6.3.2. Infections of the Genital Tract - Chlamydia

Question 1

What causes Chlamydia?

Answer 1

Chlamydia Trachomatis Serovars D to K

Note - Serovars means Distinct Variation in a Species

Question 2

What are the Symptoms of Chlamydia in Men?

Answer 2

1. Asymptomatic - > 70%
2. Slight Watery Discharge
3. Conjunctivitis

Question 3

What are the Symptoms of Chlamydia in Women?

Answer 3

1. Asymptomatic - > 80%
2. Vaginal Discharge
3. Dysuria
4. Intermenstrual / Post-Coital Bleeding
5. Conjunctivitis

Question 4

What are the Complications of Chlamydia in Men?

Answer 4

1. Epididymitis
2. Reactive Arthritis
3. Reiter’s Syndrome - Urethritis + Conjunctivitis + Arthritis

Question 5

What are the Complications of Chlamydia in Women?

Answer 5

1. Pelvic Inflammatory Disease - Ectopic Pregnancy / Pelvic Pain / Infertility
2. Reactive Arthritis
3. Reiter’s Syndrome - Urethritis + Conjunctivitis + Arthritis
   Note - <1% of women who get Chlamydia have a problem with their Fertility

Question 6

What is the Epidemiology of Chlamydia?

Answer 6

1. 2000 / Year

2. Most < 25, especially Sexually Active Teenage Women

Question 7

How is Chlamydia Diagnosed?

Answer 7

(First Void Urine in Men)

1. Self / Clinician Taken Swab of Cervix / Urethra / Rectum (as appropriate)
2. Nucleic Acid Amplification Test

Question 8

What is the treatment of Chlamydia?

Answer 8

1. Azithromycin (1g) Per Oral Once

2. Doxycycline 100mg Bi-Daily for 1 Week (Rectal Infection)

Question 9

When should a Follow-Up Appointment, after a Course of Chlamydia Treatment, be made?

Answer 9

1. Test for Reinfection at 3-12 months

2. Earlier Test of Cure Not Needed (Unless Symptoms Persist)