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Chlamydial disease, like gonorrhea, is related to an increased prevalence of premature births. Moreover, the fetus can acquire the disease during passage through the infected birth canal, leading to serious eye damage or pneumonia For this reason, all newborns are treated with eye drops containing an antibiotic that kills chlamydia. Std test nearby Dearing Kansas. Treatment of all newborns is routine due to the large number of infected women without symptoms and the serious effects of chlamydial eye infection to the newborn

Treatment of chlamydia involves antibiotics. A suitable single-dose therapy for chlamydia is 1 gm of azithromycin ( Zithromax , Zmax ) by mouth. Alternate treatments can be used, nevertheless, due to the high cost of this medication. The most common alternate treatment is a 100 mg oral dose of doxycycline ( Vibramycin , Oracea , Adoxa , Atridox and others) twice per day for seven days. Unlike gonorrhea, there's been little, if any, resistance of chlamydia to antibiotics that are currently used. There are lots of other antibiotics that also have been effective against chlamydia. As with gonorrhea, a condom or other protective barrier prevents the spread of the infection. Sexual partners also need treatment. Follow up testing to verify success of the treatment is important.

Investigation of chlamydia relies upon a lab evaluation to illustrate that the organism is present, either through identification or culture of the genetic material of the bacteria. Culture is an older and more time consuming process of identifying the bacteria and is normally used. For routine diagnostic purposes, high-speed tests that identify the bacterial genetic material are commonly used. These are referred to as nucleic acid amplification tests, or NAATs. The specimen for NAATs can be obtained in the time of gynecologic evaluation by swabbing the cervix, but diagnostic tests can be run on self-collected or urine samples vaginal swabs.

Girls whose male partner is uncircumcised have been found to show a 5.6-fold increased risk of infection with Chlamydia trachomatis than women whose partner was circumcised Castellsague et al., 2005. So in this large multi-state study circumcision reduced the risk 82%. Data were indistinguishable for women who had only ever had one sexual partner. The study involved 305 couples in 5 countries from various elements of the planet. A prospective study of 5,925 women in Uganda, Zimbabwe and Thailand found no significant difference, nevertheless, in risk of Chlamydia or gonorrhoea Turner et al., 2008.

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Most instances are in the teen to 24 year old age group, and are 2.5 times higher in females than men Weaver, 2007. The rise coincides with a gain in the proportion of uncircumcised males in this sexually active age group. Chlamydia trachomatis is accountable for pelvic inflammatory disease that causes pelvic pain, ectopic pregnancy and infertility. It's also a cofactor in HPV-induced HIV transmission, cervical cancer and, in both genders. In guys, just as in women, it can cause infertility, along with prostatitis and urethral blockage.

Std Test nearby Dearing KS. Men as well as women can get the infection, but women are prone to be diagnosed Statistically, you're more inclined to get an STI in the event that you have sex with greater than one man Disease rates are highest among y ounger women partially because their immature cervical cells are exposed to infection , but mature age is not a protection. The Centers for Disease Control and Prevention recommends that all sexually active women age 25 and younger get screened for chlamydia every year, together with elderly women with risk factors like new or multiple partners.

Men as well as women can get the infection, but women are more prone to be diagnosed Statistically, you are prone to get an STI in the event that you have sex with greater than one individual Infection rates are highest among y ounger women partially because their immature cervical cells are exposed to illness , but old age isn't a protection. Std test near me KS United States. The Centers for Disease Control and Prevention recommends that all sexually active women age 25 and younger get screened for chlamydia every year, along with older women with risk factors like multiple or new partners.

The great news is the fact that chlamydia is easily treated by antibiotics The bad news is that 50% of women who contract the disorder do not know they are infected and 30% develop serious complications such as damage to the fallopian tubes (the tubes that connect the ovaries to the uterus) caused by pelvic inflammatory disease , which may result in sterility. Damage to the fallopian tubes can also raise the risk of ectopic pregnancy (when the fertilized egg implants outside the uterus). Untreated chlamydia in pregnancy may lead to premature birth.

Long Term Chlamydia Symptoms in United States

Std Test near me Dearing KS, United States. Chlamydia infection, often just referred to as chlamydia, is a sexually transmitted infection brought on by the bacterium Chlamydia trachomatis 1 Most people who are infected have no symptoms. When symptoms do develop this may take a few weeks following infection to occur. Symptoms in women may include vaginal discharge or burning with urination Symptoms in men may include discharge from the penis, burning with urination, or pain and swelling of one or both testicles 2 The infection can spread to the top genital tract in women causing pelvic inflammatory disease that might lead to future infertility or ectopic pregnancy 3 Continued infections of the eyes that go without treatment can lead to trachoma , a common source of blindness in the developing world 4

Chlamydia could be spread during vaginal , anal , or oral sex , and may be passed from an infected mother to her infant during childbirth 2 The eye infections can also be spread by personal contact, flies, and contaminated towels in areas with poor sterilization 4 Chlamydia trachomatis only occurs in humans. 5 Analysis is usually by screening that is recommended yearly in sexually active women under the age of twenty five, others at higher risk, and at the first prenatal visit 2 3 Testing may be achieved on the pee or a swab of the cervix, vagina, or urethra 3 Rectal or mouth swabs have to diagnose diseases in those regions. Std test near me Dearing KS. 3

Prevention is by not having the use of condoms, sex, or having sex with only one other individual, who is not infected. 2 Chlamydia could be treated by antibiotics with usually either azithromycin or doxycycline used. Azithromycin or erythromycin is urged in babies and during pregnancy Sexual partners should also be treated and the infected people counseled not to have sex for seven days and until symptom free. Gonorrhea , syphilis , and HIV should be examined for in those who've been infected. Following treatment individuals ought to be tested after three months. 3

Chlamydial infection of the cervix (neck of the uterus) is a sexually transmitted infection which has no symptoms for 50-70% of women infected. The disease could be passed through anal, vaginal, or oral sex. Of those that have an asymptomatic illness which is not detected by their doctor, approximately half will develop pelvic inflammatory disease (PID), a generic term for infection of the uterus , fallopian tubes , or ovaries PID can cause scarring within the reproductive organs , which may later cause serious complications, including chronic pelvic pain, difficulty becoming pregnant , ectopic (tubal) pregnancy , and other dangerous complications of pregnancy.

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In guys, those with a chlamydial infection demonstrate symptoms of contagious inflammation of the urethra in about 50% of cases. 11 Symptoms that could occur include: a painful or burning sensation when urinating, an unusual discharge from the penis, testicular swelling or pain, or fever. If left untreated, chlamydia in men can spread to the testicles causing epididymitis , which in rare instances can cause sterility if not treated. Even though the exact relevance in prostatitis is difficult to establish due to potential pollution from urethritis, 11 Chlamydia is, in addition, a possible cause of prostatic inflammation in men. Dearing std test. 15

Chlamydia conjunctivitis or trachoma was once the main source of blindness world-wide, but its function diminished from 15% of blindness cases by trachoma in 1995 to 3.6% in 2002. 16 17 The disease can be spread from eye to eye by fingers, cloths or shared towels, coughing and sneezing and eye-seeking flies. 18 Newborns may also grow chlamydia eye infection through childbirth (see below). Utilizing the SAFE strategy ( acronym for surgery for in growing or in-turned lashes, antibiotics , facial cleanliness, and environmental improvements), the World Health Organization aims for the global elimination of trachoma by 2020 (GET 2020 initiative). 19 20

The analysis of genital chlamydial diseases evolved rapidly from the 1990s through 2006. Nucleic acid amplification tests (NAAT), such as polymerase chain reaction (PCR), transcription mediated amplification (TMA), as well as the DNA strand displacement amplification (SDA) now are the mainstays. NAAT for chlamydia could be performed on swab specimens sampled from the cervix (women) or urethra (guys), on self-collected vaginal swabs, or on voided urine. 26 NAAT has been estimated to really have a sensitivity of about 90% and a specificity of approximately 99%, no matter sampling from a cervical swab or by urine specimen. 27 In women seeking an STI practice and also a urine test is negative , a subsequent cervical swab was estimated to be positive in about 2% of the time. 27

Because of improved test accuracy, ease of screening women as well as sexually active men, and ease of specimen direction, convenience in specimen management, the NAATs have mostly replaced culture, the historical gold standard for chlamydia analysis, and also the non-amplified probe tests. The latter test is relatively insensitive, successfully discovering only 60-80% of infections in asymptomatic women, and frequently giving falsely positive effects. Culture stays useful in selected circumstances and is now the only assay approved for testing non-genital specimens. Other procedure also exist including: ligase chain reaction (LCR), direct fluorescent antibody resting, enzyme immunoassay, and cell culture. 28

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For sexually active women that are not pregnant, screening is advised in those under 25 and others at risk of infection. 12 Risk factors include a history of condom use that is inconsistent, new or multiple sexual partners, and chlamydial or other sexually transmitted infection. 13 For pregnant women, guidelines change: screening women with age or other risk factors is advocated by the U.S. Preventive Services Task Force (USPSTF) (which recommends screening women under 25) and the American Academy of Family Physicians (which advocates screening women aged 25 or younger). Dearing, KS United States std test. While the Centers for Disease Control and Prevention advocate universal screening of pregnant women the American College of Obstetricians and Gynecologists recommends screening all at risk. 12 The USPSTF recognizes that in some communities there could be a few other risk factors for disease, like ethnicity. 12 Evidence-based recommendations for screening initiation, intervals and conclusion are presently not possible. 12 For guys, the USPSTF concludes evidence is currently insufficient to determine if regular screening of men for chlamydia is beneficial. 13 They advocate regular screening of men that are at increased risk for syphilis or HIV infection. 13

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"What is nice about this study is that since we have focused on asymptomatic infections in women during the last several years, looking at the role of asymptomatic infections in men is a helpful addition to our epidemiological data," says Carolyn Deal, PhD, leader of the Sexually Transmitted Diseases Branch of the National Institute of Allergy and Infectious Diseases. "Nonetheless, this was a select group, and you should always be careful about interpreting information from one group to another for various reasons."

SOURCES: The Lancet, May 24, 2003. Department of Sexually Transmitted Disease, CDC, Atlanta. U.S. Preventive Services Task Force recommendation, April 17, 2001. Gordon Scott, FRCP, consultant in genitourinary medicine, Edinburgh Royal Infirmary, Edinburgh, Scotland. Martin Resnick, MD, president, American Urological Association, Baltimore; chairman, department of urology, Case Western Reserve School of Medicine, Cleveland. Dearing, United States Std Test. Carolyn Deal, PhD, chief, Sexually Transmitted Diseases Branch, National Institute of Allergy and Infectious Diseases, Bethesda, Md.

Nearly half of all women who get chlamydia and are not treated by a physician will get pelvic inflammatory disease (PID), a generic term for infection of the uterus, fallopian tubes, and/or ovaries. PID can cause scarring in the reproductive organs, which could later cause serious complications, including chronic pelvic pain, difficulty becoming pregnant, ectopic (tubal) pregnancy, and other dangerous complications of pregnancy. Std Test nearest Dearing Kansas. Chlamydia causes 250,000 to 500,000 cases of PID every year in the U.S.

When chlamydia symptoms do appear, they usually present themselves 1-3 weeks after exposure to the bacteria. For women, symptoms may include an abnormal vaginal discharge or a painful or burning sensation during urination. In case the disease spreads, women can experience stomach and pelvic pain, fever, nausea, bleeding between periods and pain during sex. For men, symptoms may include a painful burning sensation during urination, and/or unusual discharge from the penis. For both women and men, symptoms of rectal disease may include rectal pain or bleeding.

Chlamydia may be treated and cured with antibiotics. In order to allow the antibiotics to work and to prevent spreading the bacteria to others, individuals infected with chlamydia should abstain from sex for seven days. Similarly, your partner should be medicated to avoid you getting re-contaminated. A re-infection of chlamydia is common, particularly when a person's sexual partners have not been properly treated. Our physicians advise that your partner along with you get re-tested for chlamydia about 21 to 28 days after treatment. This helps ensure the health of both parties and helps mitigate any potential longterm health complications from the chlamydia bacterium.

If left untreated, a chlamydia infection can have important health consequences. Std test in Dearing. Untreated illnesses in women can result in prenatal issues and chronic pelvic pain. Chlamydia infections that are perennial may lead to serious reproductive problems, including complications during pregnancy and infertility. Moreover, women exposed to chlamydia have reached a higher danger of getting HIV. For men, an untreated case of chlamydia can spread to other portions of the penis, prostate and testicles and cause inflammation and pain. If not properly treated, chlamydia may also result in male sterility.

Chlamydia pneumoniae is a common species of bacteria of the Chlamydia genus. Reinfection after in life appears common, and about 50 percent of Americans aged 20 and older have experienced a Chlamydia pneumoniae infection, notes the Centers for Disease Control and Prevention. Most instances of Chlamydia pneumoniae infection cause mild symptoms not recognized as an illness, or cause no symptoms. In certain cases the infection can cause a respiratory illness, sometimes with symptoms and characteristic clinical manifestations.

Cough symptoms, sometimes over a prolonged period, may signal a case of pneumonia or bronchitis due to a Chlamydia pneumoniae infection. Those illnesses constitute the most often established disorders connected with Chlamydia pneumoniae, notes Dr. Std test nearest Dearing. Cho-Chou Kuo, in a 1995 review article in "Clinical Microbiology Review." The cough may be accompanied by fever symptoms. The symptoms may have a subacute beginning, meaning that they begin pretty quickly, but not suddenly. Dr. Chou notes that often, by the time a patient sees a doctor, the fever symptoms may have already resolved. The sicknesses related to Chlamydia pneumoniae infections are usually light, and folks are inclined to wait longer than they do with other acute respiratory infections before seeing a physician following the start of symptoms.

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