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Chlamydia (cont.)

Chlamydia Diagnosis

The health care practitioner will conduct the following exams and tests.

Physical Examination

Tenderness for women in the area of the sex organs, pus from the vagina or penis, and fever could indicate an infection.

Diagnostic Tests

Diagnostic tests may be ordered that may include looking at samples of the discharge under a microscope or obtaining cultures to identify the disease-causing bacteria.

Some diagnostic tests may include obtaining cultures or sending urine to the laboratory to determine if you are infected. You may also be tested for other sexually transmitted diseases because many patients with chlamydia also have other infections such as gonorrhea or trichomonas.

Chlamydia Medications and Treatment

The health care practitioner may prescribe a single-dose antibiotic, such as azithromycin (Zithromax), taken as a pill. On the other hand, the doctor may choose an antibiotic, such as doxycycline (Atridox, Bio-Tab), to be taken as a pill twice a day for a week. Up to 95% of people will be cured after one course of antibiotics.

Is Chlamydia Curable?

Treated with antibiotics, chlamydial infections can be cured most of the time.

Complications of untreated chlamydia include:

  • A significant number of women will develop pelvic inflammatory disease;
    • Some women with pelvic inflammatory disease will develop a form of liver disease (perihepatitis).
  • Women may develop chronic pelvic pain and become sterile due to blockage of the Fallopian tubes that allow the egg to be transported from the ovary to the women's womb.
  • More common in men, some may develop sexually acquired reactive arthritis or Reiter syndrome.
  • Men may experience painful swelling of the testicles.
Last Reviewed 9/11/2017

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Read What Your Physician is Reading on Medscape

Chlamydial Genitourinary Infections »

Chlamydiae are small gram-negative obligate intracellular microorganisms that preferentially infect squamocolumnar epithelial cells.

Read More on Medscape Reference »

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