Chlamydia Treatment
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Chlamydia treatment
By Medical Editor:
Dr. Francesco-Maria Serino, MD, PhD
August, 2024
Summary
Chlamydia is a common sexually transmitted infection (STI) caused by the bacterium Chlamydia trachomatis. It can infect the genital tract, rectum, and throat in both men and women. Many people with Chlamydia do not show symptoms, so medical testing through a urine sample or swab is necessary.
Symptoms, when they appear, include unusual discharge, burning during urination, pain during sex for women, and testicular pain for men. Rectal infections can cause pain, discharge, or bleeding.
Chlamydia spreads through sexual contact and from mother to baby during childbirth. It’s very unlikely to contract it from surfaces like toilet seats.
Chlamydia is treatable with antibiotics like azithromycin or doxycycline. Follow the doctor’s instructions to ensure the infection is cured. Telehealth services can diagnose and treat Chlamydia remotely. Retesting three months after treatment is recommended to prevent reinfection.
What is a Chlamydia Infection
Chlamydia is a sexually transmitted infection (STI) caused by the bacterium Chlamydia trachomatis. It is one of the most common STIs worldwide, affecting both men and women. The infection can occur in the genital tract, but it can also infect the rectum and throat.
What are Chlamydia symptoms?
You may suspect a Chlamydia infection if you experience symptoms associated with the infection or if you have been sexually active with a partner who has tested positive for Chlamydia. However, many people with Chlamydia are asymptomatic, meaning they do not show any symptoms. The best way to confirm a Chlamydia infection is through medical testing, which can involve a urine sample or a swab from the affected area.
Symptoms of Chlamydia can vary but commonly include:
For Women:
Abnormal vaginal discharge
Burning sensation during urination
Pain during intercourse
Bleeding between periods
For Men:
Discharge from the penis
Burning sensation during urination
Pain and swelling in one or both testicles (less common)
Rectal Infection (Men and Women):
Pain in the anus
Discharge from the anus
Bleeding from the anus
What causes a Chlamydia infection?
Chlamydia is caused by the bacterium Chlamydia trachomatis. The infection is primarily transmitted through sexual contact, including vaginal, anal, and oral sex. It can also be passed from a pregnant woman to her baby during childbirth.
Can I get Chlamydia from a toilet seat?
Although it’s not impossible, it’s highly unlikely to get Chlamydia from surfaces like a toilet seat because the bacteria doesn’t survive long outside the human body. A 2012 study published in the British Medical Journal showed that surface contamination with Chlamydia can occur in sexual health clinics, but the amount of bacteria is low and the infection risk to patients and staff is small. However, it’s possible, though rare, for samples to be contaminated, leading to a false positive result.
Is Chlamydia curable?
Yes, Chlamydia is curable with the appropriate antibiotic treatment. The most commonly prescribed antibiotics are azithromycin, typically given as a single dose, and doxycycline, usually taken for seven days. It is crucial to follow the prescribed treatment regimen to ensure the infection is fully eradicated. The Center for Disease Control and Prevention (CDC) recommends doxycycline as the preferred agent for Chlamydia treatment in nonpregnant individuals. Azythromycin is the preferred option for pregnant individuals.
Common Chlamydia medications
Doxycycline
tablets
Azythromycin
tablets
How to cure Chlamydia without going to the Doctor?
Self-treating Chlamydia without seeing a doctor is not recommended. Proper diagnosis and treatment under medical supervision are essential to ensure the infection is effectively treated. Over-the-counter medications are not effective against Chlamydia, and inappropriate treatment can lead to complications and the spread of the infection to others.
Telehealth consultations are an excellent way to treat Chlamydia without physically visiting the doctor. The doctor can assess your symptoms and discuss treatment options to treat your Chlamydia infection. You can receive prescriptions directly to your email and follow-up care, all without leaving your location. It’s the ideal solution for travelers seeking fast, reliable medical assistance.
Will 1000mg of azithromycin cure Chlamydia?
Yes, a single dose of 1000mg of azithromycin is one of the recommended treatments for uncomplicated Chlamydia infections. However, other treatments are also recommended, so it is important to follow up with a healthcare provider to confirm the effectiveness of the treatment and ensure the infection is fully resolved.
Can you drink alcohol while taking azithromycin for chlamydia?
While there is no direct contraindication between alcohol and azithromycin, it is generally advisable to avoid alcohol consumption during antibiotic treatment. Alcohol can potentially increase the risk of side effects and might interfere with the body’s ability to fight the infection effectively.
What is the treatment for chlamydia in the anus?
For rectal Chlamydia infections, doctors prefer doxycycline because it works better than azithromycin. If the infection is very bad or if they think it might be a specific type called LGV (lymphogranuloma venereum), you might need to take doxycycline for longer than usual.
How long will I test positive for Chlamydia after treatment?
After receiving treatment for Chlamydia, you might still test positive for a few weeks. This happens because the test used (called NAAT, or nucleic acid amplification test) is very sensitive and can detect genetic material from dead bacteria, which can give a false positive result. It’s usually recommended to retest three months after treatment to make sure you’re not reinfected, especially if you have risk factors like a new or untreated sexual partner.
References
Stamm, W.E. “Chlamydia trachomatis Infections of the Adult.” In Sexually Transmitted Diseases, 4th Edition, edited by K.K. Holmes, P.F. Sparling, P.A. Mårdh, et al., 575. New York: McGraw-Hill, 2008.
Scholes, D., A. Stergachis, F.E. Heidrich, et al. “Prevention of Pelvic Inflammatory Disease by Screening for Cervical Chlamydial Infection.” New England Journal of Medicine 334 (1996): 1362.
Oakeshott, P., S. Kerry, A. Aghaizu, et al. “Randomised Controlled Trial of Screening for Chlamydia trachomatis to Prevent Pelvic Inflammatory Disease: The POPI (Prevention of Pelvic Infection) Trial.” BMJ 340 (2010): c1642.
Thorpe, E.M. Jr., W.E. Stamm, E.W. Hook III, et al. “Chlamydial Cervicitis and Urethritis: Single-Dose Treatment Compared with Doxycycline for Seven Days in Community-Based Practices.” Genitourinary Medicine 72 (1996): 93.
Geisler, W.M. “Diagnosis and Management of Uncomplicated Chlamydia trachomatis Infections in Adolescents and Adults: Summary of Evidence Reviewed for the 2015 Centers for Disease Control and Prevention Sexually Transmitted Diseases Treatment Guidelines.” Clinical Infectious Diseases 61 Suppl 8 (2015): S774.
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Your questions answered
What are common symptoms of chlamydia infection?
Chlamydia is a common sexually transmitted infection (STI) that often doesn’t cause noticeable symptoms, which is why many people may be unaware they have it. When symptoms do occur, they can include abnormal vaginal discharge that may be yellow or cloudy, pain during intercourse, and a burning sensation while urinating. Some women may also experience lower abdominal pain or bleeding between periods. Men might notice discharge from the penis, discomfort when urinating, or testicular pain. Because chlamydia can lead to serious complications if left untreated, such as infertility, it’s crucial to get tested and treated promptly if you suspect you might have it or if you are sexually active and at risk.
How is a Chlamydia infection diagnosed?
A chlamydia infection is typically diagnosed through a simple laboratory test. The most common methods include a urine test, where a sample of your urine is analyzed for the presence of the bacteria that cause chlamydia, or a swab test, where a healthcare provider collects a sample of cells from the affected area, such as the cervix in women or the urethra in men. These samples are then tested in a lab to confirm the infection. Early diagnosis is important for effective treatment and to prevent potential complications, so it’s recommended to get tested if you are sexually active and at risk or if you experience any symptoms.
Can I get antibiotics for Chlamydia without seeing a doctor in-person?
Yes, when necessary, antibiotics can be prescribed during a video consultation with a doctor. Antibiotics in Europe are not available over the counter and pharmacies do not have doctors on site. To buy antibiotics, you’ll need to carry a doctor’s prescription to a pharmacy. For example, the cost of antibiotics typically ranges from 5 to 15 euros.
How does Doctorsa work?
Open the intake form and choose one of the following options:
- Urgent Care: For immediate virtual care.
- Set Up an Appointment: To schedule a same-day or future appointment.
- Prescription Refill: Use this option if you have lost or forgotten your medication.
Next, choose how you would like to receive appointment offers from doctors. We recommend using WhatsApp because it’s faster and more reliable. You’ll quickly receive various appointment options, and you can choose the one that suits you best and proceed to online payment.
Video visits are browser-based, so no apps are needed. Just click the link you receive to start your video visit in your browser.
After the consultation, expect to receive an invoice and an e-prescription via email. You can show or print the e-prescription to purchase medication at the pharmacy of your choice.
How much does Doctorsa's virtual care cost?
The total cost will vary depending on the providers, as each competes to offer a fair price for your specific needs. The average cost for an online doctor visit is 25 Euros. Prices for in-person appointments, specialists, and lab work depend on the city. You can send a request to find out the exact cost with no obligation to book, allowing you to choose your preferred provider.
The visit cost does not include medications, but common antibiotics are very affordable in Europe, ranging from approximately 5 to 15 Euros.
Are doctors available at night?
Yes, whenever you submit your request it is instantly received by the doctors active at that time. Whether it’s late at night, on a Sunday morning, or on New Year’s Eve, there’s always someone on the other side who’s ready to see you. When you receive an option for an appointment, there’s a person behind it (a doctor) who’s read your request and is willing to assist you.
How do I get a prescription from an online doctor?
The doctor will email the e-prescription to you or send it through Whatsapp after the consultation. You can print it or show it to the pharmacist to buy the medication.
Please be aware that doctors have a professional responsibility to make their own assessment and cannot simply prescribe medication based on the patient’s request or a foreign doctor’s recommendation without first confirming that it is appropriate for the patient’s condition.
Can I contact the doctor for follow-up questions after the consultation?
You can message your physician with follow-up questions at no additional cost for up to 7 days after the video visit.
