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Chlamydia – the „silent“ sexually transmitted disease

Chlamydia is one of the most common sexually transmitted infections, caused by the bacterium *Chlamydia trachomatis*. It is often asymptomatic, especially in women, leading to late detection and an increased risk of complications. The infection affects the urogenital tract, but can also affect the anus, throat, and eyes.

Ways of transmission
- During vaginal, anal, or oral sex with an infected partner
- From mother to child during birth (can cause pneumonia or conjunctivitis in the newborn)
- It is not transmitted through kissing, food, or using shared toilets

Complications of untreated infection
- Chronic pelvic inflammation in women
- Infertility, ectopic pregnancy
- Chronic prostatitis, epididymitis in men
- Conjunctivitis or pneumonia in newborns
- Increased risk of HIV with co-infection
Diagnosis
- Microbiological examination by PCR test of urethral, cervical or vaginal secretions
- In men – first stream of urine
- Rectal or pharyngeal material can also be examined if necessary
Treatment
- Antibiotics: azithromycin (single dose) or doxycycline (7 days)
- Treat your partner as well – even in the absence of symptoms
- It is recommended to abstain from sexual intercourse until the end of therapy.

Chlamydia is treatable with antibiotics, but early diagnosis is crucial. Regular screening and safe sexual practices prevent complications and transmission of the infection.

Prevention

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Using condoms during every sexual act

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Avoiding casual and unprotected sex

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Regular screening – especially in young women <25 years or in high-risk contacts

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Treatment of all sexual partners

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Examination during pregnancy

When to see a doctor?

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Burning during urination or unusual discharge

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For lower abdominal pain or testicular pain

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Upon contact with an infected partner

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In case of planned pregnancy or during pregnancy