Chlamydia

Dr. Panagiotis Polyzos MD PhD MSc

Obstetrician Gynaecologist
Doctor of Medicine, University of Athens Medical School

Panagiotis Polyzos, Gynaecologist Obstetrician, is active at the Institute of Life - IVF Unit of Iaso Maternity Hospital.

Contents

Χλαμύδια – σεξουαλικώς μεταδιδόμενη λοίμωξη

Chlamydia

What is chlamydia?

Chlamydia is a common sexually transmitted infection caused by the microorganism Chlamydia trachomatis. In men, it typically infects the urethra and epididymis, while in women it affects the cervix and fallopian tubes. In newborns of infected mothers, it can infect the eyes and lungs. The high prevalence of this infection is due to the fact that it often presents without any noticeable symptoms. When sexual partners are not treated simultaneously, they can repeatedly reinfect each other.

You may not realize you have chlamydia, as many individuals do not show signs or symptoms such as genital pain or abnormal vaginal or penile discharge.

Chlamydia trachomatis most commonly affects young women, but the infection can occur in both men and women of all ages. It is not difficult to treat, but if left untreated, it can lead to more serious health problems.

What are the main symptoms?

Early-stage Chlamydia trachomatis infections often cause few or no signs and symptoms. Even when symptoms do appear, they are usually mild, making them easy to overlook.

Symptoms and signs of a Chlamydia trachomatis infection may include:

  • Painful urination
  • Vaginal discharge in women
  • Penile discharge in men
  • Painful sexual intercourse in women
  • Bleeding between periods or after sexual intercourse in women
  • Testicular pain in men

Chlamydia can also infect the rectum, either without noticeable symptoms or with rectal pain, discharge, or bleeding. Chlamydial eye infections (conjunctivitis) may also occur through contact with infected bodily fluids.

When should you see a doctor?

Visit your doctor if you experience discharge from the vagina, penis, or rectum, or if you have pain during urination. You should also see your doctor if you learn that your sexual partner has chlamydia. Your doctor will likely prescribe an antibiotic even if you do not have any symptoms.

What are the main causes?

The bacterium Chlamydia trachomatis is most commonly transmitted through vaginal, oral, or anal sex. It is also possible for pregnant women to pass chlamydia to their babies during childbirth, causing pneumonia or a serious eye infection in newborns.

What are the risk factors?

Factors that increase the risk of developing a Chlamydia trachomatis infection include:

  • Being sexually active before the age of 25
  • Having multiple sexual partners
  • Inconsistent use of condoms
  • History of a sexually transmitted infection

What are the possible complications?

Chlamydia trachomatis may be associated with:

  1. Pelvic inflammatory disease (PID). PID is an infection of the uterus and fallopian tubes that causes pelvic pain and fever. Severe infections may require hospitalization for intravenous antibiotics. PID can damage the fallopian tubes, ovaries, and uterus, including the cervix.
  2. 2. Infection near the testicles (epididymitis). A chlamydia infection can cause inflammation of the coiled tube located beside each testicle (epididymis). The infection can lead to fever, pain in the scrotum, and swelling.
  3. Prostate gland infection. Sometimes the chlamydia organism can spread to the prostate gland in men. Prostatitis may cause pain during or after sexual intercourse, fever and chills, painful urination, and lower back pain.
  4. Infections in newborns. Chlamydia infection can be passed from the vaginal canal to the baby during childbirth, causing pneumonia or severe eye infections.
  5. Ectopic pregnancy. This occurs when a fertilized egg implants and grows outside the uterus, usually in a fallopian tube. The pregnancy must be removed to prevent life-threatening complications such as tubal rupture. Chlamydia infection increases this risk.
  6. Infertility. Chlamydia infections — even those that cause no signs or symptoms — can lead to scarring and blockage in the fallopian tubes, which may result in infertility.
  7. Reactive arthritis. People with Chlamydia trachomatis are at higher risk of developing reactive arthritis, also known as Reiter’s syndrome. This condition usually affects the joints, eyes, and urethra — the tube that carries urine from the bladder out of the body.

What is the appropriate prevention?

  1. Use condoms.
  2. Use a latex male condom or a polyurethane female condom during every sexual encounter. Condoms used correctly every time reduce, but do not eliminate, the risk of infection.
  3. Limit the number of your sexual partners.
  4. Having multiple sexual partners puts you at higher risk of contracting chlamydia and other sexually transmitted infections.
  5. Get regular screenings. If you are sexually active — especially if you have multiple partners — talk to your healthcare provider about how often you should be tested for chlamydia and other sexually transmitted infections.

How is the proper diagnosis made?

Sexually active women aged 25 or younger. The rate of chlamydia infection is highest in this group, so an annual screening test is recommended. Even if you have been tested in the past year, get tested when you have a new sexual partner.

Pregnant woman. You should be tested for chlamydia during prenatal screening. If you are at high risk of infection — due to a change in sexual partner or a partner who may be infected — you should be tested again later in pregnancy.

Women and men at high risk. Individuals with multiple sexual partners, those who do not consistently use condoms, or men who have sex with men should consider frequent screening for chlamydia. Other high-risk indicators include an active sexually transmitted infection and possible exposure through an infected partner.

Screening and diagnosis for chlamydia are relatively simple. Tests include:

A urine test. A sample of your urine is analyzed in a laboratory to detect the infection.

Swabs of vaginal fluid. For women, a doctor takes a swab from the cervix to be cultured or tested for chlamydia antigen. This can be done during a routine Pap test.

Swabs for men. A thin swab is inserted into the tip of the penis to obtain a sample from the urethra. In some cases, the doctor may take a rectal swab.

If you have been treated for an initial chlamydia infection, you should be retested in about three months.

Find a solution to your problem.
Schedule your appointment

What is the appropriate treatment for immediate management?

Chlamydia trachomatis infection is treated with antibiotics. You may receive a single dose or you may need to take the medication daily, or multiple times a day, for 5–10 days or longer.

In most cases, the infection clears within one to two weeks. During this time, you should avoid sexual intercourse. Your sexual partner or partners also need treatment even if they have no signs or symptoms. Otherwise, the infection may continue to be passed back and forth between partners.

Having chlamydia or having been treated for it in the past does not prevent you from becoming infected again.

What are the main causes?

In men, chlamydia usually does not present noticeable symptoms. In contrast, women may experience various discharges, discomfort, burning during urination, and vaginal pain. For this reason — and because symptoms tend to appear more clearly — women often realize something is wrong more quickly, making diagnosis relatively prompt.

MEDIA

Watch us on Youtube

Προγεννητικός έλεγχος κατά την εγκυμοσύνη

Interview in the TRT show “Central Greece Good Evening”

Which tests are needed for diagnosis? Can it be detected through a Pap test?

Yes, chlamydia can be detected through a Pap test; however, a Pap smear is typically performed for broader cervical screening purposes. To learn more about the diagnosis and treatment of chlamydia, contact Dr. Polyzos today.

TESTIMONIALS

They said about us