Chlamydia: symptoms in the acute phase of the disease. What are the reasons for the "return" of the disease
Is its latent asymptomatic course, which is often found in patients. On the one hand, this form of the disease does not cause any particular inconvenience, since there are no symptoms that can reduce a person's quality of life. On the other hand, it is the asymptomatic course of chlamydia that may ultimately be the most dangerous.
The absence of clear manifestations of the disease is more characteristic of chronic infection. In this case, the bacteria inside the cells pass into a protective L-form and do not manifest themselves in any way. However, even active chlamydia that multiply and spread throughout the body can sometimes go unnoticed.
The following factors influence the course of the disease:
- state of immunity. Whether a person becomes infected through contact with chlamydia largely depends on the general state of immunity. The probability of infection is on average estimated at 60 - 65%. In the normal state of the immune system, the symptoms of the disease will appear in 1-2 weeks only in 30-35% of cases. If the immune system is weakened, the disease will manifest itself more openly, and the patient will quickly feel worse.
- Associated infection. Often, chlamydia, even with asymptomatic course, can be diagnosed due to concomitant infections. Chlamydia, affecting the mucous membrane of the urethra, make it more vulnerable to other microorganisms. As a result of this, vivid symptoms appear that lead the patient to an examination, where all microorganisms present are diagnosed.
- Subspecies of the pathogen. The bacterium Chlamydia trachomatis is more prone to asymptomatic course than other microorganisms of this species. At the same time, it is she who is the most common causative agent of chlamydia in humans. Other subspecies of the pathogen are much less common and rarely lead to an asymptomatic form of the disease.
- Gender of the patient. Chlamydia occurs in modern society with almost the same frequency in men and women. However, the asymptomatic course of the disease is more common in women. This is due to anatomical and physiological features. In men, due to the narrowness of the urethra, with swelling of the mucous membrane, problems associated with urination occur faster. At the same time, if we talk about late complications of the disease, then in women they are much more serious and noticeable. Thus, the gender of the patient largely determines whether the disease will take an acute form, or will be asymptomatic.
- Clinical form of chlamydia. The clinical form of chlamydia is determined by the anatomical region in which the infection develops. In most cases, this is the genitourinary system. Urogenital chlamydia can be asymptomatic in about 50% of cases. At the same time, a somewhat rarer chlamydial conjunctivitis ( damage to the mucous membranes of the eyes) rarely goes unnoticed. Symptoms such as redness of the eyes and watery eyes appear within 1 to 2 weeks after infection. Well, an extremely rare pharyngeal form of chlamydia ( damage to the mucous membranes of the throat), on the contrary, remains asymptomatic in almost 90% of cases.
With asymptomatic chlamydia, the likelihood of the following complications is high:
- male and female infertility;
- chronic chlamydial prostatitis;
- adhesive disease of the small pelvis;
- inflammatory diseases of the reproductive organs;
- cicatricial changes in the wall of the urethra.
Chlamydia is a bacterial infection that affects:
- urethra;
- rectum;
- vagina;
- cervix;
- eyes.
The spread of the disease is carried out by a person with an asymptomatic or manifest form.
The incubation period for chlamydia in women can range from 2 to 30 days.
Usually it depends on the woman's immunity and the presence of inflammation in her body (uterus or appendages).
In some cases, the disease can develop without pronounced symptoms, in others bacteria can exist in the body of the host hidden for a long time (years) in a state of rest and does not manifest itself in any way.
After how much and how it manifests itself, are there any hidden signs?
During the initial stage of the development of the disease, it has practically no symptoms and it is impossible to reliably identify it with modern methods. In some cases, the patient intuitively feels problems in her body. It could be:
- slight itching in the genital area;
- change in the consistency of secretions;
- pain or discomfort in the lower abdomen.
But these symptoms are not considered reliable without an examination by a doctor, and to confirm the presence or absence of signs, you must contact a venereologist or gynecologist.
Obvious signs of the disease appear only after the completion of the development of microorganisms into a sexually mature form and during their active stage of reproduction. Usually it is 20-30 days.
Signs:
- mucopurulent discharge, odorless;
- an increase in temperature to 37.5 ° C without obvious reasons;
- general weakness;
- pain in the pelvic area, groin;
- discomfort in the genital area;
- pain when urinating.
Watch a video about this disease:
How to suspect that an infection has occurred?
Chlamydia is transmitted mainly through sexual contact.(in the vagina, in the rectum). That is why the possibility of infection through toilet seats, public baths, pools, towels, and common utensils is excluded.
In order to suspect an infection, a woman must have unprotected sexual contact with an unknown partner or feel a general malaise of unknown etiology.
If the patient has this problem, then her sexual partner should also undergo a study, even when nothing bothers him, since the asymptomatic course of the disease and the lack of necessary treatment can increase the risk of complications.
What to do after chlamydia infection?
If you suspect chlamydia, a woman should immediately contact a gynecologist and venereologist for an examination, as well as getting a referral for tests. To accurately determine the infection, PCR, ELISA or PIF is required.
PCR analyzes have the maximum accuracy - 90–95%. The accuracy of other analyzes varies from 50 to 70%.
Based on the results of the studies, the doctor is able to confirm or refute the presence of chlamydia in a woman's body, as well as the severity of the disease.
Only after an accurate diagnosis can the correct treatment be prescribed and the optimal course of drugs selected, which will quickly and most effectively stop the symptoms of infection, as well as completely neutralize and destroy pathogens.
A person with chlamydia becomes contagious from the first day of infection.. The problem spreads mainly during sexual intercourse, but a vertical method of transmission from mother to child is also possible.
Attention. In this section, you can read the answers of Dr. Markov I.S. to questions from patients on the topic "Symptoms and treatment of chlamydia". If the answers do not help you, then You can apply directly to the Markov clinic in Kyiv or get an individual internet consultation. Our clinic specializes in the treatment of infectious diseases, including chlamydia.
Question 1. Hello! I have the following question: during the examination, I was diagnosed with urethroprostatitis of chlamydial etiology (in the CMD clinic). At the same time, my wife has nothing, I only have sex with her. Question 1. As far as I understand, we need to carry out the treatment together? Question 2. I was prescribed medication (I apologize if I wrote it wrong): wobenzym, vilprofen, cyprobay, amixin, legalon 140, prostovit, fluconazole, yogurt. Interested in: the adequacy of the drugs to the diagnosis (there is information that they "recommend" drugs for which they have a percentage). If so, is it possible to come with the results of their analysis to another doctor for a consultation about the course of treatment?
Answer 1. In monogamous sexual relations, in about 3-5% of cases, urogenital sexually transmitted infections occur in only one partner. However, the diagnosis of chlamydia in such cases, in addition to the isolation of chlamydia DNA by PCR analysis, must also be confirmed by enzyme immunoassay: the presence of antibodies to Chl. Trachomatis in the blood. Prior to treatment, it is desirable to confirm the diagnosis of chlamydia with an alternative examination in two different laboratories. According to our clinic, today, in about 1/3 of cases, the established diagnosis of chlamydia is the result of overdiagnosis, i.e. erroneous. And the prescribed treatment, respectively, is not justified.
Question 2. Good afternoon, dear doctor! In connection with the planned pregnancy was examined. As a result, cytoscopic examination in scrapings from the cervix revealed inclusions characteristic of chlamydia, and PCR analysis revealed chlamydia from the cervical canal. But Ig G and Ig M were not detected: (the titers for both immunoglobulins are almost three times less than the permissible norm. All tests were performed simultaneously and in the same laboratory. There are no clinical manifestations. No. And should my husband and I be treated immediately for chlamydia. Thank you very much in advance for your answer.
Answer 2. Good evening, dear patient! Thank you for your question. Analyzes which you resulted, entered into the contradiction twice: among themselves and with clinical manifestations. And if it is still possible to allow a clinically asymptomatic course of chlamydia (at a certain stage of infection), then the presence of chlamydia infection is practically excluded in the absence of antibodies in the blood, which in this case are strictly specific. Some results (either ELISA or PCR) are obviously erroneous. My personal experience and international practice in these cases suggest that it is necessary to repeat the study in another laboratory. First, do tests for Ig A antibodies (if fresh infection is suspected - 2-3 weeks) and Ig G (3-4 weeks or more) to chlamydia in another laboratory. If the tests turn out to be negative, you can stop further examination with a clear conscience. So no chlamydia. Only in severe, far clinically advanced stages of irreversible immunodeficiencies, the human body does not produce antibodies to infections that have entered it. This axiom, unfortunately, is sometimes easier to explain to interested patients than to uninterested doctors.
Question 3. Dear doctor! The result of the analysis for chlamydia was obtained: IgG - 32.917 U/ml. How bad is he? What is a titer, in relation to the analysis of chlamydia.
Answer 3. It is necessary to know the positive indicator of the test system that examined your blood: if it is equal to 11 IU / ml (or below 30), then your result is positive. This means that there was an infection with chlamydia, apparently (this is not indicated in the question) - sexually. In this case, it is necessary to pass additional tests - scraping for chlamydia DNA for PCR research. And also examine the sexual partner. After effective treatment, a positive titer of antibodies to chlamydia should disappear within 6-12 months.
Question 4. Hello! A year ago I was treated for chlamydia. After a course of treatment for chlamydia IgG - 11.5. The doctor did not prescribe a second course of treatment. A month ago I had the flu and took antibiotics. After the illness, there was a slight discharge from the vagina. The result of the analysis for chlamydia IgG - 32.917. Could the flu cause a recurrence of chlamydia? My husband and I really want a child, is it possible to get pregnant or do I need to undergo another course of treatment? And the last - what method of research on chlamydia is the most accurate: IgG, IgM or PCR? What is the difference?
Answers 4. Severe infectious diseases, including influenza, due to their suppressive (overwhelming) effect on the immune system, can indeed provoke an exacerbation of chronic infections, which in most cases can also include chlamydia. However! During these same diseases, the level / titer of IgG class antibodies to other infections, especially recently transferred ones, can simply increase in a friendly way, without the re-development of the disease itself. so-called. nonspecific immune response. Therefore, in order to clarify the situation diagnostically and resolve the issue of the need for a second course of treatment, it is necessary to do the following: 1) repeat the test for IgG antibodies to chlamydia in 2 different laboratories 1 month after the result "32.917"; 2) make a scraping from the urethra and cervical canal for chlamydia DNA by PCR; 3) examine the sexual partner in a similar way. The test for antibodies of the Ig M class in chronic infections is not always informative - it can be negative in case of a clinical exacerbation / relapse of the disease. Antibodies of the IgG class to chlamydia in low titers can be detected for a long time (up to 6-12 months) in the blood of an ill person even after successful treatment. However, in the longer term they should disappear anyway. Chlamydia DNA test by PCR (i.e. the causative agent of the infection itself) must remain negative. If it is necessary to prescribe a second course of treatment for chlamydia, it should be carried out before the planned pregnancy.
Question 5. Good afternoon! Prompt please the most effective way of check, whether there is a clamidiosis. The ELISA method in three different laboratories gave a negative result. PIF method - positive (2 months after previous tests). I would like not to throw money away and get checked somehow else. How can this be done more precisely so that the result does not depend on reagents, on the laboratory, or on the experience of the laboratory assistant? Which method is generally the most accurate?
Answer 5. If the ELISA method in three different laboratories gave a negative result (although one would be enough in a quality laboratory), then it is necessary to stop and stop this “going through the throes”, moreover, at your own expense. Two main messages: 1) the PIF method is routine and gives up to 35-40% pseudo-positive results. It is checked by PCR (epithelial scraping from the urethra and / or cervical canal) and blood ELISA; 2) there is no chlamydia infection without the presence of specific antibodies of the IgG class in the blood. Those. axiom: if there are no specific antibodies to chlamydia in the blood, then there are no chlamydia themselves in the body. Even after successful treatment, antibodies continue to circulate for the next 6-12 months. Therefore, if someone, with negative ELISA results, continues to insist on the need for treatment of chlamydia or to assert that the treatment prescribed 2-3 months ago was reasonable, this is either an unprofessional or commercially interested conclusion.
Question 6. Hello. My young man was diagnosed with chlamydia. We underwent a course of treatment: flagyl, sumamed, unidox, cycloferon, lidase, aminocaproic acid and maintenance therapy. I recently had a PCR test and a total smear. Everything is normal, no infections were found. But my young man complains that his jaw joint hurts. Maybe it's not an over-treated infection? How well does it heal? Maybe we need some more tests?
Answer 6. It is unlikely that after such a course of treatment, even if chlamydia remained in the urogenital area, generalization of the infection may occur with the formation of extragenital foci and joint damage. This is usually not seen. After 2 weeks, you can do a control PCR test for chlamydia DNA in a smear from the urethra and test for IgG antibodies to chlamydia in the blood. This test should remain moderately and monotonously positive with a gradual decrease in antibody titer over 6–12 months even after successful treatment. If there are no antibodies in the blood during the first 3-4 months after treatment, it means that there was no chlamydia at all. Therefore, it is better to take control tests in another laboratory.
Question 7. The girl with whom I had an intimate relationship said that she had chlamydia. I have handed over the analysis of a blood on a clamidiosis, result - negative. Is there enough data only from a blood test, or do other tests need to be done to detect chlamydia?
Answer 7. 2 weeks after the first test, donate blood again for IgG and IgA antibodies to chlamydia and scraping from the urethra (in the morning before urination) for chlamydia DNA by PCR. With negative results (this is quite possible even after unprotected contact with a partner infected with chlamydia), you can put an end to this issue for yourself. And recommend to your girlfriend to take tests for chlamydia before the start of the prescribed treatment again, but in a different laboratory. Maybe her diagnosis will be wrong. This, unfortunately, is also possible.
Question 8. I have been diagnosed with chlamydia. Whether it is possible to recover from this disease if antibiotics are counter-indicative.
Answer 8. Unfortunately, traditional medicine does not have such methods (without antibiotics). Some of my chlamydia patients who, for various reasons, did not take antibiotics, received homeopathic treatment, and even seemed to be successful. I can recommend that you contact the well-known homeopathic doctor Dergacheva Zoya Nikolaevna (tel. in Kyiv 455-9993, www.homeopat-ua.org).
Question 9. Hello! Please explain how such results of a blood test (chlamydia) can be - IgG is not detected, IgA is not detected? Really there are no antibodies at all, does it happen? Does this mean a completely weakened immune system? (I don’t get sick once a year, besides, in December I took a course of echinacea and my immunity should have been normal). Does it make sense to be treated, will the disease be cured? The treatment was completed 4 months ago. Such results were always within two years in different laboratories, and PIF is always positive, PCR too. Sometimes PCR in one laboratory is positive, in another negative. The last time a negative PCR was obtained on the last day before menstruation, the flora was normal, on the 10th day of the cycle, approximately PCR was positive and gardnerella was detected (no symptoms).
Answer 9. Hello! Conceptually, this does not happen. If antibodies to chlamydia are absent, and PCR for chlamydia DNA is positive, then one of the two results is definitely erroneous. As a rule, this is a DNA test. PIF generally gives up to 40% of pseudo-positive results and is an indirect diagnostic method. Therefore, you need to be tested again and in another laboratory for IgG antibodies to chlamydia. If the result is negative again, stop all tests for chlamydia DNA, because you do not have chlamydia. Gardnerellosis without clinical manifestations is also not subject to treatment.
Question 10. Hello! Such a problem: rashes appeared on the body, I passed a smear, they found a yeast fungus. The doctor suspected chlamydia, I had to do PCR, the diagnosis was confirmed and I was prescribed the following treatment: Tsiprinol 500 mg 2 times a day - 14 days; Cycloferon 2 ml / m 1st, 2nd, 4th, 6th, 8th, 11th, 14th, 17th, 20th and 23rd days; Cycloferon liniment - from the 2nd day every other day 10 times intraurethral; Tinidazole 1st, 2nd days, 2 tons 3 times a day; Fromilid 500 mg from the 3rd to the 16th day, 1 t. 2 times a day after meals; Nystatin 1 t. 2 times a day - 21 days; Terbizil cream 1% - 14 days. Prior to that, I was treated for trichomoniasis / chlamydia (with other drugs) two and a half years ago. After that, periodically handed over control tests, but found nothing. Tell me, please 1. Have I been prescribed a good course of treatment (all drugs have already been purchased)? 2. Additionally, they offer ozone therapy. Do you need it? 3. Can I inject myself, and which is better, IM or IV? 4. Do I need to repeat the course of treatment in a month? Thanks in advance!
Answer 10. Since the diagnostic information you provided is somewhat contradictory, first take tests again for chlamydia DNA (scraping from the urethra for a full bladder) and the presence of IgG antibodies in the blood to chlamydia (mandatory!) In another laboratory, without complaining. Examine the constant sexual partner on a chlamydia. If the results of your research in two laboratories coincide, treat with your sexual partner. Although for the treatment of chlamydia I usually use other antibiotics. If antibodies are not found in the blood, then you do not have chlamydia (which, based on your story, is more likely), and, therefore, it does not need to be treated.
Question 11. In the polyclinic, a smear test showed a suspicion of chlamydia. In the clinic, the PCR method did not find anything. Anitela Ig G to chlamydia showed 1:20 -positive result. Relieves itching and vaginal discharge. What is the best course to take?
Answer 11. The results of your tests do not confirm the diagnosis of chlamydia. The antibody titer of 1:20 is low, on the verge of negative, and does not correspond to the clinical picture of acute or chronic chlamydia in the acute stage. "Suspicious" smears under the microscope are false positive in almost half of the cases. And the main test - PCR analysis - is negative for you. Moreover, complaints are not typical either. If you start taking antibiotics now, which, apparently, you are recommended, then after a couple of weeks after a slight improvement, your health may worsen even more. A second course of antibiotics will follow due to the "ineffectiveness" of the first, then again and again. Vicious circle. Now, first of all, you need to do bakposev: discharge from the vagina, a smear from the urethra and cervical canal, as well as urine (the last portion). Keep isolated bacterial cultures in the laboratory (usually a non-specific intestinal bacterial infection) - they will be needed to prepare the autovaccine. And write to me again - it will be clear how to treat. But in any case - without local or systemic antibiotics.
Question 12. My wife was diagnosed with chlamydia. How and what can I heal?
Answer 12. First you need to confirm the presence of chlamydia in you: ELISA blood test for antibodies to chlamydia and PCR analysis of epithelium scraping from the urethra. If the results are positive, then you will not have to “treat”, but to be treated for real. If necessary, write again, I will advise. If the result is negative, it is not necessary to “treat” prophylactically.
Question 13. Good afternoon! Passed the analysis by ELISA for venereal diseases. The study for chlamydia showed a doubtful result (+/-), for other types of infection - not detected (-). Further illegibly written: recommended. repeat. in dynamics. How would you comment on this answer? Is the ELISA method reliable? Why is there a questionable result?
Answer 13. Good day! With a doubtful (or weakly positive) result for chlamydia and other infections, it is recommended to repeat the same study after 2 weeks using the same ELISA method (this is a reliable method if it is performed correctly). If this infection and the infection progresses in the body, the titer / level of antibodies will rapidly increase. If the result remains also doubtful or becomes generally negative, then there is no infection and both results are considered negative.
Question 14. Good afternoon, Igor Semenovich! I ask you to advise an infectious disease specialist in Dnepropetrovsk. I addressed to you, the question concerned a clamidiosis, on IgG and IgA it is not revealed, PTSR most often shows existence of an infection. There are no symptoms. Another question - what PCR tests should be used, which companies, countries? In Dnepropetrovsk there is only Russia. We want a child. Now they stopped all attempts to be treated and decided to become pregnant. But already 4 cycles does not work. According to BT, there is ovulation.
Answer 14. I repeat once again: in the absence of IgG and IgA antibodies to chlamydia in the blood, there can be no talk of any chlamydia - this is fiction, a chimera, the result of a poor-quality or incorrect examination. Therefore, you can safely plan a pregnancy. Russian PCR tests work quite well if used professionally. In Dnepropetrovsk, you can apply on my behalf to the head of the Department of Children's Infectious Diseases, Professor Shestakovich-Koretskaya Lyudmila Romanovna (infectious diseases hospital on Kanatnaya street).
Question 15. I was diagnosed with chlamydia after giving birth (caesarean section). During pregnancy, I took tests - the result was negative. Could my baby (11 months) have been infected in utero? What clinical signs of the disease can the child have? And what to do.
Answer 15. First of all, you need to try to figure out: did you have chlamydia? Is there an epidemiological anamnesis: could you get chlamydia sexually after childbirth? It is necessary to look at the results of the tests, what methods you were examined, what were the results of your husband, whether you have chlamydia today. If this diagnosis is confirmed (the probability can be estimated at no more than 50%), the child's blood can be examined for antibodies to chlamydia. Typical clinical manifestations in a child are conjunctivitis, in a girl - vulvovaginitis. In the absence of any clinical manifestations (if the child is outwardly healthy), this diagnosis is usually not confirmed.
Question 16. Please help me figure it out. Before the planned pregnancy, my husband and I were tested for STDs. The situation with chlamydias is that: the husband - IgM - otr. IgG - positive result 27, 548 U/ml with a value of 16.0 - 30.0 U/ml weakly positive. Handed over in laboratory DILA. I did not donate blood, as scraping (PCR method) gave a negative result (DILA). Yes, even my husband, before donating blood, took a PCR test in a dubious, according to reviews, laboratory. There, the PCR result was positive, and the IgG and IgM results were negative. I don't know if I should donate blood. If my husband is sick, am I sick? I don't want to be drugged. Who knows how to interpret these results? Help me please. The doctor is going to poison us. Thank you.
Answer 16. You do not yet have an indication for the treatment of chlamydia. It is necessary to examine the husband, but in another, third laboratory. Donate blood for IgG antibodies and scraping from the urethra for chlamydia DNA. P.h. in a “doubtful” laboratory and the result turned out to be “left”: with positive PCR results, scrapings should contain antibodies to chlamydia in 100% of cases. And they are not! If DNA is not detected during the next examination of the husband, and the antibody test remains doubtful (the result in Dila was not positive, but doubtful - this is how the result from the “gray zone” from 16 to 30 U / ml should be interpreted), then according to the instructions for In the diagnostic test system, both results are considered negative, which means your husband is healthy. Fight!
Question 17. How does chlamydia manifest itself in men, after what time? What is the risk of infection through unprotected sex? What are the consequences?
Answer 17. In a man, chlamydia can manifest itself a few days after contact with itching, burning in the urethra, discharge from the canal in the morning. Or it may not have primary clinical symptoms at all. In the longer term, with a chronic course of the disease, chlamydia can affect the prostate, eyes and joints. The probability of infection with a single unprotected sexual contact is approximately 30-40% (for comparison, with gonorrhea - 25%). With constant sexual intercourse with sexual partners - no more than 90%. Those. at least 10% of spouses or regular sexual partners remain healthy. The correct diagnosis is confirmed by a blood test for IgG antibodies to chlamydia by ELISA + a scraping from the urethra (in the morning before the first urination) for chlamydia DNA by PCR.
Question 18. Hello! My child is 7 years old, he was diagnosed with chlamydia. Please advise which treatment to choose.
Answer 18. Hello! Before prescribing treatment, the situation needs to be clarified: what kind of chlamydia is in question in a 7-year-old child (pulmonary, urogenital)? By what method and on the basis of the study of what biomaterial (blood, sputum, etc.) was this diagnosis established? Only after laboratory error has been ruled out can treatment recommendations be made.
Question 19. Good afternoon! Tell me, please, I treated chlamydia and Trichomonas. After testing, everything was fine. A year later, I passed the PCR and they were found again. The doctor said that these are dead DNA and they do not need to be treated. But I still worry, because I am planning a pregnancy. Tell me what to do.
Answer 19. The concept of "dead DNA" simply does not exist, even at the household level. Take tests for DNA of chlamydia and Trichomonas in scraping from the urethra and cervical canal again, but in a different laboratory. As well as blood for antibodies to chlamydia class IgG. An examination of the sexual partner is also shown. If you don't understand, come to my clinic.
Question 20. What is the best method to test for chlamydia and what to donate (blood, smear), provided that there have never been any symptoms of the disease. How likely is it that only one spouse has chlamydia in the body. And yet, since each method can show a false positive result, how much to trust this or that method, how to double-check.
Answer 20. The most reliable method for diagnosing chlamydia is an ELISA blood test for antibodies to chlamydia of the IgG class (disease duration - more than 3-4 weeks) or IgA (fresh infection). You can double-check the result by repeating the same study in another laboratory. If the results are positive for one or both classes of antibodies, it is necessary to conduct a PCR study of scrapings from the urethra and cervical canal (women) or prostate juice (men). Negative results do not disprove the diagnosis of chlamydia, but may serve as a reason for delaying treatment (taking into account the height of the detected antibody levels), which will need to be carried out at the time of exacerbation. Examination of the partner is necessary, p.ch. there are up to 10% of cases when one of the partners remains healthy for some more or less long time and does not get chlamydia even after a possible sexual infection.
Nutrition 21. Tell me, be kind, when donating blood for chladimid IgG result: negative 10.441 U/ml. reference value<12.8 U/ml. Чи дійсно потрібне при таких значеннях лікування?
Case 21. With such values, the ELISA test does not need any treatment, any additional obstruction (PLR for chlamydia DNA).
Question 22. Good day. I would like to ask what is the best way to treat chlamydia for a man. Thank you.
Answer 22. The most effective is the sequential combination of tetracycline antibiotics (for example, vibramycin 0.1 g 2 times a day - 10 days) and macrolides (for example, sumamed on the 1st day 1 g + 0.5 g for another 4 days once in the morning). But it is still desirable to prescribe the treatment of chlamydia "live", and not virtually. P.h. at least, you need to be absolutely sure that the diagnosis of chlamydia is confirmed correctly - by detecting antibodies to chlamydia in the blood by ELISA + isolation of chlamydia DNA from the urethra or prostate juice by PCR. All other methods are only conditionally correct, and it is not advisable to prescribe treatment based on their results.
Question 23. Good afternoon! I am contacting you with this question. My tests showed that I have some substances similar to chlamydia. The doctor prescribed me treatment: taking antibiotics, injections, instillation, etc. And the doctor insists that my husband should also undergo similar treatment with him. But the husband passed the analysis, and nothing was found in him. And his doctor said that it is enough for him to drink some antibiotics for 10 days for prevention. I'm at a loss. Please tell me which doctor's advice to listen to: will it be right to treat my husband if he is absolutely healthy? And does the fact that he will not undergo the same course of treatment threaten me with the fact that I can then get sick with it again? Thank you for your attention and advice.
Answer 23. Good afternoon! Establishing a diagnosis of chlamydia based on the detection of "inclusions similar to ..." or the PIF method can give up to 40% erroneous results. Especially since my husband tested negative. Therefore, before starting treatment, you and your husband need to donate blood for antibodies to chlamydia. If there are no antibodies, then it means that the person does not have this infection, the first result is indeed erroneous and antibiotics, like the rest of the treatment, are not needed. If you don’t figure it out, write again, but don’t become a hostage to an incorrect examination and incompetent advice.
Question 24. Good night! I have handed over PIF-smear on a chlamydia (negative) and IFA on immunoglobulins like IgG (too negative). Plus a regular smear (normal), no elevated leukocytes. Do I need to retake also for PCR or 2 analyzes cannot be mistaken (ie, if there are chlamydia, then they would be visible either on the PIF or on the ELISA in the credits?). I would not want to spend more money on unnecessary tests, and so many expenses. But if it is necessary - then. Now we are planning a pregnancy, we are examined. Sexual acts are protected by a condom. My husband seems to have been diagnosed with chlamydia (but he has now passed PCR as well, in order to finally make sure of its presence before treatment). It was detected by ELISA smear and blood ELISA for immunoglobulins of the IgG type. What can you recommend? How often can PIF smears (methods) be wrong and how informative is ELISA for immunoglobulins? Thank you.
Answer 24. Good night! You do not need to retake tests - a negative ELISA test in the blood excludes the presence of chlamydia. ELISA smear for chlamydia is not carried out - there is no such test. PIF gives up to 40% false positive results. But a positive ELISA blood test for the husband needs to be repeated in another laboratory and all the results obtained should be evaluated taking into account the confidence intervals in the test system used - here the doctor may misinterpret the correct results. If necessary, write again or come for a “live” consultation at the clinic
Question 25. Good afternoon! Chlamydia was found in my swab. The problem is that the baby is a year and three months old and I am still breastfeeding. Are there any antibiotics compatible with breastfeeding, provided that the child eats no more than one or two times a day (only at night). Or still have to finish with GW?
Answer 25. First, do additional tests for antibodies (IgG and IgA) to chlamydia in the blood. If they turn out to be negative, it means that your smear result is lying and you can calm down. If antibodies are still detected in diagnostic titers, then it is better to stop breastfeeding and undergo a full course of antibiotic treatment for you and your husband (preferably also after examination).
Question 26. Good afternoon! Please answer this question. Is it possible during the course of treatment for chlamydia to enter into intimacy with her husband if you protect yourself with a condom? Or is it something for me? Moreover, he is absolutely healthy. Thank you.
Answer 26. Good afternoon! For you, this is fraught with a decrease in the expected effectiveness of the treatment by 25-30%.
Question 27. Hello! Please explain why the treatment of such infections as ureaplasmosis and chlamydia is not always justified, in your opinion? If, indeed, 60% of the population has these microorganisms on the mucous membranes, including in the oral cavity, from where I picked up this muck from my girlfriend during oral sex. And how do people coexist with it? What are the carriers? One detail is absolutely unclear: my ex-girlfriend was examined by PCR and for a smear - the analysis is normal, that is, she seems to have nothing. But the fact is obvious - I only got infected from her during oral sex, since I never cheated on her. Why do I say so? Because the first symptoms appeared on the 6th day after the last contact with her. The analysis revealed chlamydia and ureaplasma in me. It turns out that PCR did not "detect" chlamydia and ureaplasma in the girl. And another question: can the production of antibodies to chlamydia be considered a reliable "indicator"? The doctor said that antibodies are not produced in weakened people (old people, alcoholics, drug addicts). I seem to be fine with this matter: I don’t smoke, I don’t drink, I eat normally. By the way, the doctor does not look like a "greedy charlatan", since he is clearly not interested in my visits to him. I bought drugs in another pharmacy and used the services of an independent laboratory. Thanks a lot for the replies. You don’t blame me for my importunity, there are just upsets in life. Maybe it's better to masturbate? All the best.
Answer 27. Ureaplasma and chlamydia do not live in the oral cavity and are not transmitted through oral sex. Incl. with results of your analyses, not everything is all right. Moreover, talking about "weakened immunity" when antibodies are not produced is just bullshit, regardless of what your attending physician is interested in or not interested in. If a person does not have antibodies to chlamydia in the blood, then he does not have chlamydia. And all the positive results in this case for the detection of chlamydia themselves wherever there are - a 100% error or a commercial "divorce". Incl. either you need to find a decent doctor, or it’s better to really engage in masturbation so as not to run into such “troubles”.
Question 28. Hello! Explain, please. How much or as far as I understand now, it is possible to be the carrier of chlamydias and easy to live at the same time? And they will not affect tissues, joints, eyeballs, ovaries, as described in the medical literature? It turns out - this is a chronic infection, a "sleeping monster" that can wake up? Then a passing question arises: how to be then when creating a family and reproducing offspring, being a carrier of chlamydia? It turns out - the future wife and the future child become infected? It's just kind of creepy! Thank you very much! All the best.
Answer 28. No, you misunderstand now. You can not be a "healthy" carrier of chlamydia and "live in peace at the same time." Although it really is usually a chronic infection. But which sooner or later still needs to be treated with antibiotics, choosing the right moment. Preferably, before the "reproduction of offspring." Otherwise, it's really "some kind of horror." Please big.
Question 29. Good afternoon! I am planning a pregnancy and, on the advice of a doctor, I have been tested for mycoplasma, upeoplasma, gonorrhea, various fungal infections, etc. Everything is negative, only the level of leukocytes in the smear is 40. The district gynecologist says that it could be chlamydia and advises to take this analysis as well. Nothing worries me and my husband, my cycle is regular, there are no discharges (except for transparent ones in the middle of the cycle), the sexual partner is the first and only one, I have him too - it's 100%, both didn't get sick. My question is: can other factors affect the level of leukocytes (for example, a cold on the day of the test or the day of the m.c. - by the way, it was exactly the middle of the cycle, etc.)? If to hand over this analysis, then the blood from a vein will show presence of chlamydias or for this purpose only a smear? Thank you.
Answer 29. Good afternoon! Other listed factors cannot influence the result of the analyzes. If you have a trusting relationship with your husband, then there can be no sexual chlamydia - they are transmitted by 99.9% through sexual contact. Although a blood test for antibodies to chlamydia is more reliable. There are no antibodies - and there is no such infection either, so that they would not be found in a smear. With this, some frisky doctors happen easily. With the greatest probability, your leukocytosis is associated with urogenital dysbacteriosis caused by a non-specific bacterial infection, which can even occur in girls who are not sexually active. It is necessary to make bacterial cultures from the urethra, vagina and cervical canal. If such bacteria are isolated, they must be treated as dysbacteriosis - without the use of antibiotics. This is a categorical condition that you should not be advised by a gynecologist.
Question 30. Tell me which analysis will better determine chlamydia. I took an IgG blood test, the result is 1:10 - weakly positive. My boyfriend donated sperm, the result is completely negative. How can this be? After all, if one has chlamydia, then the other has it too. How can we clarify this?
Answer 30. Your result is weakly positive or, more correctly, doubtful (the so-called "grey zone"). According to the instructions for all test systems, such a result cannot be considered positive and treatment cannot be prescribed. After 10-12 days, this study must be repeated. If the result is again weakly positive, then both tests are considered negative. So your boyfriend donated early - most likely you are both healthy.
Question 31. Hello! I have a question regarding the discrepancy between the opinions of classical and alternative medicine: tests in the laboratory for TORCH infection showed an excess of IgG antibody titer to chlamydia by 64 times (1:320 with a diagnostic titer of 1:5), and homeopathic diagnostics showed the absence of chlamydia. Regarding the large number of antibodies to chlamydia, the doctor said that this is a high immunity to them. In turn, the doctor who gave the analysis from the laboratory said that an increase in antibodies indicates an inflammatory process. Which of them is right? Thank you in advance!
Answer 31. Hello! The detection of high titers of antibodies to chlamydia indicates the presence in the body of an infectious (inflammatory) process caused by chlamydia. and not about "high" immunity to this infection. Treatment may be indicated. The homeopath is wrong. However, before starting treatment, it is necessary to conduct an additional PCR study of scrapings from the urethra and cervical canal for chlamydia DNA and, just in case, repeat the test for IgG to chlamydia (in the blood), but in a different laboratory and preferably not in titers, but in international units of activity.
Question 32. Please tell me, can chlamydia in a non-acute state be the only cause of early miscarriages (1st - at 6 weeks, 2nd - at 3 weeks)? Thank you in advance for your response.
Answer 32. The answer is negative - no, they cannot. The most thorough examination for herpes viruses is necessary. In such early terms, it is viruses that are the main cause of miscarriages, and not chlamydia.
Answer 33. Before starting treatment, take the tests again, but in a different laboratory: blood for IgG antibodies and scraping for PCR. It is advisable to confirm the diagnosis of chlamydia before treatment in different laboratories or in different clinics: today there are too many accidental or deliberate errors. Bakposev for the diagnosis of chlamydia is not used, incl. this argument of yours is off target. Determination of sensitivity is also not necessary, p.ch. The sensitivity of chlamydia to antibiotics is well studied and is the same in different countries and in different patients. Examine also on a chlamydia of the constant partner if that is. Then it will be possible to get an idea of whether or not you need to be treated with antibiotics.
Question 34. Hello! I took tests for antibodies to chlamydia with a break of about 1 month. First time: IgA - negative, IgG - 1:320 (diagnosis titer 1:5), second: IgA - negative. IgG - 1:512 (at a rate of 1:32). Does this mean that the number of antibodies decreases and there is no need to take antibiotics? Thank you in advance.
Answer 34. With such a high activity of the infectious process, a slight decrease in antibody titer is not an indication for refusing antibiotics. Such chlamydia will not go away on its own, but will only turn into a chronic form, which will be harder to treat. It is advisable to conduct a PCR study of urogenital scrapings for chlamydia DNA before starting treatment and deal with a permanent sexual partner, if any: to examine, treat? So that after the end of your treatment there will be no re-infection later.
Question 35. Good afternoon, I just have some kind of nonsense going on. Has passed or has taken place big, serious course of treatment from a clamidiosis (initial numbers of IgA - 8, IgG - 256)? At the next test: IgA - no, IgG - 128, and then dropped to 64. After that, we decided to slightly adjust the process of titer drop and were treated again, but not for so long. I passed the tests: IgA - again 8, and IgG - again 128. How can this be. There were NO connections. Generally. Maybe it's overdoing it with antibiotics or being treated again? Looking forward to your reply, thank you very much.
Good afternoon (continuation of the question). This is me again (a question about chlamydia, an increase in titer after a second course of treatment). Sorry for being so persistent, but circumstances are forcing. You advise to wait 1-2 months and retake the tests. So the question itself is: is it possible to have sex all this time? More precisely, will a condom protect me from re-infection or someone, so that I would not infect him? And are chlamydia transmitted through kissing? Very, very much looking forward to your answer. Thanks in advance.
Answer 35. The dynamics of your analyzes is really illogical. A repeated course of antibiotics cannot lead to such a result, although it should not have been prescribed to "catch up" and "accelerate" it. Only re-infection could explain such tests. But you didn't have it. So now there is no need to be treated again. After a couple of months, it is necessary to take tests in another laboratory or simultaneously in two different laboratories. In addition, in addition to blood tests, make scrapings from the urethra and cervical canal for chlamydia DNA using the PCR method. Then the picture will clear up. Maybe the problem is not with you, but with the quality of the work of this laboratory. You can have vaginal sex with a condom - there is practically no infection. With oral sex, chlamydia, if they are transmitted, but do not cause diseases, also with kisses. Bolder to fight.
Question 36. Hello! Tests for chlamydia showed the presence of antibodies of the IgG class, and an analysis for RIF (immune fluorescence reaction) showed the presence of single reticular bodies in single cells. Please tell me it's not dangerous? If you keep chlamydia under control (to prevent the inflammatory process), then how often do you need to take tests (including during pregnancy)?
Answer 36. It is necessary to compare the height of the levels of antibodies of the IgG class with the results of PCR studies of scrapings. RIF is an incorrect method today in confirming this and other diagnoses in infectious diseases. Keeping chlamydia “under control” is difficult: they can exacerbate at the most inopportune moment. Therefore, they must either be treated, or within 3-4 months of observation and periodic examination, the issue of infection should be removed from the agenda, considering the presence of antibodies as a post-infection reaction of the immune system (preservation of a low antibody titer in the absence of the pathogen itself). Pregnancy and chlamydia are not a very desirable combination.
Question 37. Hello! Help me to understand. The analysis for STDs showed that the girl had candidiasis, I had chlamydia. A year ago I underwent a course of treatment for chlamydia (after a course of treatment for trichomoniasis, after which chlamydia was found: a single glow was found). Handed over 2 control (one - in 1,5 months, another - in a month). Everything is clear. The doctor said I was cured. Nothing was found on the former sexual partner. After the cure, the connection was only with his girl! And here it is again! One sexual partner. And the questions are as follows: 1) Is it possible that the treatment was ineffective? But what about 2 controls then (and with provocation)? 2) Why did the analysis not reveal chlamydia in the girl (general analysis for STDs - immunofluorescent analysis)? My doctor advised me to wait for my girlfriend to recover from candidiasis - it seems like chlamydia often hides behind it (hard to identify). And then get tested again. Is it so? 3) Further delay in the treatment of chlamydia in a girl - how seriously can it affect the results of treatment, are complications possible? 4) A scheme was prescribed (cycloferon - 10 injections, Unidox - 1 t 2 r / d 10 days, then fromilid 1 t 2 r / d 7 days, flucostat - 1 t 1 r / d 7 days) and bifidok to maintain the gastrointestinal tract. In addition to bifidok, what else can I take - I develop dysbacteriosis while taking antibiotics.
Answer 37. I have serious doubts about your diagnosis of chlamydia on the following points. Firstly, the research method itself - "glow" occurs only with the immunofluorescent method, in which up to 40% of pseudo-positive results are possible. Secondly, the absence of epidemiological anamnesis for re-infection (after 2 negative controls!) - you have a permanent sexual partner. Thirdly, the absence of chlamydia in the sexual partner. Therefore, to begin with, it is necessary to correctly confirm or remove this diagnosis (antibodies of the IgG class in the blood and a PCR study for DNA of chlamydia scrapings from the urethra and prostate juice). A girl with negative test results does not need to be treated for chlamydia. If you don't understand, come and see me at the clinic.
Question 38. Chlamydia and Trichomonas have been cultured for 3 years. She underwent 7 courses of treatment with antibiotics and other drugs (in total - 12-15 names for each course). In crops - the same, although all tests are negative for antibodies. Communication with only 1 person, always with a condom. I feel normal, small white discharge and sometimes itching (maybe from thrush?). All this time - erosion, but not a single doctor prescribed treatment. Maybe it's false tests? Are there really so many antibiotics, etc.? did not help? Thank you!
Answer 38. Unfortunately, I have to confirm your fears: these analyzes are indeed false. There is no such chlamydia, in which there are no antibodies in the blood. This means that the method by which chlamydia were “discovered” (in your case, it looks like immunofluorescence), either gives a consistently erroneous result, or is determined by commercial considerations of the laboratory or clinic that conducted the study and prescribed the treatment. And seven courses of treatment with antibiotics - this is not every healthy body will survive. If you don't understand, contact me at the clinic.
Question 39. A blood test for antibodies to chlamydia showed a result of 2.07 at a rate of up to 10 units. Whether it means, what I had a clamidiosis or is at present? Can chlamydia infect the mouth? Thanks a lot!
Answer 39. No, this result is negative and means that you have not been infected with chlamydia not earlier, not today in any form. False alarm due to incorrect statement of the analysis result. According to the instructions for such test systems, all results below the control line (in this case, 10 units) should be written out as “negative” or “negative”. Chlamydia does not affect the oral cavity. They can affect the conjunctiva of the eyes, joints, according to some sources, the nervous system. But this, thank God, has nothing to do with you.
Question 40. Tell me, how much can treatment for chlamydia cost?
Answer 40. Treatment for chlamydia, if it is really indicated, can cost from 200 to 2000 UAH (with exactly the same effectiveness) - depending on the imagination of the attending physician and your apparent financial capabilities, which the doctor will be able to assess by your appearance.
Question 41. As a result of a blood test by ELISA, chlamydia was found in me: IgG - the result is weakly positive q 1:16. Please advise me what to do next. Whether treatment is necessary at such result. With respect, Nicholai
Answer 41. Nikolay, in 2 weeks you need to take a second blood test for IgG antibodies to chlamydia. If he again, like this first one, is in the gray zone (weakly positive), then both results are regarded as negative. The person is healthy, no treatment is needed.
Question 42. Good afternoon! My brother's blood test showed chlamydia (IgM). His girlfriend is negative (IgG and IgM in low titers, IgG more than IgM). True, she took norfloxacin for 2 weeks before taking the test for cystitis. They live together for about 1 year. Is it possible? Analyzes were done in Dila. Whether it is possible to hand over the repeated analysis if both already accept antibiotics within a week. The girl's gynecologist recommended stopping the treatment, as he believes that she is healthy. According to the girl, she has been suffering from therapy-resistant cystitis for a year, in addition, frequent inflammatory diseases of the internal genital organs. But it was the first time she was tested for STIs. Thanks for the answer.
Answer 42. Analyzes are contradictory. If these results are to be believed, your brother is experiencing an acute chlamydia infection that is unrelated to sexual contact with his girlfriend, whom you know about. Could this be? In any case, to clarify the situation, it is necessary to take the tests again (IgG and IgA), but in another laboratory, and if they turn out to be negative, close this topic altogether. Repeated tests for chlamydia can be taken for at least 6 months after antibiotic treatment: if chlamydia really was, and not invented in the laboratory, then even after successful treatment, IgG antibodies to chlamydia will not disappear from the blood before this period. Your brother's girlfriend is shown to do cultures of smears from the urethra, vagina, cervical canal and urine cultures to establish the etiological factor of this focus of chronic bacterial infection (cystitis), which has nothing to do with STDs. In addition, in Ukraine it is legally prohibited to receive medical advice regarding the health status of one's adult relatives without their consent. I hope you have such a brother's consent?
Question 43. I have been diagnosed with ureaplasma and chlamydia. But I'm not sexually active yet. The mother never had such infections. Prompt, please, how it is possible to catch these infections in another way. Thank you in advance. Waiting for an answer
Answer 43. If you are not mistaken about the beginning of sexual activity and observe the norms of personal hygiene (lack of common washcloths, common towels and other common personal hygiene items with a sick person), then you are brazenly “bred” in the laboratory or simply the analyzes were not done professionally. In any case, there are no miracles and there are no other ways of infection with these STDs. Every week I “remove” as erroneous diagnoses of non-existent chlamydia, trichomoniasis and other STDs. It looks like you have the same story.
Question 44. I have been diagnosed with chlamydia and ureaplasia. The husband has made the analysis - at it anything such is not revealed. How can this be explained? Despite the fact that I did not sleep with anyone except my husband. What are the ways of transmission of these infections, except for sexual? For me, this is important, because he doubts me. I really need advice.
Answer 44. This cannot be explained in any way. The route of transmission is either sexual or household (shared washcloth, shared towel, and other common personal hygiene items with a sick person). If you have not forgotten anything, then it seems that either you are simply being deceived or hacky tests have been made, or the husband is still the source of these infections and his tests are not correct. This week alone, I took 3 diagnoses of chlamydia, which were also incorrectly established, like you. If you don’t understand, come with your husband to the clinic for an appointment. Either we will rehabilitate you, or we will find something from your husband.
Question 45. Good afternoon. Confused. Help. I had chronic chlamydia, diagnosed 5 years ago. Went without symptoms. Analyzes a year ago showed titers of 10, the gynecologist said it was not necessary to treat, it was possible to plan a pregnancy with this. A year later, my husband and I decided to still be treated in order to eliminate the slightest danger to our unborn child. They gathered their will (and finances) into a fist and underwent a course of treatment. 2 weeks after the end of the course, PCR tests were performed for chlamydia DNA in a smear from the urethra and cervical canal. Showed it was clean. But I decided to undergo a complete examination, donated blood for chlamydia, trichomonas, mycoplasma, ureaplasma. Everything is clean, but chlamydia (antibodies, as I understand it) - 63.9. The doctor says you need to treat, you can not get pregnant with this. Doctor, why did the figures jump so much? Where? We were treated: 1. injections of cycloferon 2. ciprofloxacin 3. malavit-cream 4. for immunity and microflora (echinacea, riboxin, lineks). I now see, after reading your materials, that we could not be cured with antibiotics alone. But why did it get worse? There were no other partners either there or there. Thanks for the answer! Victoria.
Answer 45. Good day, Victoria! Something in your story does not match. If the titers were so low a year ago, and there were no other partners in your marriage, then the latest tests for antibodies to chlamydia are lying. Moreover, the PCR tests are negative and you do not report anything about the presence of positive titers in your husband. Therefore, together with your husband, you need to take an analysis for antibodies to chlamydia in an independent laboratory, and if the city where you live is small, it is better in another city. You can not prescribe a new course of antibiotics without absolute certainty that you really have chlamydia that needs to be treated (not all titers are an indication for treatment!) - this can only aggravate the situation. Now I am observing a patient whose titer of antibodies to chlamydia (with a negative PCR test) has decreased from 130 IU to 31 without prescribing antibiotics. Isn't it bad? There are many such examples. In addition, before the planned pregnancy, you personally (without your husband!) must be examined for more serious TORCH infections than chlamydia: herpesviruses (type 4), toxoplasmosis and rubella (if not in childhood). If you don't understand, call the clinic.
Question 46. Good afternoon, Igor Semenovich! Help, please, to me to understand. In the summer, I took tests at your clinic when planning a pregnancy, in particular for chlamydia. Using the Vector Best method, the IgG result was 2.07 at a rate of up to 10 units. those. negative, on which I calmed down. Now my husband has started the examination (because we have a problem in the male factor). And the results surprised me: the PCR method did not reveal any infections, and the PIF method showed inclusions characteristic of chlamydia (scraping from the urethra). I am concerned about the question of whether this can be and how much you can trust this method. I would very much like to hear your advice on what to do in this case, trust the results or double-check and to whom. It would not be desirable to be treated "just in case". Third parties as sexual partners are excluded. I would be very grateful for an answer. Sincerely, your patient Lyudmila.
Answer 46. Hello, Lyudmila! This method (PIF) cannot be trusted - it gives up to 40% of non-specific false positive results. An additional examination is shown to her husband - it is necessary to do a blood test by ELISA for antibodies to chlamydia. But not in the laboratory in which the “inclusions” were found by the PIF method.
Question 47. Hello, can you explain the following phenomenon? Five years ago, my wife and I were treated for chlamydia, we were tested annually for recurrence - everything is OK. Once again, having passed the tests, we found out that we had different results: I have mycoplasma, and she has chlamydia. With all this, we live a sexual life without protection. Why don't we have the same diseases? Or go to another lab?
Answer 47. Hello, you understood everything correctly. It is necessary to go to another laboratory and take the “correct” tests: first, an ELISA blood test for IgG antibodies to chlamydia. With a negative result - the end of the unrest. You don't have chlamydia at all. If positive (taking into account the height of the antibody titer!) - PCR study of scrapings for chlamydia DNA. Mycoplasma generally does not need to be treated as an infection. It is worth starting to take antibiotics - and you are a lifelong patient of a urologist, and your wife is a gynecologist. If you don't understand, come visit me.
Question 48. Hello! My boyfriend and I were diagnosed with chlamydia. Where could it come from if: 1) before it, I used condoms with young people, but I was still checked for infections and was healthy; 2) and he, a month before we met, twice did a provocation for STIs and was also healthy. Where did the infection come from? Thanks in advance
Answer 48. Hello. This infection appears as a result of sexual transmission. Another matter, how correctly this diagnosis is confirmed at you? The diagnosis of chlamydia can be considered confirmed when a high titer / level of antibodies is detected in the blood by ELISA and chlamydia DNA is detected by PCR in a scraping from the urethra and / or cervical canal. In the absence of epidemiological prerequisites for infection (monogamous sexual relations, like yours), it is recommended to re-analyze the tests anonymously or (even better) in another laboratory.
Question 49. Hello. Recently I took tests: complex (by PCR) and separately for chlamydia (IgG). A few years ago I already had chlamydia, but I went through treatment and, like, everything was fine. PCR analyzes were all negative, but for IgG they were in the gray zone 1.1 (negative: 0.0 - 0.8, gray zone: 0.9 - 1.1, positive: over 1.1). The doctor advised me to retake blood in 2 weeks to see if there is any dynamics. Two weeks later, the analysis showed 1.3, i.e. rose. Does this really mean that the infection is present in the body and treatment is needed (as the doctor advises) or is it still necessary to retake the tests again? And what can provoke the growth of IgG? Thanks for the answer
Answer 49. Hello! If fresh infection with chlamydia cannot be excluded, it is necessary to additionally pass a blood test for IgA antibodies to chlamydia. If this option is excluded, it is necessary to retake the analysis for IgG again, but in a different laboratory. It is advisable to conduct a study on the French test system of the BioRad company (or on the American one) - they give better results than the Russian one. This test is extremely specific, and nothing but the chlamydia themselves can lead to the appearance and increase in the level of these antibodies. But you have it too low both for an acute process (there is no diagnostic 4-fold increase), and for an exacerbation of a chronic one. Moreover, if after treatment this test was already negative - in this case, a long-term chronic chdamydial infection is excluded. For all these signs, with a high degree of probability, your results may turn out to be a common laboratory error.
Question 50. Hello. My wife was prescribed treatment for chlamydia: Medomycin 1 capsule 4 r / day for 14 days; Efloran 1 tab. 3 r / day 10 days; Cycloferon 4 tablets (once) days: 1,2,4,6,8,10,12,14,16,18,20; Clerimed 1 tab. 2 p.day up to 10 days, starting from the 11th day. I am interested in the following questions: 1. Is such a treatment regimen effective? 2. Can I be treated according to the same scheme? Thanks a lot. Sergey.
Answer 50. Hello, Sergey. The scheme can be effective - antibiotics are chosen correctly. But I advise you to start somewhere else. Out of 10 visits to me for an appointment with chlamydia that was initially detected or "resistant" to ongoing therapy, this diagnosis can be confirmed in 2-3 cases with an independent repeated laboratory study. Not more! Therefore, I advise you to start with a second study in another laboratory or in another clinic: IgG antibodies to chlamydia in the blood and chlamydia DNA (PCR method) in the urethra and cervical canal (wife), you - in the urethra and prostate juice or sperm. Then it will be possible to discuss the treatment in more detail or forget about it altogether.
Question 51. Hello! I want to know if I have chlamydia. What types of analyzes are currently available, which of them give more reliable results? How to take, is the day of the cycle important, abstinence, etc.? Maybe there are some other nuances? We will rent together with my husband. Thanks in advance.
Answer 51. Hello! Examination for chlamydia is better to start with a blood test for IgG antibodies to chlamydia by ELISA and better using the diagnostic test system "BioRad" (France), which gives the most accurate results. Without any preparation and not even necessarily on an empty stomach. If you cannot rule out the possibility of a "fresh" infection within the last 2 weeks - additionally for IgA antibodies. If the results are negative, there is no chlamydia and other studies can be omitted. If positive, it is necessary to confirm the diagnosis of chlamydia by detecting chlamydia DNA by PCR in scrapings of epithelial cells from the urethra (you and your husband) and the cervical canal.
Question 52. Hello, I passed the test for chlamydia. According to the PCR method, the result is negative, blood titers are 1:20. Which of these methods is more effective, and is it necessary to prescribe treatment? Intestinal E. coli and enterococci were found in the culture. Analyzes handed over after treatment of adnexitis. Thanks in advance.
Answer 52. Hello. These are different analyzes and have different diagnostic value. The absence of chlamydia DNA by PCR does not exclude the presence of chlamydia. However, low titers of antibodies in the blood (1:20) do not give grounds for immediate treatment. After 1 month - repeated PCR determination of chlamydia DNA in scrapings from the urethra and cervical canal and ELISA for antibodies in the blood. If PCR tests remain negative and titers remain monotonously low, treatment is not indicated. The presence of Escherichia coli and enterococci indicates that you have urogenital dysbacteriosis with the formation of a secondary bacterial inflammatory focus (adnexitis), in which antibiotics are absolutely contraindicated - only eubiotic treatment (eg, vagilak suppositories, phages) and autovaccine. Please.
Question 53. Good afternoon. Please tell me the address and phone number of a medical institution in Kyiv, which can do an analysis for the sensitivity of chlamydia to antibiotics. Thanks in advance.
Answer 53. Such an analysis does not need to be done at all. All chlamydias in any country of the world are sensitive to two classes of antibiotics: tetracyclines and macrolides. This is written in any therapeutic or microbiological reference book. But if your chlamydia "does not respond" to treatment with such antibiotics, then with a probability of more than 50% you did not have them. Or a laboratory error, or medical intent. To clarify the situation, you can contact me at the clinic.
Chlamydia. Symptoms, treatment of chlamydia, pregnancy and chlamydia, tests and diagnostics, chlamydia, chlamydia in men, women and children
Continuation. Chapter 11. Urogenital dysbacteriosis. Thrush (question 1-52)
From the moment of infection with chlamydia to the onset of symptoms of primary chlamydia, 10-14 days pass.
Since chlamydia affects precisely the cells of the cylindrical epithelium (a type of cells on the mucous membranes), acute chlamydia can occur in all organs and tissues where there are such cells.
The most common is urogenital chlamydia (it includes diseases of various organs of the genitourinary system), but there are also:
- eye chlamydia (ophthalmochlamydia);
- chlamydia of individual kidney tissues;
- chlamydia of individual heart tissues;
- chlamydial tonsillitis and pneumonia;
- chlamydial perihepatitis (inflammation of the liver capsule);
- intestinal chlamydia;
- inflammation of the joints as a complication of chlamydia;
- a generalized form of chlamydia - when the pathogen affects many human organs at once, belonging to different systems.
In the initial stage of the infection, the signs of chlamydia are usually mild, regardless of which organs it has affected. How to recognize or at least suspect chlamydia in the acute phase in time? We talk in detail about the signs of this disease.
The content of the article:
Acute urogenital chlamydia: characteristic symptoms
The most common form of the disease - genitourinary (or urogenital) chlamydia - is manifested by meager symptoms. Symptoms of the disease are similar to other genitourinary infections, and even those that are not sexually transmitted.
The following problems can signal a possible chlamydia:
- itching and burning in the genital area;
- discomfort of varying degrees during intercourse or urination;
- discharge from the genital tract;
- sometimes - an increase in temperature.
Body temperature in chlamydia rises in the following cases:
- with mixed infection (bouquet);
- with acquired immunodeficiency syndrome;
- with a generalized form (when the disease spreads throughout the body) with symptoms of blood poisoning (treatment of such forms is carried out only in a hospital);
- when infected with chlamydia in places remote from the urinary tract (rectum, throat, lungs);
- with complications - arthritis, conjunctivitis.
What does chlamydia discharge look like?
It is useful to know what kind of secretions appear precisely with chlamydia, so as not to confuse them with secretions from other infections. To understand what kind of discharge occurs with different genitourinary diseases, let's look at the table.
| Disease | Number of selections | Characteristic features |
|---|---|---|
| Trichomonas | Abundant, persistent | White, frothy (spit-like) |
| Gonococcus | Moderate, permanent | Gray color with a yellowish tint - purulent |
| Chlamydia | Scanty, before first urination | Transparent, moderately stretchy, vitreous |
| Thrush (candidiasis) | Moderate | White, opaque, curdled consistency |
| Mixed infection (bouquet) | Abundant or moderate | Varies, depending on the most active of the infections |
If chlamydia has affected the more "distant", internal organs of the genitourinary system, then this may not affect the patient's well-being in any way (except for a possible temperature). Therefore, it is especially important to pay attention to sensations in the main genital organs (in the penis or vagina), as well as in the urethra and in the anus.
Manifestations of chlamydia in different human organs
As we found out at the beginning of the article, acute chlamydia can affect not only the genitourinary system.
The spread of chlamydia to other parts of the body occurs when the bacteria "travels" in the blood or is transmitted through oral or anal sex. It is also possible to infect a child with chlamydia in the womb and transfer some types of chlamydia from animals to humans.
How can chlamydia manifest itself outside the urogenital area?
Each specific organ reacts to the invasion of chlamydia in its own way. For one, the symptoms will be more understandable and help to suspect the disease, while for the other, they will turn out to be similar to other disorders and will not manifest themselves in any special way.
Consider those organs in which chlamydia is manifested by quite characteristic symptoms.
Acute chlamydia can affect more than just the genitourinary system
Chlamydia in the intestines
Chlamydia of the rectum develops after anal intercourse with an infected partner, regardless of the sex of the person. With intestinal chlamydia, symptoms appear only in the anal and perianal areas (mucous membranes inside and around the circumference of the anus).
In male and female affected individuals, the symptoms are the same:
- pain in the rectum, which is aggravated by defecation;
- glassy discharge from the rectum;
- swelling around the edges of the anus;
- fever (if chlamydia has entered the bloodstream);
- long-term effects of infection (after 1-2 weeks) in the form of arthritis (Reiter's syndrome).
Diarrhea with chlamydia occurs in the same cases as without chlamydial infection. Diarrhea (loose stools) can be caused by drugs or poor-quality food, but chlamydia itself does not cause digestive problems or stool changes.
Symptoms of chlamydia in the mouth
Chlamydia in the mouth The oral cavity itself is lined with stratified squamous epithelium, for which chlamydia are safe - they cannot penetrate the membranes of these cells. However, certain areas of the oropharynx - the tonsil arches, the tonsils themselves and the upper tongue are covered with a cylindrical epithelium, which is necessary for chlamydia.
Therefore, if a person has had oral sex with a carrier of chlamydia (without a condom), then chlamydia will be able to infiltrate these areas of the throat. In this case, the symptoms of chlamydial tonsillitis begin.
Symptoms of chlamydia in the throat are the same for partners, regardless of their gender:
- petechial hemorrhages in the tonsils;
- sore throat, especially when swallowing;
- perspiration.
These processes are caused by the fact that chlamydia breaks the cell walls. This is accompanied by small hemorrhages (rash) and causes the listed discomfort.
Does chlamydia occur on the skin?
The question of whether chlamydia can affect the skin often arises. It's not worth worrying about. The skin is covered with stratified squamous epithelium, into which chlamydia cannot invade. Therefore, even if a person suffers from chlamydia of other organs, there are no changes on the skin.
Many are concerned about the condition of the foreskin of the penis with chlamydia. However, skin damage in this area does not arise from the action of the chlamydia themselves, but because of the inflammation that they cause in the urethra (urethritis and paraurethritis).
Chlamydia and Reiter's Syndrome
Chlamydia joints The fact is that individual zones of the joints (their synovial bags) consist of a cylindrical epithelium and, therefore, are attractive for chlamydia. With the blood flow, bacteria enter the cells of the articular synovial bags and multiply there. This in itself is harmful, but it does not immediately bring physical discomfort.
But when new generations of chlamydia go beyond the joint cells, human immune cells come to grips with them. As a result of this struggle, a precipitate appears on the articular surfaces - it consists of particles of chlamydia and human antibodies (antigen-antibody complex). Then this precipitate causes autoimmune inflammation: the immune system takes the cartilage cells of the joints for foreign organisms (because they have an antigen-antibody precipitate) and destroys them as enemies.
Whether the clamidiosis can not be shown and proceed without signs?
In some cases, chlamydia can occur without noticeable symptoms. Of course, this is much more dangerous, because it does not allow timely recognition and treatment of the disease. When can this happen and what does it depend on?
Chlamydia without symptoms begins in the following cases:
If there are no signs of illness - how to understand that it is chlamydia, and not something else?
If there are no visible signs of the disease, then finding out if a person has chlamydia will help only tests. The diagnosis of chlamydial infection is confirmed if tests show that the person's blood contains antibodies to the causative agent.
The venereologist prescribes blood tests for chlamydia:
- if you suspect any sexually transmitted disease;
- if one of the sexually transmitted diseases has already been confirmed - which means that there is a suspicion of chlamydia in the bouquet;
- also tests for chlamydia are prescribed to all pregnant women registered in the antenatal clinic.
If a person seeks advice from a qualified doctor and conscientiously takes tests, then it is simply impossible to miss a form of chronic asymptomatic chlamydia.
Asymptomatic course of chlamydia
As it turns out, it is not difficult to detect chlamydia in a person with the help of tests. But here another problem arises: with asymptomatic or mild chlamydia, the patient may not find a reason to see a doctor.
If a person does not suspect other sexually transmitted infections or is not concerned about the state of the urogenital area, then he will not come to the doctor. In such cases, an asymptomatic course of the disease begins in a person infected with chlamydia. Without proper treatment, asymptomatic chlamydia becomes chronic.
What is the chronic form?
The chronic form of chlamydia is a type of course of the disease in which its symptoms weaken or disappear altogether, but at the same time chlamydia continues to live and multiply in the body.
A person with a chronic form of the disease remains a dangerous carrier of chlamydia. Outwardly, he himself does not suffer from chlamydia, but he can infect others. Or such a patient suffers only during periods of exacerbations. For example, aggravated, chronic chlamydia can cause burning in the genitals and cystitis.
The period of transition of chlamydia into a chronic form is three months. During this time, irreversible anatomical changes occur in the areas of inflammation: in place of the cells of the cylindrical epithelium, which died due to chlamydia, scar (connective) tissue is formed. Connective tissue cells have only one function - fastening, and of course, they do not perform the work of dead mucosal cells.
What to do if you are afraid of asymptomatic chlamydia?
It is really worth being afraid of asymptomatic chlamydia, because it is an insidious disease with very unpleasant consequences. In order not to become its victim, it is necessary to be regularly examined by a venereologist.
Highly sensitive lab tests can help you know for sure if a person has chlamydia—even if it's mild or asymptomatic. There are also special tests that determine at what stage the disease is:
- acute phase;
- chronic course of the disease before or during an exacerbation;
- asymptomatic form;
- carriage of chlamydia.
The results of blood serum tests can even show treated chlamydia, which a person had a long time ago.
Chlamydia is insidious in that its symptoms are not special and unique. They are similar to signs of many diseases of the urogenital area. And if you miss that short period when chlamydia is at least somehow manifested, then it generally goes into a latent form. After that, it is impossible to suspect chlamydia by sensations. This continues until, instead of symptoms, the patient begins to have serious complications - infertility, diseases of the joints, eyes, disruption of the genital organs.
In the case of chlamydia, you should not expect any special, suspicious sensations. If a person often changes sexual partners, this is already sufficient reason to be regularly checked for chlamydia and other sexually transmitted infections.
The causative agents of the disease - chlamydia
Chlamydia is an infectious disease that occurs after chlamydia enters the human body. Bacteria can infect many systems and organs. There is a great danger to health.
Everyone should know how chlamydia manifests itself, only in this way methods for treatment can be taken in a timely manner. Infection can be detected not only in adults, but also in adolescents.
How, or rather, how does chlamydia manifest itself in girls? The thing is that in women the symptoms of the disease may be absent altogether. Only 33% of patients can detect pathological signs.
The latent course of the disease is dangerous not only for a woman, but also for her sexual partner. In addition, if the disease was not detected before pregnancy, the child may also be affected.
Many diseases can indicate the presence of an infection:
- Colpitis. Pathogenic microorganisms are not only in the vagina, but also in the glands that are located next to it. During menopause, during pregnancy, in childhood, the symptoms are especially pronounced. The thing is that at this moment there is a strong lack of estrogen. Women may complain of itching and burning in the vagina, in the lumbar region and lower abdomen, aching pain. In some cases, urination may be disturbed.
- Cervicitis. The longer the microorganisms will be in the genitals, the larger the area they will be affected, as a result, they will be able to get to the cervix. It will become inflamed, edematous, the size will be increased. Missing treatment can lead to the development of erosion.
- endometritis. An infection that moves along the genital tract and does not encounter resistance from the immune system on its way leads to the development of serious diseases.
The manifestation of chlamydia can lead to some disorders of the female reproductive system - itching, burning, pain in the genital area. In rare cases, body temperature may rise.
However, these symptoms do not always indicate the presence of chlamydia. In addition to this infection, there may be others in the human body, for example, herpes, thrush, gonorrhea.
The video in this article goes into more detail about how the incubation period goes.
You can suspect the development of chlamydia by certain signs:
- An increase in body temperature to a subfebrile mark. This can be observed if the pathological process is exacerbated.
- Feeling pain. The intensity can be different, localized mainly in the lower back and lower abdomen.
- If the inflammatory process affects the urethra, the symptoms may resemble the development of cystitis. That is, immediately after urination there will be severe pain.
- Full-fledged vaginal discharge is represented by simple whites. However, after the infection joins, the whites will become mucopurulent, with a yellow tint and an unpleasant odor. These are favorable conditions not only for the reproduction of chlamydia, but also for other infections.
A disease such as cervical erosion can indicate the presence of chlamydia. However, only a doctor can detect such a problem after an examination.
The duration of the incubation period
How long does it take for chlamydia to show up? After the infection penetrates the genitals, it should take some time for it to begin to multiply and make itself felt. The most common incubation period is two weeks. However, the time can be extended up to a month or more.
Chlamydia entering the human body goes through several stages:
- Microorganisms penetrate through the mucous membranes.
- Active reproduction inside cells. Unlike viruses or bacteria, chlamydia have some differences. They begin to share only if all favorable conditions are created for this. Cells containing chlamydia die after a few days.
- The third and last stage - the mucous membrane of the affected organ becomes inflamed. After the chlamydia cells die, they come out of them and begin to attack new, healthy ones.
Thus, microorganisms multiply, and as mentioned above, for this they need from two weeks to a month.
Causes of infection
There are four main ways of infection, these are:
- unprotected intercourse is the most common route of infection. Initially, the mucous membrane of the vagina is exposed to inflammation, after which the infection begins to spread further. Fallopian tubes, cervical canal, urethra suffer. As the disease progresses, complications begin to develop, sometimes it can end in infertility. Sexual intercourse with a sick man will certainly lead to infection. And this applies to all types of sex - oral, anal or vaginal. This will depend only on the area of \u200b\u200bthe inflammatory process.
- The disease can be transmitted from a sick mother to a child during the passage through the birth canal. After babies are born, they often develop chlamydial conjunctivitis, and the respiratory system can also be affected. Many scientists are of the opinion that infection can occur even when the child is in the womb of the mother.
- As for the contact-household route of transmission of the disease, there is no exact evidence here.. However, this possibility cannot be ruled out. This applies to the use of the same personal hygiene products, bed linen. Especially dangerous are those people who release chlamydia into the external environment. Their vital activity can be preserved for two days, but on condition that the ambient temperature is from 18 to 19 degrees.
- You can get chlamydia through the air.
As you can see, there are many ways in which infection occurs.
Consequences of chlamydia
In women, complications from chlamydia can be serious. It all depends on how much time the infection is in the human body.
The higher the infection spreads, the larger the area will be affected:
- The inflammatory process that affected the cervix will lead to the development of endocervicitis. The risk of developing neoplasms on the cervix increases.
- With damage to the mucous membrane of the uterine cavity, endometritis will begin to develop.
- Affected fallopian tubes cause the development of salpingitis. In the future, adhesions will begin to form, cicatricial changes will occur in the fallopian tubes. As a result of all this, a diagnosis of tubal infertility is made.
- The infection can affect not only the genitals, but also others - the kidneys, bronchi, pharynx, intestines.
- The urethra can be deformed, this causes a violation of urination. After the introduction of chlamydia into the mucous membranes, healthy cells are destroyed, they are replaced by scar tissue. The channel narrows, when emptying the bladder, difficulties.
- Due to the influence of chlamydia, local protection of the vagina is reduced. All this becomes a favorable environment for the fact that other types of infection can multiply.
Interesting! According to statistics, more than 50% of patients experience infertility, in 40% of cases gynecological diseases develop.
The photo below is an example of complications.
Diagnostics
A doctor who examines women and makes a diagnosis is a gynecologist. In order to make a diagnosis, it is necessary to take a cytological smear from the cervix and vagina. It is not always possible to identify an infection in this case, but there will be some suspicions. The level of leukocytes in the smear will be elevated.
During a standard examination, you can visually see the inflammatory process. Immediately after the appearance of suspicions of the development of chlamydia, it is necessary to contact a medical institution.
The following methods can also be used for diagnostics:
- Linked immunosorbent assay. This is the simplest and most inexpensive method of research that allows you to identify the infection. However, in some cases, the result may be false negative.
- PCR diagnostics is a reliable method to detect chlamydia. Results come quickly.
- Transcriptional amplification. The method for detecting infection is new, the reliability of the results is 99%.
If the diagnosis of chlamydia is successful and during it the infection is actually detected, the woman's sexual partner will also need to be examined.
Common mistakes in diagnosis
Treating a disease is a difficult task. The thing is that many drugs are not always effective. It is only possible to extinguish the inflammatory process, but not to get rid of it completely.
This leads to the fact that the infection goes into a chronic stage, and, as you know, it is not easy to get rid of it. For the correctness of treatment, first of all, the correct diagnosis is responsible.
It is at this stage that serious mistakes can be made:
- Test systems are often of poor quality. An error may occur due to the inexperience of the laboratory assistant. The material may not be delivered to the laboratory correctly.
- The result of an incorrect diagnosis is an incorrect treatment, as a result of an aggravation of the inflammatory process.
Therapy can sometimes be completed ahead of time, as a result, women are undertreated. Next time drugs will be susceptible to drugs
Interesting! The test results may be misinterpreted. If chlamydia was detected in the test results after treatment, it makes no sense to re-take antibiotics.
Treatment Methods
Only a doctor can prescribe treatment, in each case it is individual. There is no single treatment regimen. Therapy has an integrated approach and depends on many factors: the state of immunity, the age of the patient, the presence of concomitant diseases, and so on.
It is impossible to take medicines on your own, only a doctor can identify the pathogen after laboratory tests.
General instructions for treatment:
- Taking antimycotic drugs. This includes antifungal agents, such as Fluconazole, Pimafucin, Nystatin.
- Taking antibiotics. Not all drugs are suitable, but only those that can kill microbes inside cells. More often prescribed drugs included in the group of macrolides, fluoroquinolones, tetracyclines.
- Immunomodulatory drugs. Immunomodulators and immunostimulants are used to treat the disease very often. Moreover, this is true for acute and chronic forms of infection. The following drugs can be attributed here: Lysozyme, Viferon, Cycloferon. Polyoxidonium is very popular among venereologists. It is effective even with the development of an atypical form of chlamydia.
- Taking vitamins. Such therapy should last a long time, sometimes up to two or more months.
Auxiliary drugs may be prescribed, but in this case it all depends on the discretion of the attending physician.
Treatment of acute and chronic chlamydia
Treatment of acute chlamydia with the addition of a bacterial infection can take place according to the following scheme:
- Antibacterial drugs - form the basis of treatment. You can stimulate immunity with Amiksin or Polyoxidonium.
- Restoration of the body's defenses. Physiotherapeutic methods can be applied here. Baths, microclysters can be used.
For chronic chlamydia, a slightly different treatment regimen is used:
- Preparation - begins immediately before treatment. This includes immunotherapy, local treatment. Within two weeks, enzyme systemic therapy can be carried out.
- Basic therapy is the second stage of treatment. Starts 10 days after the preparatory stage.
- Recovery stage - taking hepatoprotectors, physiotherapy. Eubiotics and antioxidants may be prescribed at the discretion of the attending physician.
If the cervix is affected, it is recommended to start treatment only after the results of colposcopy and cytology are obtained. Thus, it is possible to exclude the development of oncological diseases.
Prevention
In order to avoid repeated or first infection, all the rules of prevention should be strictly observed. If all these measures are neglected, the risk of infection will increase to 90 percent or more.
The main preventive measures:
- once every six months, you should be examined by a gynecologist;
- it is not recommended to have several sexual partners at once;
- for the entire period of treatment, intimacy should be abandoned;
- during sexual intercourse, you must use contraceptives.
Living in the same area with a sick person, but not having a sexual relationship with him, it is almost impossible to get infected.
But in order to completely eliminate the likelihood of infection by household means, it is necessary to adhere to the following rules:
- After contact with sick people, wash your hands well in warm water. This also applies to contact with children with chlamydial conjunctivitis.
- When visiting a public toilet, do not directly contact the toilet, use disposable wipes.
- The use of hygiene items in public places is not recommended. This also applies to the use of other people's razors.
The best way to prevent chlamydia infection is prevention. You should be careful about choosing your sexual partner. In the presence of such contact, one should ask how long chlamydia manifests itself, and therapeutic actions can be taken during the incubation period. The prognosis for timely treatment is favorable.
Frequently asked questions to the doctor
Sex and chlamydia
Tell me, is it possible to have sex with the development of such a disease as chlamydia?
Sexual life with the development of such a disease is completely prohibited. This applies to each partner, since the disease can be transmitted through any contact.
Household route of infection
Tell me, can I get chlamydia in everyday life?
Such an opportunity does exist, but fortunately it rarely happens. Chlamydia can live on moist matter for a long time, from which they move to the skin. If at this moment a person rubs his eyes with his hands, then the infection will easily get there.
Pregnancy
After I was diagnosed with chlamydia, I would like to know if I can get pregnant?
There are no barriers to conception. However, it is not recommended to plan a pregnancy until the disease is cured, as it can be transmitted to the fetus.
Diagnostics
Is it possible to determine chlamydia by a smear?
The duration of the course of the disease
Whether the clamidiosis can be shown in some years?
Chlamydia will not manifest itself until the immune system suppresses the infection. All this time, a woman is a carrier of the disease and herself, without suspecting it, infects other people. Only in the presence of favorable conditions, chlamydia will make themselves felt.
