What Health Problems Can Result From Chlamydia
The initial damage that chlamydia causes is often unnoticed. However, infections can lead to serious health problems with both short- and long-term effects.
If a woman does not receive treatment, chlamydia can spread into the uterus or fallopian tubes, causing PID. Symptomatic PID occurs in about 10-15% of women who do not receive treatment.30,31 However, chlamydia can also cause subclinical inflammation of the upper genital tract . Both acute and subclinical PID can cause long-term 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 PID develop perihepatitis, or Fitz-Hugh-Curtis Syndrome. This syndrome includes inflammation of the liver capsule and surrounding peritoneum, which can cause right upper quadrant pain.
In pregnant people, untreated chlamydia can lead to pre-term delivery,34 ophthalmia neonatorum , and pneumonia in the newborn.
Reactive arthritis can occur in men and women, following infection with or without symptoms. This is sometimes part of a triad of symptoms formerly referred to as Reiters Syndrome.35
Antibiotic Resistance In C Suis
The C. suis prototype strain S45 was isolated from feces of an asymptomatic pig in Austria in the late 1960s and is tetracycline sensitive. C. suis strains are generally regarded as genetically diverse with variations in virulence, however, genomic data to support this prediction are unavailable. Only one partial draft C. suis genome has been published . Other C. suis strains isolated in the USA, Austria, Germany, and Italy, originated from pigs presenting with conjunctivitis, enteritis, respiratory disease, or reproductive failure .
Tetracyclines have been used since the 1950s to treat human and animal chlamydial infections, particularly in livestock. In the past, livestock feed has been TET-supplemented to prevent infections and promote growth. Tetracyclines inhibit bacterial protein synthesis by binding to the small ribosomal subunit, have broad-spectrum anti-microbial activity, are inexpensive, and have low toxicity . However, their wide use in pig production has facilitated selection of resistant bacteria, with significant implications for human health. Increasing concerns about this practice led to a ban of the sub-therapeutic application of tetracyclines in Europe in the 1970s . The mechanisms by which bacteria obtain resistance to tetracyclines include efflux pumps, drug-modifying enzymes, target mutation, and the employment of specialized ribosomal protection proteins .
Does Azithromycin Work For Chlamydia
Azithromycin works to treat genital chlamydia in both men and women by stopping the bacteria from multiplying.
That means that for every 100 people who take azithromycin to treat chlamydia, 97 will be cured and three will not be cured.
In order to effectively treat chlamydial infections, azithromycin should be taken as prescribed and until the dosage is completed.
Ending the medication early increases the chance that the bacteria will not be completely killed off.
Chlamydia Test Results And Management
Women will be treated with 1 gram azithromycin according to site protocol at the time of recruitment. Those who have a positive test of cure by PCR at day 28, 42 or 56 will be asked to return to the clinic for further treatment of doxycycline 100 mg twice daily for ten days. All laboratory assay results will be forwarded to the study centre and entered into the study database.
Do I Really Need To Finish My Antibiotics For Chlamydia
Chlamydia often is treated with a single dose of antibiotics in the doctors office. If your doctor prescribed antibiotics to take at home, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.
What happens if chlamydia doesnt go away with antibiotics?
What happens if you dont seek treatment? If you take your antibiotics as directed, chlamydia is likely to go away. But if its left untreated, it can cause a few complications. For example, if you have a vulva, you could develop pelvic inflammatory disease .
Is it possible for chlamydia to not go away after treatment?
Nope! Chlamydia is easily cured with antibiotics. Chlamydia is a bacterial infection , which means that once youve been treated and tested negative for it , its gone.
Why do I have to wait 7 days after chlamydia treatment?
If youre being treated for chlamydia, its important to avoid sex until 7 days after finishing your medicine. This gives your body time to clear up the infection completely to make sure it doesnt get passed on to anyone.
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What Happens If I Get Chlamydia When I’m Pregnant
- Chlamydia during pregnancy has been associated in very rare cases with problems such as premature birth, and infection of the uterus lining after the birth.
- It can be passed to the baby during the birth and before the baby is born. This can cause inflammation and discharge in the babys eye and/or pneumonia.
- You may be offered a chlamydia test as part of your antenatal care.
- Chlamydia can be treated with antibiotics when youre pregnant and when youre breastfeeding. The antibiotics wont harm the baby, but do tell the doctor or nurse that youre pregnant or breastfeeding.
- Youll be advised to have another test after you complete your treatment.
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.
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Treatment For Chlamydia Is Quick And Easy
Two antibiotics are most often used for treating chlamydia:
- Azithromycin The main treatment for chlamydia is one gram of azithromycin, taken one time, says , deputy director of clinical services for public health with the Seattle and King County HIV and STD Program in Washington. That one gram comes as either two pills or four pills. It is not expensive.
- Doxycycline If your doctor prescribes doxycycline, you will take two pills daily for one week. It costs somewhat more than azithromycin.
Antibiotics can also cure chlamydia in infants, who can get the infection from their mothers, and treatment is essential for them. Without treatment, infants infected with chlamydia can develop conjunctivitis, which can cause blindness, or pneumonia, which can be fatal.
Can A Treated Std Come Back
Monique Rainford, MD, is board-certified in obstetrics-gynecology, and currently serves as an Assistant Clinical Professor at Yale Medicine. She is the former chief of obstetrics-gynecology at Yale Health.
This article explains why an STD can return, why taking the wrong medication can hurt you, and the risk of reinfection if you are not careful about safe sex practices.
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Treatment For Gonorrhea Is Quick And Easy Too
The CDC currently recommends a shot of the antibiotic Rocephin and an oral dose of the antibiotic azithromycin, given at the same time, to treat gonorrhea.
Treatment recommendations for gonorrhea have changed over the years as the bacteria that causes gonorrhea, Neisseria gonorrhoeae, has become resistant to a growing number of antibiotics.
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.
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What Dosage Treats Chlamydia
For people with uncomplicated genital chlamydia, the Centers for Disease Control and Prevention recommends a single dose of azithromycin taken orally to cure the infection.
Azithromycin comes in three forms:
- Regular-release powder
For both powder formulas, either you or a pharmacist mix it with liquid to take.
Always follow the directions from your doctor or pharmacist for taking azithromycin.
Azithromycin is taken as a single dose, one time.
It should be taken as soon as you receive the prescription. Azithromycin can be taken with or without food, however, the extended-release form is typically taken on an empty stomach.
If you take the liquid form, shake it well before using and use a dosing spoon to measure an accurate dose. If you are prescribed the powder, mix it with water according to directions.
What Happens If Chlamydia Isn’t Treated
Only some people who have chlamydia will have complications. If chlamydia is treated early, its unlikely to cause any long-term problems. But, without proper treatment, the infection can spread to other parts of the body. The more times you have chlamydia the more likely you are to get complications.
- If you have a vulva, chlamydia can spread to other reproductive organs causing pelvic inflammatory disease . This can lead to long-term pelvic pain, blocked fallopian tubes, infertility and ectopic pregnancy .
- In people with a vulva, chlamydia can also cause pain and inflammation around the liver, though this is rare. This usually gets better with the correct antibiotic treatment.
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How Do You Know When Chlamydia Is Gone After Treatment
When will the signs and symptoms go away?
What if chlamydia doesnt go away after treatment?
Untreated chlamydia can increase a womans risk for developing: pelvic inflammatory disease , infertility, ectopic pregnancy, and chronic pelvic pain. In fact, women who become reinfected with chlamydia have an even higher risk for PID and ectopic pregnancy than those with a first infection.
Growing Antibiotic Resistance Forces Updates To Recommended Treatment For Sexually Transmitted Infections
WHO releases new treatment guidelines for chlamydia, gonorrhoea and syphilis
Chlamydia, gonorrhoea and syphilis are all caused by bacteria and are generally curable with antibiotics. However, these STIs often go undiagnosed and are becoming more difficult to treat, with some antibiotics now failing as a result of misuse and overuse. It is estimated that, each year, 131 million people are infected with chlamydia, 78 million with gonorrhoea, and 5.6 million with syphilis.
Resistance of these STIs to the effect of antibiotics has increased rapidly in recent years and has reduced treatment options. Of the 3 STIs, gonorrhoea has developed the strongest resistance to antibiotics. Strains of multidrug-resistant gonorrhoea that do not respond to any available antibiotics have already been detected. Antibiotic resistance in chlamydia and syphilis, though less common, also exists, making prevention and prompt treatment critical.
When left undiagnosed and untreated, these STIs can result in serious complications and long-term health problems for women, such as pelvic inflammatory disease, ectopic pregnancy, and miscarriage, and untreated gonorrhoea and chlamydia can cause infertility in both men and women. Infection with chlamydia, gonorrhoea and syphilis can also increase a persons risk of being infected with HIV two- to three-fold. An untreated STI in a pregnant woman increases the chances of stillbirth and newborn death.
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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.
When Will The Signs And Symptoms Go Away
You should notice an improvement quite quickly after having treatment.
- Discharge or pain when you urinate should improve within a week.
- Bleeding between periods or heavier periods should improve by your next period.
- Pelvic pain and pain in the testicles should start to improve quickly but may take up to two weeks to go away.
If you have pelvic pain or painful sex that doesnt improve, see your doctor or nurse as it may be necessary to have some further treatment or investigate other possible causes of the pain.
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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.
What’s The Treatment For Chlamydia
Chlamydia is treated with antibiotics. If you take the treatment according to instructions, its over 95% effective at treating chlamydia.
- Youll be given a course of antibiotics for 3 or 7 days or sometimes up to two weeks.
- If theres a high chance you have chlamydia, treatment may be started before the results of the test are back. Youll always be given treatment if a sexual partner is found to have chlamydia.
- You may also need other treatment if complications have occurred.
- Tell the doctor or nurse if youre pregnant, or think you might be, or youre breastfeeding. This may affect the type of antibiotic youre given.
- Complementary therapies cant cure chlamydia.
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Does Chlamydia Cause Cervical Cancer
No, chlamydia doesn’t cause cervical cancer.
It’s possible to get a sexually transmitted infection by having sex with someone who has an STI, even if they have no symptoms.
If you have an STI, they’ll also help prevent you from passing it on to someone:
- Avoid sharing sex toys. If you do share them, wash them or cover them with a new condom before anyone else uses them.
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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Antibiotic Resistance And Treatment Failure In Chlamydial Species That Impact Human Health
Published data suggest that treatment failure is a significant problem during human chlamydial infections. For example, Golden et al. observed an 8 % failure rate using recommended treatment regimens for genital C. trachomatis infection in women who had not reported subsequent sexual activity . More recently, 13.7 % of women experienced treatment failure for C. trachomatis genital infection, despite reporting no post-treatment sexual contact and full medication compliance . A recent review suggests treatment failure rates from 523 %, depending upon the patient population examined . Although it remains difficult to discriminate from post-treatment reinfection or lack of treatment compliance, most retrospective studies suggest true treatment failure occurs in humans . Since homotypic antibiotic resistance has not yet been documented in C. trachomatis or C. pneumoniae, investigators are exploring alternative mechanisms including the following: development of heterotypic antibiotic resistance and infection of anatomic sites where Chlamydiae are protected from antibiotics. Notably, these mechanisms are not mutually exclusive and could occur in vivo, increasing the difficulty of determining which contribute to treatment failure.
How Long Does It Take
It takes about one week for azithromycin to completely cure a chlamydial infection, and in some cases it can take up to two weeks for the infection to clear.
If you are sexually active during this time, you can pass the infection to your partner, even if you have no symptoms. For these reasons, you should avoid having sex of any kind during treatment.
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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.