Munson Health
 
Chlamydia

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by Badash M
 

Symptoms

Most people who have chlamydia do not have symptoms. If symptoms do occur, they might appear within 1-3 weeks of exposure.
Symptoms in men may include:
  • Purulent discharge from the penis
  • Burning, itchy, or painful sensation while urinating
Symptoms in women may include:
  • Increased or abnormal vaginal discharge
  • Vaginal redness or irritation
  • Painful and frequent urination
  • Unusual vaginal bleeding, or bleeding between periods
  • Pain or bleeding during or after sex
  • Abdominal pain
Pregnant women can transmit chlamydia to their newborns during birth. This may cause conjunctivitis or pneumonia in the baby. Identification and treatment during pregnancy can greatly reduce risks for the baby.
Chlamydia can also cause serious health complications.
Complications in men include:
  • Epididymitis —A painful swelling and inflammation of the testicles, which may lead to infertility.
  • Urethritis —The inside of the urethra may become inflamed, which causes burning when passing urine. If scarring occurs, it may cause difficulty with passing urine, or block urine flow completely.
  • Prostatitis —An inflammation of the prostate gland. Symptoms include pain in and around the groin and pelvis, or discomfort when urinating. It may also create flu-like symptoms, such as fever, chills, body aches, or fatigue.
  • Reiter's syndrome —A triad of urethritis, arthritis, and conjunctivitis .
Male Genitourinary System
Prostate Gland
Copyright © Nucleus Medical Media, Inc.
Complications in women include:
  • Pelvic inflammatory disease (PID)—A serious infection that can lead to infertility , even in women who never have symptoms. If symptoms do occur, they may include pelvic pain and pain with intercourse. PID causes scar tissue, or may cause an abscess to form, in the fallopian tubes.
  • Tubal pregnancy —Scarring in the fallopian tube also increases the risk of a tubal pregnancy and infertility. A tubal pregnancy occurs when a fertilized egg cannot reach the uterus. It is a serious condition that may cause a rupture, bleeding, or infection inside the abdomen. A ruptured or bleeding tubal pregnancy is considered a surgical emergency.
  • Abdominal inflammation—Chlamydia and gonorrhea may cause inflammation around the reproductive organs, the appendix, or the liver. When the liver is involved, symptoms resemble gallbladder disease , with fever and pain under the right ribs. This condition is called Fitz-Hugh-Curtis syndrome.
 

RESOURCES

Centers for Disease Control and Prevention
http://www.cdc.gov

US Department of Health and Human Services Women's Health
http://www.womenshealth.gov

 

CANADIAN RESOURCES

Health Canada
http://www.hc-sc.gc.ca

Sex Information and Education Council of Canada
http://www.sieccan.org

 

References


Blas MM, Canchihuaman FA, et al. Pregnancy outcomes in women infected with Chlamydia trachomatis: a population-based cohort study in Washington State. Sex Transm Infect . 2007;83(4):314-318.


Chlamydia. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/std/chlamydia/default.htm . Updated April 30, 2013. Accessed May 16, 2013.


Chlamydia genital infection. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated March 13, 2013. Accessed May 16, 2013.


Chlamydia fact sheet. US Department of Health and Human Services Women's Health website. Available at: hhttp://www.womenshealth.gov/publications/our-publications/fact-sheet/chlamydia.cfm . Updated July 8, 2011. Accessed May 16, 2013.


Gottlieb SL, Martin DH, et al. Summary: The natural history and immunobiology of Chlamydia trachomatis genital infection and implications for Chlamydia control. J Infect Dis . 2010;201:Suppl 2:S190-204.


Kent CK, Chaw JK, et al. Prevalence of rectal, urethral, and pharyngeal chlamydia and gonorrhea detected in 2 clinical settings among men who have sex with men: San Francisco, California, 2003. Clin Infect Dis . 2005;41:67-74.


Workowski KA, Berman S, Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines, 2010. MMWR . 2010;59(No. RR-12):1-110.

 

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