Get Retested Following Treatment
Many people have more than one chlamydia infection. If youre a girl or woman and your sex partners are not treated for the infection, you will be at high risk for reinfection. Repeated infections with chlamydia make it much more likely that your ability to have children will be affected. Repeated infections also raise your risk of painful complications, such as pelvic inflammatory disease.
Both women and men with chlamydia should be retested about three months after they are first diagnosed and treated. Go to be retested even if you think your sex partners were successfully treated.
Granuloma Inguinale And Lymphogranuloma Venereum
Granuloma inguinale and lymphogranuloma venereum are rare in the United States. Granuloma inguinale presents as a painless, highly vascular ulcer that is caused by Calymmatobacterium granulomatis. Patients with lymphogranuloma venereum present most often with regional lymphadenopathy it is often a diagnosis of exclusion. The disease is caused by L serogroup strains of Chlamydia trachomatis. The diagnosis is usually made clinically and serologically. Treatment regimens for these diseases are given in Table 1.
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
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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.
What You Need To Know About Azithromycin For Chlamydia Treatment
Chlamydia is one of the most common sexually transmitted diseases in America.
In fact, in 2018, four million infections occurred in the U.S. However, many cases may go unreported because people with chlamydia are often asymptomatic and therefore dont know they have an infection.
Because chlamydia can go undetected, regular testing is extremely important in both fighting the spread of the infection and in treating it.
If you happen to test positive, the good news is, the vast majority of chlamydia cases can be cured easily with antibiotics such as azithromycin.
In this article, Ill explain if azithromycin treats chlamydia, who can take this antibiotic, the best dosage to treat chlamydia, and how to take it.
Then Ill break down how azithromycin compares with another antibiotic, doxycycline, for treating chlamydia.
Finally, Ill share everything you need to know about being tested for chlamydia.
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Doxycycline: New Treatment Of Choice For Genital Chlamydia Infections
In the 1998 Canadian Sexually Transmitted Disease Guidelines, azithromycin replaced doxycycline as treatment of choice for chlamydia infection. Azithromycin was also listed before doxycycline for non-gonococcal urethritis , muco-purulent cervicitis and as co-treatment with cefixime for uncomplicated gonorrhea. Sexual contacts are traditionally treated with the same medication as index cases. In the 1998 and 2002 US guidelines, however, azithromycin and doxycycline were equivalent first-line treatments for these conditions . From 1998, azithromycin was provided free of charge from BCCDC for the treatment of laboratory-confirmed cases of genital chlamydia infections and their contacts.
Important research findings dictate a return to doxycycline as the treatment of choice for uncomplicated urethral, cervical, and oral chlamydia infections, for NGU and MPC, and as co-treatment for uncomplicated gonorrhea.
In research studies, doxycycline and azithromycin have been shown to be equivalent for the treatment of genital chlamydia infection. A meta-analysis of randomized clinical trials showed equal efficacy with no difference in adverse events.
A course of azithromycin costs the British Columbia health care system $18.15, whereas a course of doxycycline is $4.06. Cost should not be a factor when the more expensive medication is more effective but, in this case, the cheaper medication is equal or superior.
What Are The Symptoms Of Chlamydia
It is not easy to tell if you are infected with chlamydia because the symptoms are so vague and are shared with a number of other infections. For some people symptoms can appear a few weeks after unprotected sex. For others, the symptoms develop months later, or in some cases symptoms can disappear after a few days even though they still have the infection.
70% of infected females and 50% of males will not have any obvious symptoms of chlamydia. However, there are some common symptoms to be aware of.
The most common symptoms for women include:
- Burning sensation/discomfort when urinating.
- Pain in the lower abdominal.
- Pain during sex.
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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.
Frequently Asked Questionsexpand All
- What is a sexually transmitted infection ?
A sexually transmitted infection is an infection spread by sexual contact. There are many STIs. This FAQ focuses on chlamydia, gonorrhea, and syphilis. These STIs can cause long-term health problems and problems during pregnancy. Having an STI also increases the risk of getting human immunodeficiency virus if you are exposed to it.
- What is chlamydia?
Chlamydia is the most commonly reported STI in the United States. Chlamydia is caused by a type of bacteria, which can be passed from person to person during vaginal sex, oral sex, or anal sex. Infections can occur in the mouth, reproductive organs, urethra, and rectum. In women, the most common place for infection is the cervix .
- What are the risk factors for chlamydia?
The following factors increase the risk of getting chlamydia:
Having a new sex partner
Having more than one sex partner
Having a sex partner who has more than one sex partner
Having sex with someone who has an STI
Having an STI now or in the past
Not using condoms consistently when not in a mutually monogamous relationship
Exchanging sex for money or drugs
Chlamydia usually does not cause symptoms. When symptoms do occur, they may show up between a few days and several weeks after infection. They may be very mild and can be mistaken for a urinary tract or vaginal infection. The most common symptoms in women include
yellow discharge from the vagina or urethra
yellow vaginal discharge
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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.
Is Treatment Different For Pregnant Women With Gonorrhea
Treatment is necessary to prevent disease transmission to, or complications for, the baby.
Gonorrhea in babies often manifests as conjunctivitis, or pink eye. Some states require that all newborns are given antibiotic eye drops, such as erythromycin, as a preventive measure against the disease.
Pregnant women who are diagnosed with gonorrhea should be tested for other STIs as well.
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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.
The Costs Of Infertility
Treating chlamydia is easy, but for those who do not get treated or get treated too late, living with the damage caused by the infection can be hard.
Rabin has treated many women who never knew they had had chlamydia until they couldnt get pregnant due to blocked fallopian tubes. These women often wind up trying in vitro fertilization , which does not always succeed.
There are all kinds of costs involved for these women, say Rabin. There are emotional costs and physical costs. There are also financial costs with IVF. Its much better to not let the tubes get damaged, she says, and get pregnant the old-fashioned way.
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How Easy Is It To Get Rid Of Chlamydia
It is relatively simple to get rid of chlamydia after receiving a diagnosis. The typical recovery time isnt much longer than two weeks for an average case. One of the largest hurdles for many patients comes with detecting chlamydia in the first place. This is why its important to regularly schedule STD screenings that include chlamydia and gonorrhea while sexually active with multiple partners.
How To Get Rid Of Chlamydia In Males
Chlamydia in males is caused by a bacterial infection. This infection is mostly treated with oral antibiotics. The most effective and recommended treatment for chlamydia is the prescribing of Azithromycin or Doxycycline. After treatment, usually the infection will clear in 7 to 14 days. The recommended dosage should be finished for infection to be completely cleared. For treatment to be most effective, it is recommended that both partner complete treatment and abstain from any sexual contact for at least 7 days after completing their treatment.
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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.
Amoxicillin For Chlamydia: Is It Effective
Amoxicillin is not the preferred treatment option for gonorrhea, but is it an effective way to treat chlamydia? The CDC reports that chlamydia can be easily treated with a course of antibiotics. But this does not mean that amoxicillin is effective simply because it is an antibiotic.
The CDC recommends that healthcare providers prescribe either azithromycin or doxycycline to treat chlamydia. The CDC also suggests several alternative antibiotics that can be used to treat chlamydia, including erythromycin, levofloxacin, or ofloxacin.
Amoxicillin is not on the list of antibiotics that the CDC recommends for the general treatment of chlamydia. However, it is on the list of antibiotics that the CDC recommends for the treatment of chlamydia in pregnant women. So if you are pregnant, your doctor may prescribe amoxicillin to treat chlamydia.
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What Is The Best Medication For Chlamydia
Finding the best medication for chlamydia isnt too much of a struggle as antibiotics tend to be pretty effective. However, different patients will have different needs, allergies, and factors that determine their best medication. The correct antibiotic to treat your chlamydia may vary from the one that works for another patient. Consult a healthcare professional when selecting a medication for your chlamydia, especially if pregnancy is suspected.
|Best medications for chlamydia
|500 mg taken every 12 hours
|Stops the growth of bacteria
|Nausea, headache, dizziness
Dosage is determined by your doctor based on your medical condition, response to treatment, age, and weight. Other possible side effects exist. This is not a complete list.
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.
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How Do You Get Chlamydia
Chlamydia is caused by a bacterial infection called chlamydia trachomatis, that is spread through unprotected sex or any contact with infected genital fluids such as, semen or vaginal fluid. You can get chlamydia by:
- Having unprotected vaginal, anal or oral sex with someone who has chlamydia even if they are asymptomatic.
- Sharing sex toys that have not been washed before use or covered with a clean condom each time they are used.
- Your genitals coming into contact with your sexual partners genitals who is already infected with chlamydia. Even if there is no penetration, orgasm or ejaculation you can still catch chlamydia.
- Infected semen or vaginal fluid getting into your eyes or other body part that is moistened with infected discharges.
- Pregnant women with chlamydia can pass on the infection to their unborn baby.
Getting Treated For Chlamydia And Often Gonorrhea
If you have your own doctor, he will prescribe the antibiotics you need to treat chlamydia. If you dont have your own doctor, you can often find free or low-cost care at either a Planned Parenthood site or a community health clinic.
Listen carefully to the instructions for taking the medicine that you are given by the doctor or other healthcare provider, and follow them closely.
Ask questions if you dont understand something. Also, if you have other questions as you take your medicine, you can always call the pharmacist for help. They are often easier to reach than the doctor.
If you test positive for chlamydia, your healthcare provider is likely to also recommend that you be treated for gonorrhea. This is because the cost of treating gonorrhea is less than the cost of testing for the infection.
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Doxycycline Resistance And M Genitalium
Information on antimicrobial susceptibility of M. genitalium is scarce because of the limited number of strains isolated from clinical samples. Studies reporting MICs of doxycycline usually found low MIC values, i.e. 5 strains with MICs ranging from0.008 to 0.031 mg/L and 14 strains with MICs ranging from 0.06 to 0.12 mg/L . However, an in vitro antimicrobial susceptibility testing study conducted using both broth dilution and quantitative PCR showed an MIC range of 0.0631 mg/L indicating that the strains displayed reduced susceptibility to doxycycline but that these isolates remained rare. Finally, a recent larger study showed that 2 isolates out of 103 displayed MIC> 8 mg/L while for other isolates, MICs ranged from< 0.125 to 2 mg/L. However, doxycycline MICs did not correlate with treatment outcomes in this study. As far as molecular detection of mutations mediating resistance is concerned, macrolides and fluoroquinolones were mainly studied and to our knowledge, tetracycline resistance-associated mutations have not so far been identified in M. genitalium. Altogether, MICs mostly indicated susceptibility of M. genitalium to doxycycline and the rare isolates with reduced susceptibility cannot explain the poor efficacy of doxycycline in the treatment of M. genitalium infections., Considering the emergence of MDR M. genitalium strains, it thus appears important to elucidate reasons other than poor patient compliancefor the poor efficacy of doxycycline.