Launching January 2027

Chlamydia

Chlamydia At A Glance

  • Chlamydia is a common sexually transmitted infection caused by the bacterium Chlamydia trachomatis.
  • Most people have no symptoms, so infection can be present and passed to partners without being noticed.
  • When symptoms occur, they may include unusual genital discharge, burning with urination, pelvic pain, testicular pain or swelling, rectal symptoms, or throat symptoms after oral exposure.
  • Chlamydia is usually diagnosed with a urine or swab test, and the correct body sites should be tested based on sexual exposure.
  • Prescription antibiotics can cure the infection, but recent sexual partners also need evaluation and treatment to help prevent reinfection.
  • Early testing and treatment help reduce the risk of complications such as pelvic inflammatory disease, fertility problems, epididymitis, and ongoing pain.

Table of Contents

Table of Contents

What Is Chlamydia?

Chlamydia is a common sexually transmitted infection (STI) caused by the bacterium Chlamydia trachomatis. It can infect the cervix, urethra, rectum, and sometimes the throat or eyes. It spreads mainly through vaginal, anal, or oral sex and can pass from a pregnant person to a baby during delivery.

Chlamydia often causes no symptoms, so a person can have and pass it without knowing. It is curable with prescription antibiotics. Early testing and treatment help prevent pelvic inflammatory disease, fertility problems, epididymitis, ongoing pain, and transmission to partners.

Learn More

About Chlamydia – CDC
https://www.cdc.gov/chlamydia/about/index.html

Provides patient-friendly information about symptoms, transmission, testing, treatment, pregnancy, and prevention.

Chlamydia Infections – NIH MedlinePlus
https://medlineplus.gov/chlamydiainfections.html

Offers clear information about chlamydia symptoms, diagnosis, treatment, complications, and prevention.

How Common Is Chlamydia?

Chlamydia is one of the most commonly reported bacterial STIs in the United States. It affects people of all genders and sexual orientations, but reported rates are especially high among younger sexually active adults.

Reported cases do not include every infection because many people have no symptoms and are never tested. Regular screening based on age, anatomy, pregnancy, partners, and sexual exposures helps identify infection early.

Learn More

About Chlamydia – CDC
https://www.cdc.gov/chlamydia/about/index.html

Provides patient-friendly information about symptoms, transmission, testing, treatment, pregnancy, and prevention.

Getting Tested for STIs – CDC
https://www.cdc.gov/sti/testing/index.html

Explains who should receive STI testing, which body sites may need testing, and how to find care.

What Symptoms Might You Notice?

Most people have no symptoms. When symptoms occur, they may begin weeks after exposure and can include:

  • Unusual vaginal discharge
  • Bleeding between periods or after sex
  • Burning or pain with urination
  • Pelvic or lower abdominal pain
  • Pain during vaginal sex
  • Discharge from the penis
  • Itching or irritation at the urethral opening
  • Pain or swelling in one or both testicles
  • Rectal pain, discharge, bleeding, or painful bowel movements
  • Sore throat after oral exposure, although throat infections are often silent
  • Eye redness, pain, or drainage after infected fluid reaches the eye

Symptoms alone cannot distinguish chlamydia from gonorrhea, Mgen, trichomoniasis, urinary infection, or other conditions. Laboratory testing is needed.

How Is Chlamydia Diagnosed?

A provider will ask about symptoms, pregnancy, recent partners, and the types of sexual contact you have had. This information helps decide whether urine, vaginal, cervical, rectal, or throat samples are needed. The conversation should be private and nonjudgmental.

A physical or pelvic examination may be performed when you have pain, discharge, bleeding, testicular swelling, sores, or signs of a complication. Many people can be tested without an internal examination.

Learn More

About Chlamydia – CDC
https://www.cdc.gov/chlamydia/about/index.html

Provides patient-friendly information about symptoms, transmission, testing, treatment, pregnancy, and prevention.

Getting Tested for STIs – CDC
https://www.cdc.gov/sti/testing/index.html

Explains who should receive STI testing, which body sites may need testing, and how to find care.

Chlamydia infographic – click to enlarge

What Causes Chlamydia?

Chlamydia is caused by infection with C. trachomatis. It can spread when infected genital fluids or tissues contact the cervix, urethra, rectum, throat, or eyes during sexual activity, even when there is no ejaculation or visible symptom.

Common routes include:

  • Vaginal sex without a condom or barrier
  • Anal sex without a condom or barrier
  • Oral sex, although throat infection is less common than genital or rectal infection
  • Sharing sex toys without cleaning them or changing condoms between users or body sites
  • Transmission during childbirth from a pregnant person with untreated infection

Chlamydia is not spread by toilet seats, casual touching, hugging, swimming pools, sharing food, or ordinary household contact.

Learn More

About Chlamydia – CDC
https://www.cdc.gov/chlamydia/about/index.html

Provides patient-friendly information about symptoms, transmission, testing, treatment, pregnancy, and prevention.

What Can Make Chlamydia Worse?

Chlamydia may spread or cause complications when treatment is delayed, doses are missed, or sexual contact resumes before treatment and partner care are complete.

  • Having sex before the recommended waiting period ends
  • A recent partner remaining untreated
  • Missing antibiotic doses or stopping early
  • Using leftover or shared antibiotics
  • Not testing all exposed body sites
  • Ignoring new pelvic, testicular, rectal, or pregnancy-related symptoms
  • Repeat infection after successful treatment

Douching does not prevent or cure chlamydia and may increase the chance that an infection moves upward into the reproductive organs.

Learn More

Chlamydial Infections – CDC STI Treatment Guidelines
https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

Provides current clinical guidance about testing, recommended treatment, partner care, pregnancy, and follow-up.

Prevention

You can lower the chance of chlamydia by:

  • Using external or internal condoms correctly for vaginal and anal sex
  • Using barriers for oral sex when appropriate
  • Testing based on your age, anatomy, partners, pregnancy, and exposures
  • Testing before sex with a new partner and sharing results
  • Reducing the number of partners or choosing mutual monogamy with a tested partner
  • Using a new condom on sex toys between partners or body sites
  • Completing treatment and making sure partners receive treatment
  • Waiting the full recommended period before resuming sex
  • Retesting about three months after treatment
  • Discussing HIV PrEP and recommended hepatitis or HPV vaccines with your provider

Condoms greatly reduce risk when used correctly, but no method except avoiding sexual contact eliminates risk completely.

Learn More

Condom Use – CDC
https://www.cdc.gov/condom-use/

Provides guidance on correct condom use to reduce STI and pregnancy risk.

Getting Tested for STIs – CDC
https://www.cdc.gov/sti/testing/index.html

Explains who should receive STI testing, which body sites may need testing, and how to find care.

Labs

The preferred test is usually a nucleic acid amplification test (NAAT), which looks for the bacteria’s genetic material.

  • Vaginal Swab: Often self-collected or clinician-collected and highly accurate for people with a vagina.
  • First-Catch Urine: Commonly used for people with a penis; follow instructions and collect the beginning of the urine stream.
  • Cervical Swab: May be collected during a pelvic examination.
  • Rectal Swab: Tests rectal exposure or symptoms; urine and genital tests do not detect every rectal infection.
  • Throat Swab: May be used after oral exposure based on risk and clinical guidance.
  • Additional STI Tests: Gonorrhea, HIV, syphilis, and sometimes hepatitis or trichomoniasis testing may be offered.
  • Pregnancy Test: May guide antibiotic choice and evaluation when pregnancy is possible.

Ask the clinic whether you should avoid urinating before a urine test. Do not clean inside the vagina or urethra before testing unless instructed.

Learn More

Sexually Transmitted Infection Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/sexually-transmitted-infection-sti-tests/

Explains urine, swab, and blood testing for STIs and what to expect.

Getting Tested for STIs – CDC
https://www.cdc.gov/sti/testing/index.html

Explains who should receive STI testing, which body sites may need testing, and how to find care.

Diagnostics

Imaging is not used to diagnose uncomplicated chlamydia. Urine or swab NAAT testing is usually enough.

  • Pelvic Examination: Checks for cervical motion, uterine, or adnexal tenderness when PID is possible.
  • Testicular Examination: Evaluates pain or swelling for epididymitis and urgent causes.
  • Pelvic Ultrasound: May be ordered for severe pelvic pain, pregnancy concerns, abscess, torsion, or another diagnosis.
  • Scrotal Ultrasound: May help when sudden or significant testicular pain requires evaluation for torsion or other conditions.
  • Pregnancy Evaluation: Ultrasound and blood testing may be needed when pelvic pain occurs during pregnancy or an ectopic pregnancy is possible.

A normal ultrasound does not rule out mild PID. Treatment may be started based on symptoms and examination because delay can increase complications.

Learn More

About Pelvic Inflammatory Disease – CDC
https://www.cdc.gov/pid/about/index.html

Explains PID symptoms, complications, prevention, and when to seek care.

Treatment & Management

Treatment Options

Antibiotics cure chlamydia. The recommended medicine depends on the infection site, pregnancy, allergies, age, other medicines, and whether complications such as PID or epididymitis are present.

  • Standard Oral Antibiotic Treatment: Doxycycline is commonly recommended for uncomplicated infection in nonpregnant adults.
  • Alternative Treatment: Azithromycin or another regimen may be used in selected situations.
  • Pregnancy Treatment: Pregnancy-safe antibiotics are selected, and a test of cure is required.
  • Complication Treatment: PID, epididymitis, or lymphogranuloma venereum requires a different or longer treatment plan.
  • Partner Treatment: Recent sexual partners need evaluation and treatment to prevent reinfection and further spread.

Do not wait for symptoms to return before completing follow-up. Antibiotics cure the current infection but cannot reverse scarring or other permanent damage that occurred before treatment.

Learn More

Chlamydial Infections – CDC STI Treatment Guidelines
https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

Provides current clinical guidance about testing, recommended treatment, partner care, pregnancy, and follow-up.

Lifestyle Changes

Antibiotics cure chlamydia. The recommended medicine depends on the infection site, pregnancy, allergies, age, other medicines, and whether complications such as PID or epididymitis are present.

  • Standard Oral Antibiotic Treatment: Doxycycline is commonly recommended for uncomplicated infection in nonpregnant adults.
  • Alternative Treatment: Azithromycin or another regimen may be used in selected situations.
  • Pregnancy Treatment: Pregnancy-safe antibiotics are selected, and a test of cure is required.
  • Complication Treatment: PID, epididymitis, or lymphogranuloma venereum requires a different or longer treatment plan.
  • Partner Treatment: Recent sexual partners need evaluation and treatment to prevent reinfection and further spread.

Do not wait for symptoms to return before completing follow-up. Antibiotics cure the current infection but cannot reverse scarring or other permanent damage that occurred before treatment.

Learn More

Chlamydial Infections – CDC STI Treatment Guidelines
https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

Provides current clinical guidance about testing, recommended treatment, partner care, pregnancy, and follow-up.

Medications

Antibiotics cure chlamydia. The recommended medicine depends on the infection site, pregnancy, allergies, age, other medicines, and whether complications such as PID or epididymitis are present.

  • Standard Oral Antibiotic Treatment: Doxycycline is commonly recommended for uncomplicated infection in nonpregnant adults.
  • Alternative Treatment: Azithromycin or another regimen may be used in selected situations.
  • Pregnancy Treatment: Pregnancy-safe antibiotics are selected, and a test of cure is required.
  • Complication Treatment: PID, epididymitis, or lymphogranuloma venereum requires a different or longer treatment plan.
  • Partner Treatment: Recent sexual partners need evaluation and treatment to prevent reinfection and further spread.

Do not wait for symptoms to return before completing follow-up. Antibiotics cure the current infection but cannot reverse scarring or other permanent damage that occurred before treatment.

Learn More

Chlamydial Infections – CDC STI Treatment Guidelines
https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

Provides current clinical guidance about testing, recommended treatment, partner care, pregnancy, and follow-up.

Procedures

Uncomplicated chlamydia does not require a procedure. Testing and antibiotics are usually sufficient.

  • Sample Collection: Urine or a swab is collected for testing; self-collected vaginal or rectal swabs may be available.
  • Abscess Drainage: Rarely needed if severe PID causes a tubo-ovarian abscess that does not improve with antibiotics.
  • Laparoscopy: Rarely used when the diagnosis is unclear, severe pelvic disease is suspected, or another surgical condition must be evaluated.
  • Fertility Procedures: May help later if past infection caused tubal scarring, but they do not treat an active infection.

Ask why any procedure is recommended, what it may show or treat, risks, recovery, and whether it could affect fertility.

Learn More

About Pelvic Inflammatory Disease – CDC
https://www.cdc.gov/pid/about/index.html

Explains PID symptoms, complications, prevention, and when to seek care.

What Should You Expect Long-Term?

Most people are fully cured when they take the correct antibiotics and avoid reinfection. Symptoms, if present, should improve, but persistent pain, discharge, bleeding, or urinary symptoms need reevaluation.

Repeat infection is common. CDC recommends retesting about three months after treatment for everyone diagnosed with chlamydia, even if partners were treated. A routine test of cure is not needed for most nonpregnant adults, but pregnancy requires a NAAT test of cure about four weeks after treatment and additional retesting as directed.

Learn More

Chlamydial Infections – CDC STI Treatment Guidelines
https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

Provides current clinical guidance about testing, recommended treatment, partner care, pregnancy, and follow-up.

About Chlamydia – CDC
https://www.cdc.gov/chlamydia/about/index.html

Provides patient-friendly information about symptoms, transmission, testing, treatment, pregnancy, and prevention.

What Can You Do At Home?

Most people are fully cured when they take the correct antibiotics and avoid reinfection. Symptoms, if present, should improve, but persistent pain, discharge, bleeding, or urinary symptoms need reevaluation.

Repeat infection is common. CDC recommends retesting about three months after treatment for everyone diagnosed with chlamydia, even if partners were treated. A routine test of cure is not needed for most nonpregnant adults, but pregnancy requires a NAAT test of cure about four weeks after treatment and additional retesting as directed.

Learn More

Chlamydial Infections – CDC STI Treatment Guidelines
https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

Provides current clinical guidance about testing, recommended treatment, partner care, pregnancy, and follow-up.

About Chlamydia – CDC
https://www.cdc.gov/chlamydia/about/index.html

Provides patient-friendly information about symptoms, transmission, testing, treatment, pregnancy, and prevention.

Frequently Asked Questions

Can I have chlamydia without symptoms?

Yes. Most infections cause no symptoms, which is why screening and testing after exposure are important.

Can chlamydia go away without antibiotics?

Symptoms may disappear while infection remains. Treatment is needed to cure it and reduce complications and transmission.

Can I get chlamydia from a toilet seat?

No. Chlamydia is not spread through toilet seats or ordinary household contact.

Can oral sex spread chlamydia?

Yes. Chlamydia can infect the throat, although throat infection is less common and often has no symptoms.

When can I have sex again?

Wait seven days after single-dose treatment or until a seven-day regimen is completed, and until partners have been treated. Symptoms should also be resolved.

Why do I need another test in three months?

Reinfection is common. Retesting finds a new infection early even if you believe partners were treated.

Will chlamydia affect fertility?

Untreated infection can cause PID and tubal scarring or epididymitis. Many treated infections do not cause infertility, especially when found early.

Does a positive result prove when or from whom I got it?

No. Chlamydia may remain silent for a long time, so a test usually cannot determine when transmission occurred or identify a specific partner.

Questions To Ask Your Provider

Consider asking:

  • Which body sites should be tested based on my sexual exposures?
  • Should I also be tested for gonorrhea, HIV, syphilis, hepatitis, or trichomoniasis?
  • Which antibiotic is best for me, and how should I take it?
  • Could I have PID, epididymitis, or another complication?
  • Exactly when is it safe to have sex again?
  • Which partners need testing and treatment?
  • Is expedited partner therapy available and legal where I live?
  • Do I need a test of cure or only three-month retesting?
  • How does pregnancy change treatment and follow-up?
  • Could past infection have affected my fertility?
  • What symptoms require urgent or emergency care?

Specialist Referrals

Most uncomplicated infections can be managed in primary care, urgent care, or a sexual-health clinic. Referral may be made to:

  • Gynecologist: Evaluates PID, pregnancy-related concerns, persistent pelvic pain, abnormal bleeding, or fertility effects.
  • Urologist: Evaluates epididymitis, persistent testicular symptoms, urinary complications, or fertility concerns.
  • Infectious Disease or STI Specialist: Helps with treatment failure, complex infection, severe allergy, or uncertain diagnosis.
  • Reproductive Endocrinologist or Fertility Specialist: Evaluates infertility or scarring after past infection.
  • Ophthalmologist: Treats serious eye infection or vision symptoms after possible exposure.

Local health departments can often provide confidential testing, treatment, partner services, and prevention support.

Learn More

Partner Services – CDC STI Treatment Guidelines
https://www.cdc.gov/std/treatment-guidelines/clinical-partnerServices.htm

Explains confidential partner notification, evaluation, treatment, and public-health services.

Is Chlamydia Curable?

Yes. Chlamydia is a bacterial infection and can be cured with the correct antibiotics. A cure does not create immunity, so you can get chlamydia again from an untreated or new infected partner.

Treatment stops the active infection but cannot reverse permanent scarring or damage that may have already occurred. Early care and partner treatment lower this risk.

Learn More

About Chlamydia – CDC
https://www.cdc.gov/chlamydia/about/index.html

Provides patient-friendly information about symptoms, transmission, testing, treatment, pregnancy, and prevention.

Chlamydia Infections – NIH MedlinePlus
https://medlineplus.gov/chlamydiainfections.html

Offers clear information about chlamydia symptoms, diagnosis, treatment, complications, and prevention.

Emergency Symptoms / When To Seek Immediate Help

Seek urgent or emergency care for:

  • Severe or rapidly worsening pelvic or lower abdominal pain
  • Pelvic pain with fever, vomiting, fainting, or appearing very ill
  • Sudden or severe pain in one testicle, especially with nausea
  • A positive pregnancy test with one-sided pelvic pain, shoulder pain, heavy bleeding, dizziness, or fainting
  • Severe rectal pain, bleeding, fever, or pus-like discharge
  • Eye pain, light sensitivity, reduced vision, or heavy eye drainage
  • A serious antibiotic reaction with trouble breathing, facial or throat swelling, fainting, or a widespread blistering rash

Sudden testicular pain can be torsion, and pelvic pain during pregnancy can be ectopic pregnancy. Both are time-sensitive emergencies and should not be assumed to be chlamydia.

Learn More

About Pelvic Inflammatory Disease – CDC
https://www.cdc.gov/pid/about/index.html

Explains PID symptoms, complications, prevention, and when to seek care.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

About Chlamydia – CDC
https://www.cdc.gov/chlamydia/about/index.html

Provides patient-friendly information about symptoms, transmission, testing, treatment, pregnancy, and prevention.

Chlamydial Infections – CDC STI Treatment Guidelines
https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

Provides current clinical guidance about testing, recommended treatment, partner care, pregnancy, and follow-up.

Getting Tested for STIs – CDC
https://www.cdc.gov/sti/testing/index.html

Explains who should receive STI testing, which body sites may need testing, and how to find care.

Chlamydia Infections – NIH MedlinePlus
https://medlineplus.gov/chlamydiainfections.html

Offers clear information about chlamydia symptoms, diagnosis, treatment, complications, and prevention.

Sexually Transmitted Infection Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/sexually-transmitted-infection-sti-tests/

Explains urine, swab, and blood testing for STIs and what to expect.

Partner Services – CDC STI Treatment Guidelines
https://www.cdc.gov/std/treatment-guidelines/clinical-partnerServices.htm

Explains confidential partner notification, evaluation, treatment, and public-health services.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, laboratory testing, or treatment from a healthcare provider. Chlamydia often causes no symptoms and requires prescription antibiotics. Avoid sexual contact until treatment and partner-care requirements are complete. Seek urgent care for severe pelvic or abdominal pain, sudden testicular pain, pregnancy with pain or bleeding, fever with worsening symptoms, serious eye symptoms, or a severe medication reaction.

Get personalized care for Chlamydia

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.