A urine specimen obtained after not
urinating for at least four hours is sometimes used for the PCR method
of testing and it recommended to test for both Chlamydia and Gonorrhea
and be treated for both at the same time.
By age 30, 50% of sexually active
women have evidence that they have had
Chlamydia at some time during
their lives.
An estimated 3 million Americans
are infected with Chlamydia each year.
5 percent of the young sexually
active people are infected with Chlamydia.
in a non-monogamous relationship
may have Chlamydia.
One out of every twenty sexually
active people in a non-monogamous relationship may have Chlamydia.
Chlamydia is known as a "silent"
disease because three quarters of infected women and half of infected men have
no symptoms.
The urine test is highly specific (98.2
for Chlamydia and 98.9 for Gonorrhea)
Chlamydia and gonorrhea are transmitted
through vaginal, anal or oral sexual contact. Both infections cause
symptoms for some people while other people have no recognizable
symptoms at all. For women, symptoms include a change in the color or
texture of vaginal discharge, irregular bleeding or spotting, vaginal
burning, or pain and burning with urination. Pelvic pain may indicate
that the bacteria have progressed into the uterus, fallopian tubes and
ovaries. Because it is more common that women may not have recognizable
symptoms, the Centers for Disease Control and Prevention recommend that
all sexually active adolescent and young adult
women be tested during
their annual exam. Any woman having new or multiple partners should
request testing.
Gonorrhea symptoms may develop within
2-10 days while Chlamydia symptoms may occur 7-21 days after exposure.
Symptoms of gonococcal infections of the
throat include redness and swelling of the tonsils, sometimes
accompanied by exudates (white spots) on the tonsils. Ano-rectal symptoms
include rectal pain and bleeding.
If your partner has been found to have
Chlamydia and/or gonorrhea, recognize that the infection can be present
for years without symptoms. It is important that you seek medical
attention to be evaluated and treated. It is important to finish all of
the medication even if your Chlamydia test is negative. Refrain from all
sexual contact until you both have been examined and have completed
treatment. The use of condoms is recommended to prevent re-infection.
Consistent condom use can
reduce but not totally prevent the transmission of sexually transmitted
infections. It is important to talk with all new sexual partners about
their sexual history. Although gonorrhea and Chlamydia testing can be
performed, there are other sexually transmitted infections that may be
transmitted even though no symptoms are present.
Routine screening in the
absence of symptoms should be performed approximately two weeks after a
suspected exposure to ensure accuracy of the testing. Since Chlamydia
and/or gonorrhea may occur simultaneously with other infections, such as
hepatitis B, syphilis, and
HIV, additional testing may be recommended.
Repeated testing may be done if desired, 3-4 months after medications
have been completed, unless symptoms re-occur
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