chlamydia has been found to live in the gastrointestinal tract. Thus, if gastrointestinal infection occurs in most hosts, the authors write, then it is very likely that gastrointestinal infection occurs in humans as well.
The study in question doesnt actually test this theory on any human beings. Instead it looks at data in animal models about reinfection, and the failure of certain drugs to treat chlamydia when it lives in the gut. From there, they propose that women who are infected with chlamydia could see the same kind of issues: the drugs theyre given might cure the disease genitally, but not gastrointestinally, leaving the bug to live inside waiting for the right time to strike.
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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.
Whats Chlamydia And What Are The Symptoms
The bacterium, Chlamydia trachomatis, is the organism which causes chlamydia infection. It can affect the eyes , the joints, the mouth and the genitals of males and females. Chlamydia discharge with severe discomfort while urinating may be an early sign of illness.
It can also be contacted through the sharing of infected towels. Pregnant women with poorly treated infection may transmit chlamydia to their babies during delivery.
Chlamydia can be a silent disease because you can get infected without showing any signs. About 30 70 percent of infected men and women will not have common symptoms at all.
However, this does not rule out complication of chlamydia infection in the long-term. If left for a long time without treatment, chlamydia may cause pelvic inflammatory disease, tubal pregnancy, and difficulty conceiving.
Pelvic inflammatory disease is the upward spread of chlamydia affecting the womb, abdominal area, and Fallopian tubes. PID could potentially cause permanent damage to the Fallopian tubes ultimately causing infertility and ectopic pregnancy.
Short-term adverse effects of chlamydia in men include inflammation of the epididymis, with testes that are hurtful and swollen. This occurs very early after an infection and can contribute to infertility in men.
If youve had unprotected anal, oral, vaginal intercourse or got in real contact with someone genital fluid, you can have chlamydia.
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Can Chlamydia Go Away And Come Back
If youve had unprotected intercourse, its likely you may not have chlamydia if your partner is not infected. If treated chlamydia can go away and not come back if you abstain or ensure protected sex.
However, dont assume chlamydia will go away without taking medications. You may not have symptoms immediately and may still have chlamydia long-term problems.
Get Chlamydia Treatment Online
Connect with a board-certified doctor for chlamydia treatment right from the comfort of your home by booking a virtual appointment with our telehealth partner PlushCare. Chlamydia is caused by a bacterial infection and is completely curable with antibiotics. Get an antibiotic prescription for chlamydia treatment online in just 15 minutes.
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How Chlamydia’s Passed On
Chlamydia is usually passed from one person to another through sexual contact.
You can get the infection if you come into contact with the semen or vaginal fluids of someone who has chlamydia.
Chlamydia is most commonly spread through:
- vaginal or anal sex without a condom
- 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 infected semen or vaginal fluid comes into contact with the eye it can cause conjunctivitis (infection or irritation of the eye.
If youre pregnant its possible to pass chlamydia to the baby .
Its not clear if chlamydia can be spread by transferring infected semen or vaginal fluid to another persons genitals on the fingers or through rubbing vulvas together.
You cant get chlamydia from kissing, hugging, sharing baths or towels, swimming pools, toilet seats or from sharing cups, plates or cutlery.
Will I Need To Go Back To The Clinic
If you take your antibiotics correctly, you may not need to return to the clinic.
However, you will be advised to go back for another chlamydia test if:
- you had sex before you and your partner finished treatment
- you forgot to take your medication or didn’t take it properly
- your symptoms don’t go away
- you’re pregnant
If you’re under 25 years of age, you should be offered a repeat test for chlamydia 3 to 6 months after finishing your treatment because you’re at a higher risk of catching it again.
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How Do You Prevent Chlamydia
Using a new male or female condom or dental dam every time you have sex is the best way to protect against chlamydia.
Chlamydia can be passed on by sharing sex toys. Always cover sex toys with a new condom and wash them after use to reduce your risk of getting chlamydia and other STIs.
Its important to regularly test for chlamydia, even if you dont have any symptoms, especially if youve had multiple sexual partners.
The contraceptive pill and other types of contraception wont prevent you getting chlamydia, and neither will PrEP.
How To Help Partners Get Treatment
If you are not sure whether your sexual partner will seek treatment, ask your doctor for extra chlamydia medication . You can give it to them so they can be treated as soon as possible.
This is known as patient delivered partner therapy for chlamydia. Talk to your doctor to see if PDPT is right for you and your sexual partner.
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Letting Partners Know You Have Chlamydia
Sexual partners may be infected too. If you have chlamydia, anyone you have had sex with from the last 6 months needs to be informed, tested and treated.
If they dont know, they could reinfect you or infect someone else if they are not treated. dont receive treatment.
Most people will appreciate being told they may have an infection and it is an important step in preventing further infection in the community.
Your local GP and sexual health centre can help you inform your partners and let them know that they need a test. This process is called partner notification. It can be done anonymously, and your confidentiality is always respected.
You can also anonymously notify your sexual partners of the need to get tested and treated for chlamydia via the Let Them Know website if you feel unable to speak to them personally.
There are also nurses who can help you anonymously notify your partners. They can be contacted on .
What Can You Do To Relieve Your Symptoms
No home remedy for chlamydia can replace antibiotics. Chlamydia is a bacterial infection, so you need to take antibiotics to cure it.
However, there are a few ways you can soothe symptoms while you wait for the antibiotics to get to work. For example:
- Use pain medications, such as ibuprofen to reduce pain
- Use a cold pack to soothe inflammation.
- A herb called goldenseal might reduce inflammation and other symptoms.
- Use an echinacea supplement aid your immune system.
Remember that these home remedies might soothe the symptoms of chlamydia, but they dont actually cure chlamydia in itself. The best way to soothe the symptoms is to use antibiotics.
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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.
Do I Need To Have A Test To Check That The Chlamydia Has Gone
If you take the treatment according to the instructions, you wont usually need a test to check the chlamydia has gone.
If youre aged under 25, you should be offered a repeat test 3 months after finishing the treatment. This is because youre at a higher risk of getting chlamydia again.
Whatever your age, you may need a repeat test or more treatment if:
- you think youve come into contact with chlamydia again
- you had sex without a condom with a partner before the treatment for both of you was finished
- you didnt complete the treatment or didnt take it according to the instructions
- the signs and symptoms dont go away
- your test was negative but you develop signs or symptoms of chlamydia
- youre pregnant.
A repeat test can be done 56 weeks after the first test.
If the chlamydia was in your rectum , you may need another test around 3 weeks after finishing the treatment. Your doctor, nurse or clinic will let you know if you need another test.
You can go back to the doctor, nurse or clinic if you have any questions or need advice on how to protect yourself from infection in the future.
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Can Chlamydia Be Prevented
The only sure way to prevent chlamydia is to not have vaginal, anal, or oral sex.
Correct usage of latex condoms greatly reduces, but does not eliminate, the risk of catching or spreading chlamydia. If your or your partner is allergic to latex, you can use polyurethane condoms.
Centers for Disease Control and Prevention
Where Can I Get A Test
There are a number of services you can go to. Choose the one you feel most comfortable with.
A chlamydia test can be done at:
- a genitourinary medicine or sexual health clinic
- your general practice
- contraception and young peoples clinics
- some pharmacies.
Abortion clinics, antenatal services and some gynaecology services may also offer a chlamydia test.
In England, if youre a woman aged under 25 years old, you may be offered a chlamydia test as part of the National Chlamydia Screening Programme when you visit some service for other reasons, for example at a pharmacy or your GP.
The NCSP aims to identify people without symptoms to reduce the complications of untreated infection. If chlamydia is not treated, it can cause health complications, especially in women. Untreated chlamydia in women can cause pain in the pelvis, ectopic pregnancy and infertility .
If you are a woman aged under 25 years old and you are offered a chlamydia test as part of the NCSP you should consider taking it.
In many areas, free home self-sampling tests for chlamydia are available to order online. This is where you take your own sample and send it to be tested. See www.nhs.uk
Its also possible to buy a chlamydia test to do at home. The accuracy of these tests varies. Some types are very accurate when carried out according to the instructions, others can be less reliable. If you buy a testing kit make sure you get advice from a pharmacist or your doctor.
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How Can I Prevent The Spread Of Chlamydia And Other Stis
Ask your healthcare provider for more information about the following safe sex practices:
- Use a male or female condom during sex. This includes oral, genital, or anal sex. Use a new condom each time. Condoms help prevent pregnancy and STIs. Use latex condoms, if possible. Lambskin condoms do not protect against STIs. A polyurethane condom can be used if you or your partner is allergic to latex. Condoms should be used with a second form of birth control to help prevent pregnancy and STIs. Do not use male and female condoms together. Ask for more information about the correct way to use condoms.
- Limit your number of sex partners. This will help lower your risk for chlamydia and other STIs.
- Do not have sex with someone who has an STI. This includes oral, vaginal, and anal sex.
- Do not have sex while you or your partner are being treated. Ask when it is safe to have sex.
- Ask about medicines to lower your risk for some STIs:
- Vaccines can help protect you from hepatitis A, hepatitis B, and the human papillomavirus . The HPV vaccine is usually given at 11 years, but it may be given through 26 years to both females and males. Your provider can give you more information on vaccines to prevent STIs.
- Pre-exposure prophylaxis may be given if you are at high risk for HIV. PrEP is taken every day to prevent the virus from fully infecting the body.