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Chlamydia is the most common sexually transmitted infection (STI) in the UK and is most common in under 25s.
Chlamydia is sometimes described as a ‘silent’ infection due to the fact about 75% of women with chlamydia and 50% of men don’t have any obvious signs or symptoms.
If you do have symptoms, they can often take a few weeks to appear and you might notice:
Chlamydia can also infect the rectum or throat if you have unprotected anal or oral sex. If infected semen or vaginal fluid comes into contact with your eyes, this can cause conjunctivitis.
If left untreated, women are at risk of developing pelvic inflammatory disease (PID) and suffering damage to the fallopian tubes, and men can get an infection in their testicles. In men and women, chlamydia can cause infertility.
Chlamydia is caused by bacteria called chlamydia trachomatis that is found in semen and vaginal fluid of people who have the infection. It is passed from one person to another through:
It is not clear if chlamydia can be passed on by transferring fluids on the fingers.
You cannot get chlamydia from kissing, hugging, sharing baths or towels, swimming pools, toilet seats or from sharing cups, plates or cutlery.
Chlamydia can also be passed from mother to baby during birth but can be treated during pregnancy with antibiotics
If you’ve had unprotected sex, don’t wait and hope for the best, have a test as soon as you can. Accurate results should appear after two weeks.
Testing for chlamydia is really simple, painless and doesn’t necessarily require a physical examination by a nurse or doctor.
The test is done with either a urine test or a swab test.
You may be advised to have another test two weeks after having sex. Cervical smear tests and routine blood tests will not detect chlamydia.
You may be given treatment if you have symptoms which suggest that you could potentially have chlamydia, even if the results of your test have not come back yet. You will always be offered treatment if your partner is found to have chlamydia.
Chlamydia testing is free and you can get one at Brook services, other young people’s services, GUM or sexual health clinics or at some GP surgeries. Find your nearest using our find a service tool.
Under 25s can get also get tested for free as part of the National Chlamydia Screening Programme in a range of setting from pharmacies to colleges. It is also possible to buy chlamydia self-tests.
Chlamydia is treated with a course of antibiotics. The two most commonly prescribed treatments are:
Most antibiotics are safe to use with hormonal contraception (like the pill, patch, injection or implant) but talk to the person prescribing the treatment to make sure. Tell the nurse or doctor if you are pregnant or think you may be, or if you are breastfeeding. This will affect the type of antibiotic you are given.
Side effects are usually very mild but may include stomach ache, diarrhoea, feeling sick and thrush.
If you had symptoms, you should notice improvements quite quickly. You should go back to where you had your test if:
You shouldn’t have sex for seven days after your treatment, to prevent you being re-infected or passing the infection on.
TELL ANY RECENT PARTNERS
It is important that you tell any sexual partners from the last six months that you are being treated for chlamydia, so that they go for treatment too.
Some clinics may also offer to contact your partner using partner notification. This will warn them they may have been exposed to an STI and to recommend they get tested but it doesn’t mention your name.
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