How do you know if your chlamydia treatment is working

Understanding Chlamydia -- Diagnosis and Treatment

How Do I Know If I Have Chlamydia?

If you suspect you have chlamydia, your doctor may want to test cervical or penile discharge or urine using one of several available methods.

 

In most cases of chlamydia, the cure rate is 95%. However, because many women don't know they have the disease until it has caused serious complications such as pelvic inflammatory disease, sexually active women under age 25 and others at higher risk should be tested for chlamydia once a year during their annual pelvic exam even if they don’t have symptoms.

 

Pregnant women should also be tested as part of their routine lab work.

What Are the Treatments for Chlamydia?

If you are diagnosed with chlamydia, your doctor will prescribe oral antibiotics. A single dose of azithromycin or taking doxycycline twice daily for 7 to 14 days are the most common treatments and are the same for those with or without HIV.

With treatment, the infection should clear up in about a week. Do not have sex for at least 7 days until you have taken all of your medication, and do not stop taking the antibiotics even if you feel better.

Your doctor will also recommend that your partner(s) be treated as well to prevent reinfection and further spread of the disease.

Women with serious infections, such as pelvic inflammatory disease, may require a longer course of antibiotics or hospitalization for intravenous antibiotics. Some severe pelvic infections may require surgery in addition to antibiotic therapy.

Make sure you get retested after three months to be certain the infection is gone. Do this even if your partner has been treated and appears to be infection free.

Chlamydia treatment is straightforward and has a success rate of 95% or more.

An infected person will usually receive a single dose of an antibiotic. In some instances (eg in men with testicular pain or women with pelvic pain) a longer course of antibiotics may be warranted.

Results for chlamydia tests take seven working days. If you test positive you may be asked to return to clinic for treatment. However in some instances you may be given chlamydia treatment on the day of your test, ie without waiting for your results. This may occur if you report a sexual partner has been infected with chlamydia or if a condition known as an NSU is diagnosed in men who have a urethral swab taken.

If you have been infected with chlamydia it is possible you may also have another STI. Therefore it is advisable that you have a full sexual health screen for gonorrhoea, syphilis and HIV. Any of our three sexual health clinics routinely offer sexual health check-ups alongside chlamydia tests.

If you are pregnant, you may be asked to return following treatment to make sure the chlamydial infection has been eradicated.

In women using the combined contraceptive pill or patch, the antibiotics used in your chlamydia treatment may temporarily reduce the effectiveness of your contraception. Our staff will advise on how to ensure you are protected from pregnancy throughout the course of your treatment.

Effects of chlamydia treatment

After you have begun your course of chlamydia treatment, you should start to notice an improvement in your symptoms within a few days. Generally, most symptoms should resolve completely within 2–4 weeks. If any symptoms persist, such as pelvic pain or pain during sex, please return to the clinic as further treatment or investigations may be necessary.

If you are diagnosed with chlamydia you may need to inform anyone you have had sex with within the last six months as they may also be infected. They should be advised to attend a sexual health clinic for a chlamydia test and will usually be offered treatment on the day they attend. This advice is regardless of whether they have any symptoms or not, or whether or not you used a condom.

If you feel unable to inform previous sexual partners one of our Health Advisers will be able to notify them on your behalf without revealing your identity.

You should not have oral, anal or vaginal sex during your course of chlamydia treatment or for seven days after a single dose of chlamydia treatment and also until your current partner completes their treatment and until both you and your partner’s symptoms have abated. This is to avoid being re-infected and requiring further treatment.

Chlamydia can be easily cured with antibiotics. Your sexual partners need to be treated too. If you don’t treat chlamydia, it can lead to serious problems.

What’s the treatment for chlamydia?

Chlamydia is usually easy to get rid of. Your nurse or doctor will get you antibiotics to treat the infection. Sometimes you only have to take one dose of medication. Another chlamydia treatment lasts for 7 days. Your doctor will help you figure out which treatment is best for you.

If you’re treated for chlamydia, it’s really important for your sexual partners to get treated also. Otherwise, you can keep passing the infection back and forth, or to other people. Sometimes your doctor will give you medicine for both you and your partner.

What do I need to know if I get treated for chlamydia?

If you’re getting treated for chlamydia:

  • Take all of your medicine the way your nurse or doctor tells you to, even if any symptoms you may be having go away sooner. The infection stays in your body until you finish the antibiotics.
  • Your partner(s) should also get treated for chlamydia so you don’t re-infect each other or anyone else.
  • Don’t have sex for 7 days. If you only have 1 dose of medication, wait for 7 days after you take it before having sex. If you’re taking medicine for 7 days, don’t have sex until you’ve finished all of your pills.
  • Get tested again in 3-4 months to make sure your infection is gone.
  • Don’t share your medicine with anyone. Your nurse or doctor may give you a separate dose of antibiotics for your partner. Make sure you both take all of the medicine you get.
  • Even if you finish your treatment and the chlamydia is totally gone, it’s possible to get a new chlamydia infection again if you’re exposed in the future. Chlamydia isn’t a one-time-only deal. So use condoms and get tested regularly.

Does chlamydia treatment have side effects?

An antibiotic called Doxycycline is the most common medicine used to treat chlamydia. Like most medicines, it can cause mild side effects. The most common side effects of Doxycycline are nausea, vomiting, upset stomach, loss of appetite, mild diarrhea, skin rash or itching, change in skin color, vaginal itching, or discharge. These side effects should go away after you finish taking the medicine. Talk to your nurse or doctor about any medicines you’re already taking and any medical issues you already have before taking Doxycycline.

What happens if you don’t get treated for chlamydia?

Even though chlamydia is common and doesn’t usually cause any symptoms, it can become a big deal if it’s not caught and treated early. 

Chlamydia can spread to your uterus and fallopian tubes if it goes untreated for a long time. This can cause you to have pelvic inflammatory disease (PID). PID can cause permanent damage that leads to pain, infertility, or ectopic pregnancy. So getting tested regularly for chlamydia really lowers your chances of getting PID.

If you have a penis, a chlamydia infection can spread to your epididymis (a tube that carries sperm from your testicles) if it’s left untreated, and can cause chronic joint pain. Rarely, it can make you infertile.

Having chlamydia may increase your chances of getting or spreading HIV.

If you have chlamydia during your pregnancy and don’t treat it, you can pass it to your baby when you’re giving birth. Chlamydia can also cause eye infections and pneumonia in newborns, and it also increases the risk of delivering your baby too early. 

Testing and treatment for chlamydia is quick, easy, and the best way to avoid all of these problems.

More questions from patients:

How long will I test positive for chlamydia after getting treatment?

If your nurse or doctor gives you a single dose of medicine, you have to wait 7 days before you’re no longer infected and can have sex again. If you’re taking medicine for 7 days, you won’t test negative until you’ve finished all of your pills. Either way, you need to wait 7 days until you should be cleared from the chlamydia infection.

After that 7 day mark, you can have sex again without spreading the infection. If you were given pills to take, it’s important to take ALL of your medicine, even if the symptoms go away sooner. The infection stays in your body until you finish the antibiotic pills.

Getting chlamydia again is common. Even if you finish your treatment and the chlamydia is totally gone, it’s possible to get a new chlamydia infection again if you’re exposed in the future. Chlamydia isn’t a one-time-only deal. So use condoms and get tested again in 3-4 months to make sure your infection is gone.

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How do you know if chlamydia has gone after treatment?

Chlamydia is a bacterial infection (like strep throat or an ear infection), which means that once you've been treated and tested negative for it (to make sure the antibiotics worked), it's gone.

How long after taking chlamydia medication does it go away?

It is intended for sex partners of persons who have Chlamydia infection. RESUMING SEXUAL ACTIVITY STOP having sex with others until you take the medicine, and DO NOT have sex for the next 7 days after taking the medicine. It takes 7 days for the medicine to work in your body and cure Chlamydia infection.

How do I know if my medication for chlamydia worked?

If your nurse or doctor gives you a single dose of medicine, you have to wait 7 days before you're no longer infected and can have sex again. If you're taking medicine for 7 days, you won't test negative until you've finished all of your pills.

What are the chances of chlamydia treatment not working?

Research suggests that treatment failure with azithromycin may occur between 5% and 23% of cases. It is very common to have repeat infections of chlamydia. In the first few months following treatment for initial infection, as many as 1 in 5 people will experience reinfection.