Chlamydia (male) - Medtick
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Chlamydia (male)

What is it?

Sexually transmitted disease caused by bacteria.

  • Symptoms usually appears 1-3 weeks after in contact with infection.

Diagnosis Tests

  • Nucleic Acid Amplification Test (NAAT)
  • Exposure to an STI until a reliable test can be undertaken is 2 weeks.
If one wants to do a test, it is ideal to do it two weeks (unless stated by health professional otherwise) after exposure and if positive, do a re-test in 5– 6 weeks time (unless stated by health professional otherwise) after first test after treatment.

Males

  • Self-sampled rectal and pharyngeal swabs are recommended in men who have sex with men​.

CEG Guidance on Tests for Sexually Transmitted Infections. British Association for Sexual Health and HIV. 2015.https://www.bashhguidelines.org/media/1084/sti-testing-tables-2015-dec-update-4.pdf (accessed Feb 2023).

Persons in contact with:

When there is any doubt about the source of the infection, it is common to ask about all partners within the last:

  • 3 months for gonorrhoea
  • 6 months for chlamydia
  • 3 months to several years for syphilis depending on history and stage of infection
  • 3 months to several years for H.I.V depending on history and stage of infection

McClean H, Radcliffe K, Sullivan AK, et al. British Association for Sexual Health and HIV (BASHH). BASHH Statement on Partner Notification for Sexually Transmissible Infections. 2012; London: BASHH.

Males

  • In symptomatic men, all sexual contacts within four weeks prior to onset of symptoms should be notified.

Cause

  • Bacteria: Chlamydia trachomatis, Lymphogranuloma Venereum
  • Unprotected vaginal, anal, oral sex with infected persons
  • Genital contact with infected persons
  • Sharing sex toys if not washed or covered with condom
  • Passed from infected mother to baby in womb

Symptoms

Symptoms can vary:

  • Mild discomfort after 2-3 days of contact and then disappearance?
  • Pain when passing urine?
  • White, cloudy, water discharge from tip of penis?
  • Swollen, hot, red, inflamed and/or painful testicles?
  • Joint pain (reactive arthritis) – develop arthritis symptoms even though had infection elsewhere on body?
  • Mucus discharge or discomfort in rectum?
  • Pain in eye and have a sticky discharge?

Anal sex:

  • Rectal pain?
  • Rectal bleeding?
  • Rectal Discharge?
  • Urge to pass stool despite bowels being empty?
  • Feeling of incomplete emptying of the bowels?

Complications /Information to beware of/General tips:

Do not wait, phone for an ambulance if have or develop:

This condition can lead to:

Babies:

  • Gonorrhoea will usually present in the first 5 days of life but may take up to 3 week and can lead to a discharge that keeps on re-occurring and does even after wiping.
  • Chlamydia typically presents between the first 5–14 days of life​ and can lead to long term conjunctivitis.
  • Both can lead to an increase of corneal (eye) perforation, ulceration and scarring and need to be investigated.

Treatment tips

  • Do not have oral, vaginal or anal sex, or use sex toys, until seven days after you and your partner have both finished the treatment and any symptoms have gone.
  • This is to help prevent you being re-infected or passing the infection on to someone else.

This condition may show similar symptoms to:

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

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