Chlamydia can be asymptomatic with typical symptoms (pelvic and abdominal pain) but detectable by a a Home STI Kit. Men who become symptomatic show symptoms typical of urethritis, with urethral leakage of mucus and discomfort during urination. A minority develops epididymitis (with or without symptomatic urethritis), presenting unilateral testicular pain (ie pain in a single testicle) and swelling.
Chlamydia can infect the rectal mucosa in both sexes, directly (through a passive anal intercourse) or indirectly (through diffusion from the cervix and vagina in a woman with cervical infection). As a rule, these are asymptomatic infections, but they cannot at times causing the typical symptoms of proctitis: aches, mucus or pus losses and bleeding.
Sexually acquired chlamydia conjunctivitis can occur in both men and women through contact with infected genital secretions. Finally, remember the possible contagion at the level of the throat, contracted through passive oral reports; they are usually asymptomatic infections, but to be treated as potentially transmissible.
As we have often seen, the infection is unfortunately asymptomatic, but if neglected chlamydia can cause serious health problems both in the short and long term. In women, untreated chlamydia can spread to the fallopian tubes and cause pelvic inflammatory disease (PID), which can cause permanent damage and in particular: closing of the tubes and consequent infertility,
Some patients with PID may experience abdominal inflammation and in particular the hepatic capsule. A particular form of reactive arthritis may occur in men and women following symptomatic or chlamydial infections that can be checked using a Home STI Kit. Finally, we remember that an untreated chlamydia infection can increase the chances of contracting or transmitting HIV.
Untreated chlamydia has been associated with preterm birth in pregnant women, as well as the potentially dangerous ocular and pulmonary transmission of infant infection. A pregnant woman who carries a sexually transmitted disease can therefore infect the newborn even if the disease has no obvious symptoms. The screening of some sexually transmitted diseases (but not all of them!) Is now a practice during antenatal care, but it is recommended in case of doubt to always report them to the gynecologist.
The diagnosis provides in women the use (often combined) of urinalysis, cervical or vaginal swab. In the case of men, instead, a urethral swab and / or a urinalysis is performed. If a patient is diagnosed with chlamydia, all of his sexual partners must be informed and treated with antibiotics (according to the CDC you should go back in time for at least 60 days), even if they do not have any symptoms, so they do not develop no long-term complication or propagate the infection to third parties.