Chlamydial Infection Among Adolescents And Adults
Chlamydial infection is the most frequently reported bacterial infectious disease in the United States, and prevalence is highest among persons aged 24 years . Multiple sequelae can result from C. trachomatis infection among women, the most serious of which include PID, ectopic pregnancy, and infertility. Certain women who receive a diagnosis of uncomplicated cervical infection already have subclinical upper genital tract infection.
Asymptomatic infection is common among both men and women. To detect chlamydial infection, health care providers frequently rely on screening tests. Annual screening of all sexually active women aged < 25 years is recommended, as is screening of older women at increased risk for infection . In a community-based cohort of female college students, incident chlamydial infection was also associated with BV and high-risk HPV infection . Although chlamydia incidence might be higher among certain women aged 25 years in certain communities, overall, the largest proportion of infection is among women aged < 25 years .
Can You Mistake Chlamydia For A Uti
Symptoms of a UTI
A urinary tract infection occurs when bacteria proliferates in the urinary tract. While there are several types of bacteria that could cause the infection, the most common is E. coli, which resides in stool. Most of the time, this enters into the urethra and settles in the bladder, where the infection occurs, though a UTI can develop in any part of the urinary tract .
People who have developed a UTI will most likely experience:
- Frequent, urgent, and sudden urges to pee
- Pain and burning when peeing, as well as slow stream or little results
- Intermittent stream of urine and inability to empty the bladder
- Pressure and pain in the pelvis, abdomen, flanks, and lower back
- Cloudy, discolored, bloody, or smelly urine
- Low grade fever that worsens with a kidney infection
- Nausea and vomiting with a kidney infection
Its important to see a doctor when these symptoms arise in hopes of avoiding a kidney infection, this those are harder to treat. A simple UTI typically only requires a three to five day course of antibiotics. By contrast, a complex infection, such as a kidney infection, requires two weeks of antibiotics, and sometimes, the patient will need a shot of antibiotics or even a hospital stay to correct dehydration and run antibiotics intravenously.
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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How To Stay Safe
So, what can you do to stay safe?
When used correctly, condoms offer one of the most effective methods of protection against STIs, including HIV. Female condoms are also effective and safe.
We are often not aware that they may have an STI.
Any sexually active person can catch an STI, those who change partners frequently or do not use condoms are at higher risk. Previous successful treatment for an STI doesn’t make you immune to catching the infection again.
An outreach worker discusses health issues with young people in Cambodia.Juan Daniel Torres, Courtesy of Photoshare
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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What Is The Prognosis For A Urinary Tract Infection
A good prognosis is usual for spontaneously resolved and quickly treated UTIs. Even patients that have rapidly developing symptoms and early pyelonephritis can have a good prognosis if quickly and adequately treated. The prognosis begins to decline if the UTI is not quickly recognized or treated. Elderly and immunosuppressed patients may not have the UTI recognized early their prognosis may range from fair to poor, depending on how much damage is done to the urinary tract or if complications like sepsis occur. Like adults, most adequately treated children will have a good prognosis. Children and adults with recurrent UTIs may develop complications and a worse prognosis recurrent UTIs may be a symptom of an underlying problem with the urinary tract structure. These patients should be referred to a specialist for further evaluation.
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Gonorrhea Should Always Be Treated
Gonorrhea can be a painful and extremely uncomfortable infection, and it might even be embarrassing. But at the end of the day, it is better to get it checked out and treated early, before it causes damage to your sexual organs. Antibiotics are the only form of treatment proven to cure gonorrhea. But, if you cannot make it to a doctor right away or simply want to help speed up the process of healing, the treatments, dietary changes, and lifestyle tips weve listed in this article may be able to help you out. Hopefully, your adventure with gonorrhea will be a short one.
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Home Remedies For Chlamydia
There are several home remedies for chlamydia and a number of websites claim that these home remedies can cure chlamydia. While some of the home remedies have been shown to have antibacterial properties, antibiotics are the only proven cure for chlamydia. It isnt worth the risk of infertility or illness to not treat chlamydia.
If you experience symptoms, some of these home remedies may be effective for symptom relief, but they cannot cure the infection itself.
Protecting Yourself Against Stis:
- Use a condom. However, nothing is 100% safe. If youâre concerned you might have an STI, even after safe sex, check with your doctor.
At the clinic, your doctor may ask you questions like âDid you use a condom?â or âDid you have multiple sexual partners?â Its not so they can judge you. Itâs so they can organize what further tests you need. So, donât be shy or feel ashamed about your answers.
With a few minor changes, you can take good care of yourself. You can start making better health choices now by
CDC. âUrinary Tract Infection.â Accessed March 2021.
Flores-Mireles, A.L., et al. Nat Rev Microbiol, , doi: 10.1038/nrmicro3432.
Behzadi, P., et al. Maedica , , PMID: 21977133.
Valiquette, L. Can J Urol, , PMID: 11442991.
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Are There Any Home Remedies For A Urinary Tract Infection
The best “home remedy” for a UTI is prevention . However, although there are many “home remedies” available from websites, holistic medicine publications, and from friends and family members there is controversy about them in the medical literature as few have been adequately studied. However, a few remedies will be mentioned because there may be some positive effects from these home remedies. The reader should be aware that while reading about these remedies , they should not overlook the frequent admonition that UTIs can be dangerous. If the person does not experience relief or if his or her symptoms worsen over 1 to 2 days, the person should seek medical care. In fact, many of the articles about UTI remedies actually describe ways to reduce or prevent UTIs. Examples of home treatments that may help to prevent UTIs, that may have some impact on an ongoing infection, and that is unlikely to harm people are as follows:
There are over-the-counter tests available for detecting presumptive evidence for a UTI . These tests are easy to use and can provide a presumptive diagnosis if the test instructions are carefully followed a positive test should encourage the person to seek medical care.
You Can Catch Chlamydia If Youve Only Had Sex Once
You may have heard that its not possible to get chlamydia from a single sex act. If youve had sex with someone who has the infection, you could get it, too. One encounter is all it takes to pass on the bacteria, so get tested.
In up to 15 percent of women with untreated chlamydia, the infection spreads to the uterus and uterine tubes, leading to symptomatic pelvic inflammatory disease.
If youve had unprotected sex and are worried that you might have chlamydia, get tested. The test is easy and painless. Your doctor could take a sample of your cells with a cotton swab or ask you to pee in a cup. The sample is tested for chlamydia bacteria. If your doctor says you have chlamydia, dont worry. Its treatable.
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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.
Why Am I Getting Urinary Tract Infections
Ever since I started having sex I get urinary tract infections a lot. Does that mean there could be something else wrong? Mandy*
If you have burning or pain when you pee, it could be a number of things. One possibility is a urinary tract infection , but others include a sexually transmitted disease , such as chlamydia, or chemical irritation from a spermicide . Its hard to tell the difference without seeing a doctor or .
Urinary tract infections tend to be more common in girls who have sex. Often, they happen because bacteria entered the urethra .
Follow these steps to help decrease your chances of getting UTIs:
- Wipe front to back after going to the bathroom.
- Pee right before and after sex.
- Drink plenty of liquids, especially water.
STDs can cause symptoms similar to those of a UTI, such as burning, vaginal discharge, belly pain, and irregular bleeding.
Many times, though, STDs have few symptoms, which is why it is important for anyone who has had sex to be tested at least once a year. And always use condoms with any type of sex to help prevent STDs.
In any case, the best thing to do is get checked out ASAP by a health care provider who can look for the reason you’re having symptoms. It’s really important to get the right diagnosis and treatment!
*Names have been changed to protect user privacy.
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Can An Std Cause A Uti
In short: yes, but rarely. Although most UTIs are caused by E. coli bacteria, this isnt always the case. Other kinds of bacteria, fungi, and viruses can lead to UTIs, though these are less common. In some instances, bacteria that cause STDs, like Chlamydia, can cause urinary tract infections. And because UTIs occur near-sexual organs and can share symptoms with STDs, the two kinds of infections are often erroneously confused.
When Should I See My Healthcare Provider
When it comes to chlamydia, its a good idea to be proactive. Speak with your healthcare provider about your risks of infection. Make a plan to get screened regularly for STIs based on your providers recommendations for how often you should be tested. Make an appointment with your healthcare provider if your partner tests positive for chlamydia or if you notice any signs or symptoms that you may be infected.
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What Is The Prognosis For A Female With Chlamydia
As discussed previously, chlamydia infection can progress to pelvic inflammatory disease if untreated, which can have serious consequences. Complications include permanent damage to the reproductive organs, including infertility and an increased risk of ectopic pregnancy. Chlamydia infection in pregnancy can also lead to low birth weight and premature delivery as well as pneumonia and eye damage in the newborn.
Having an untreated chlamydia infection can also increase a person’s risk for acquiring HIV infection. It can also increase the risk that a person with HIV infection will transmit the infection to others during sexual intercourse.
So How Can You Tell If Youre Suffering Due To A Uti Or An Sti
Its difficult to differentiate a UTI from an STI based on symptoms alone, since both infections cause burning during urination, pelvic pain, and a frequent, sudden urge to urinate. However, if you are sexually active and are also experiencing vaginal symptoms such as discharge, bleeding and/or irregular periods, it may suggest an STI. Make sure to talk to your doctor about your specific symptoms and risk factors for these types of infections.
The only way to determine exactly what kind of infection you are dealing with is to head to the doctor for testing.
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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:
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Why Early Detection Is Necessary
When symptoms reach a stage that patients end up in the emergency room, those with undiagnosed STIs are often misdiagnosed. In fact, studies show that almost two thirds of them are diagnosed with and treated for a UTI. This will not clear up chlamydia, since its a short course of antibiotics that are typically used.
- Pain and inflammation in the sexual organs, as well as in the prostate in men
- Damage to the tear ducts and the cornea
- Infertility in both men and women
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Similarities And Differences Between Utis And Stds
UTIs share symptoms similar to STDs and are misdiagnosed more often than you may think. According to the American Society for Microbiology, 64 percent of the patients with a sexually transmitted infection were actually diagnosed as having a UTI instead. This is problematic. Not only are women being needlessly prescribed a UTI treatment , but it may also cause an undiagnosed STD to develop into a more serious issue. In the beginning stages, many STDs are treatable, but the further they are allowed to progress, the more complicated and expensive treatment becomes.
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