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Health Topics: STI: Chlamydia

Chlamydia (short for chlamydia trachomatis) is the most common sexually transmitted infection in the United States and at Ohio University.  Chlamydia is the name of several types of bacteria.  Chlamydia trachomatis is the bacterium that infects the penis, vagina, cervix, anus, urethra or eye.

Important facts
  • Three million American men and women become infected with chlamydia each year
  • Chlamydia is four times more common than gonorrhea
  • Chlamydia is thirty times more common than syphilis
  • Chlamydia is most common among women and men under 25
  • For every person with genital herpes there are six with chlamydia.
Common symptoms
  • Usually chlamydia has no symptoms
  • Up to 85 % of women and 40% of men with chlamydia have no symptoms
  • Most individuals are unaware they have the infection
  • When symptoms do occur, they begin 5 -10 days after infection
Women, who have symptoms may experience:
  • Bleeding between menstrual periods
  • Vaginal bleeding after intercourse
  • Painful intercourse
  • Low-grade fever
  • Painful urination
  • The urge to urinate more than usual
  • Cervical inflammation
  • Abnormal vaginal discharge
  • A yellowish discharge from the cervix which may have an odor
  • Rectal itching and diarrhea
  • If chlamydia infects the eyes, it may cause redness, itching and a discharge.
Men who have symptoms may experience:
  • Pus or watery or milky discharge from the penis
  • Painful or burning urination
  • Swollen or tender testicles
  • Rectal itching and diarrhea
  • If chlamydia infects the eyes, it may cause redness, itching and a discharge.
  • Men may not take these symptoms seriously because they may only appear in the early morning and can be extremely mild
How chlamydia is spread
  • Through vaginal, anal or oral intercourse
  • Can also spread from a women to her fetus during birth
Complications of chlamydia
  • Chlamydia is a serious health threat especially for women.  In women, the infection usually begins on the cervix.  It can spread to the fallopian tubes or ovaries.
  • Chlamydia causes 250,000 - 500,000 cases of pelvic inflammatory disease every year.
  • Women with pelvic inflammatory disease (PID) of the fallopian tubes are 7-10 times more likely to have ectopic pregnancies.
  • Chlamydia also makes men sterile.  It can spread from the urethra to the testicles.  Then it can result in a condition called epididymitis.
  • Chlamydia causes more than 250,000 cases of acute epididymitis in the U.S. every year.
  • Chlamydia also may cause Reiter's syndrome. This usually occurs in young men.
  • Of the 1.5 million men who get chlamydia each year, 1% or 15,000 will develop Reiter's syndrome. 5,000 will become permanently disabled. (CDCP, May 2005)
Reiter's Syndrome symptoms include:
  • Urethritis
  • Lesions that form hard crusts on the penis
  • Ulcers in the mouth or throat
  • Conjunctivitis (pink eye)
  • Arthritis
  • Arthritis becomes a disability for about one third of the men who develop Reiter's syndrome.
Diagnosis
  • Examination of the cervix and cervical discharge
  • Laboratory tests of the cells from the penis, cervix, urethra, or anus
  • Examination of urine samples
Treatment
  • Oral antibiotics (doxycycline, azithormycin) are used to treat chlamydia.
  • If an individual is being treated for chlamydia, they should take all the prescribed medicine.  Even if the symptoms go away, the infection may still be in the body
  • Make sure all partners are treated at the same time so re-infection will not occur
Prevention and protection
  • Condoms and other forms of latex protection offer protection against chlamydia.
  • Pap tests should not be relied upon to check for chlamydia.   The Center for Disease Control and Prevention recommend all sexually active women 18- 25 as well as older women with risk factors be screened annually for chlamydia.

Hudson Health Center
Athens, Ohio 45701
T: (740) 593-1660
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