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- Being sexually active
- Multiple sexual partners
- Having sex without a condom
- History of STDs
- Purulent discharge from the penis
- Burning, itchy, or painful sensation while urinating
- Increased or abnormal vaginal discharge
- Vaginal redness or irritation
- Painful and frequent urination
- Unusual vaginal bleeding, or bleeding between periods
- Pain or bleeding during or after sex
- Abdominal pain
- Epididymitis —A painful swelling and inflammation of the testicles, which may lead to infertility.
- Urethritis —The inside of the urethra may become inflamed, which causes burning when passing urine. If scarring occurs, it may cause difficulty with passing urine, or block urine flow completely.
- Prostatitis —An inflammation of the prostate gland. Symptoms include pain in and around the groin and pelvis, or discomfort when urinating. It may also create flu-like symptoms, such as fever, chills, body aches, or fatigue.
- Reiter's syndrome —A triad of urethritis, arthritis, and conjunctivitis .
|Male Genitourinary System|
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- Pelvic inflammatory disease (PID)—A serious infection that can lead to infertility , even in women who never have symptoms. If symptoms do occur, they may include pelvic pain and pain with intercourse. PID causes scar tissue, or may cause an abscess to form, in the fallopian tubes.
- Tubal pregnancy —Scarring in the fallopian tube also increases the risk of a tubal pregnancy and infertility. A tubal pregnancy occurs when a fertilized egg cannot reach the uterus. It is a serious condition that may cause a rupture, bleeding, or infection inside the abdomen. A ruptured or bleeding tubal pregnancy is considered a surgical emergency.
- Abdominal inflammation—Chlamydia and gonorrhea may cause inflammation around the reproductive organs, the appendix, or the liver. When the liver is involved, symptoms resemble gallbladder disease , with fever and pain under the right ribs. This condition is called Fitz-Hugh-Curtis syndrome.
- It is important that you and your partner both be treated. Wait at least seven days before you have sex again.
- If you still have symptoms after the medication is finished, or if you are pregnant, you may need to be tested again.
- You should be tested again three months after treatment to make sure you have not been reinfected.
- Always use a latex condom during sexual activity.
- Have routine check-ups for STDs if you are under the age of 25.
- Have check-ups often if you have other risk factors for getting STDs.
- Have a monogamous relationship. Monogamous means only one sexual partner.
Centers for Disease Control and Prevention http://www.cdc.gov
US Department of Health and Human Services Women's Health http://www.womenshealth.gov
Health Canada http://www.hc-sc.gc.ca
Sex Information and Education Council of Canada http://www.sieccan.org
Blas MM, Canchihuaman FA, et al. Pregnancy outcomes in women infected with Chlamydia trachomatis: a population-based cohort study in Washington State. Sex Transm Infect . 2007;83(4):314-318.
Chlamydia. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/std/chlamydia/default.htm . Updated April 30, 2013. Accessed May 16, 2013.
Chlamydia genital infection. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated March 13, 2013. Accessed May 16, 2013.
Chlamydia fact sheet. US Department of Health and Human Services Women's Health website. Available at: hhttp://www.womenshealth.gov/publications/our-publications/fact-sheet/chlamydia.cfm . Updated July 8, 2011. Accessed May 16, 2013.
Gottlieb SL, Martin DH, et al. Summary: The natural history and immunobiology of Chlamydia trachomatis genital infection and implications for Chlamydia control. J Infect Dis . 2010;201:Suppl 2:S190-204.
Kent CK, Chaw JK, et al. Prevalence of rectal, urethral, and pharyngeal chlamydia and gonorrhea detected in 2 clinical settings among men who have sex with men: San Francisco, California, 2003. Clin Infect Dis . 2005;41:67-74.
Workowski KA, Berman S, Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines, 2010. MMWR . 2010;59(No. RR-12):1-110.
- Reviewer: Brian Randall, MD
- Review Date: 05/2013
- Update Date: 05/11/2013