Trachomasis

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Diagnosis

The most common test for chlamydia is called a nucleic acid amplification test (NAAT). Your provider takes a sample of fluid by doing a vaginal/cervical swab or collecting a urine sample. Then, they send the sample off to a lab to check for the bacteria that causes chlamydia. Your provider may do the test in an office, or they may ask you to do an at-home chlamydia test. Follow your provider’s instructions carefully to ensure you get accurate test results.

Because most chlamydia cases are asymptomatic, it’s important to get screened for chlamydia even if you don’t notice any signs of infection. The CDC recommends that sexually active cisgender women who are high-risk for chlamydia get screened regularly. Women, more so than men, experience the most severe complications from chlamydia. Transgender men and nonbinary individuals with vaginas should be screened regularly, too, as they can experience the same complications of chlamydia.

You’re considered high-risk if you:

Are under 25.

Are pregnant.

Have a new partner.

Have multiple partners.

Have had chlamydia infections previously.

Cisgender men, or trans and nonbinary individuals with penises, should be screened for chlamydia if:

They live in a setting where chlamydia spreads frequently, like correctional facilities, adolescent clinics and sexual health clinics.

They have sex with other men.

Regardless of your age, reproductive anatomy, or other risk factors — you should discuss your sexual history and sexual activity with your healthcare provider. Your provider is your best resource for offering guidance on how often you should be tested for chlamydia and other STIs.

Treatment

Chlamydia can be cleared up with antibiotics in about a week or two. But don’t stop taking your medication just because your symptoms improve. Ask your provider about what follow-up is needed to be sure your infection is gone after you’ve finished taking your medicine.

Part of your treatment should also include avoiding sexual activities that could cause you to get re-infected and ensuring that any sexual partners who may be infected also get treatment. You should:

Abstain from sex until your infection has cleared up. Starting treatment doesn’t mean that you’re in the clear. Take all your medication as your provider directs, and avoid all sexual contact in the meantime.

Contact all sexual partners. Tell any sexual partners from the last 3 months that you’re infected so that they can get tested, too.

Get tested for other STIs (HIV/AIDS, syphilis, herpes, gonorrhea). It’s common to have multiple STIs, and it’s important to receive treatment that’s tailored to each infection.

Antibiotics can get rid of your infection, but they can’t reverse any harm the bacteria may have caused to your body before treatment. This is why it’s so important to get screened regularly for chlamydia, to see your provider at the first sign of symptoms, and get treatment immediately if you’re infected.