Chlamydia

Chlamydia also called chlamydia bacteria infection is a common, sexually transmitted infection that may not cause symptoms. Chlamydia affects people of all ages but is most common in young women.

What is it?

  • The most commonly reported communicable disease in Australia
  • Those <30 years are at greater risk
  • Frequently asymptomatic
  • Simple to test and treat
  • Immunity to new infection is not provided by previous infection

Signs and Symptoms

Many people who have Chlamydia are asymptomatic but can still transfer it through sexual contact. Symptoms may include painful urination, penis or vaginal discharge and genital pain. Symptoms can also be gender specific.

MaleFemale
50% have no symptoms 75% have no symptoms
Dysuria Dysuria
Urethral discharge Vaginal discharge
Testicular pain Pelvic pain
Ano-rectal symptoms Intermenstrual bleeding
  Postcoital bleeding
  Ano-rectal symptoms

Diagnosis

MaleFemale
First pass urine Endocervical swab
Ano-rectal swab Self-collected vaginal swab
Pharyngeal swab First pass urine
  Ano-rectal swab

Treatment

  • Treated with antibiotics
  • Special treatment situations include pregnant women, allergies and those with anal coinfection
  • If Chlamydia is not treated it can lead to serious long-term health problems such as infertility and pelvic inflammatory disease

Recommended follow-up

  • Advise no sexual contact for 7 days after treatment is administered
  • Re-infection is common, re-testing at three-month to detect re-infection
  • Consider testing for other STI's at three-month visit, if not undertaken at first presentation or retesting post window period

Contact tracing

  • Partners should be traced for 6 months
  • Contacting all sexual contacts during potential time of infection

For more information

Information about Chlamydia in other languages