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Chlamydia infections in women - Treatment

Treatment:

Chlamydia can be treated with a variety of antibiotics, including azithromycin, tetracyclines, quinolones, and erythromycin. Erythromycin and azithromycin are safe in pregnant women.

Both sexual partners must be treated to prevent passing the infection back and forth between them, even though both may not have symptoms.

Since gonorrhea often occurs along with chlamydia, treatment for gonorrhea is often given at the same time.

Expectations (prognosis):

Antibiotic treatment is usually successful. Reinfection may occur if you do not take your medicine as directed, or if your sexual partner is not treated.

Complications:

Chlamydia infections in women may lead to inflammation of the cervix.

An untreated chlamydia infection may spread to the uterus or the fallopian tubes, causing salpingitis or pelvic inflammatory disease. These conditions can lead to infertility and increase the risk of ectopic pregnancy.

If a women has chlamydia while pregnant, it can lead to an infection in the uterus after delivery (late postpartum endometritis). In addition, the infant may develop chlamydia-related conjunctivitis (eye infection) and pneumonia.

Calling your health care provider:

Call for an appointment with your health care provider if symptoms of chlamydia occur.

  • Reviewed last on: 6/7/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Stamm WE, Batteiger BE. Chlamydiatrachomatis (trachoma, perinatal infections, lymphogranuloma venereum, and other genital infections). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 180.

U.S. Preventive Services Task Force. Screening for chlamydial infection: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2007;147:128-134.

Centers for Disease Control and Prevention. Workowski KA, Berman SM. Diseases characterized by urethritis and cervicitis. Sexually transmitted diseases treatment guidelines MMWR. 2006;55:35-49.

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