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Chlamydia

Chlamydia is an infection with the organism Chlamydia trachomatis. It is spread during vaginal, anal or oral sex. In women, chlamydia infection can cause inflammation of the cervix and pelvic inflammatory disease (PID) and infertility. In men, it can cause inflammation of the urethra, the organ through which urine passes; the epididymis, where sperm are stored; or the prostate gland. It can increase the chance of getting HIV. Pregnant women who get chlamydia can pass the infection on to their child during birth; chlamydia infection in an infant may cause an eye infection or pneumonia.

Symptoms

You may have genital chlamydia infection without any symptoms. Experts estimate that up to 75 percent of women and 50 percent of men who have chlamydia infection have no symptoms or symptoms so mild they don't seek treatment.

If you do have symptoms, they usually appear one to three weeks after exposure.

For women, symptoms may include:

  • Burning or pain during urination

  • Pain in the lower abdomen

  • Anal discomfort

  • Abnormal vaginal bleeding or discharge

For men, symptoms may include:

  • Burning or pain during urination

  • Watery or thin white discharge from penis

  • Pain or swelling in the testicles

  • Anal discomfort

Treatment

Fortunately, chlamydia infection can be treated with antibiotics such as azithromycin, doxycycline and erythromycin. Because many people with chlamydia also have gonorrhea, antibiotics for both infections are usually given together.

Decision Guide for Sexually Transmitted Diseases

Symptoms/Signs

Action

Sore in the genital area, rectum, or throat

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Burning or pain during urination, pain in lower abdomen, or anal discomfort

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Pain or bleeding during intercourse

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For women, abnormal vaginal bleeding or discharge

See Provider; Illustration of stethescope See provider

For men, discharge from the penis or pain or swelling in testicles

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Unprotected sex with someone who uses injected drugs, has multiple other partners, has a partner who has been diagnosed with an STD, or a partner who uses injected drugs.

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Pregnant and think you have been exposed to an STD

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Publication Source: Well Advised, Second Edition, Text copyright © 2003 Park Nicollet Institute
Online Editor: Rademaekers, Ed
Online Medical Reviewer: Godsey, Cynthia M.S., M.S.N., APRN
Online Medical Reviewer: Lambert, J.G. M.D.
Date Last Reviewed: 7/16/2006
Date Last Modified: 5/25/2007