Dating after chlamydia
Our doctors advise that you get tested for chlamydia days after the date you were potentially exposed to chlamydia. If you tested positive for chlamydia and received treatment, you may still be at risk for re-infection. This is especially true if you engage in sexual intercourse with a partner who has not been tested and treated for chlamydia.
Our doctors recommend getting tested again 21 to 28 days after your initial infection, preferably along with your partner, so that you can be sure that both of you are chlamydia free. A negative test result means that chlamydia was not found in your system. A positive test result indicates that you have an active chlamydia infection.
On the other hand, we anticipated that the invitation time for retesting would be negatively correlated with the uptake proportion. This was confirmed, the uptake proportion decreased with a later invitation time for retesting and was lowest among patients assigned to the week group. The median time to actual retest was significantly shorter in the 8-week group compared with the and week groups. We consider 8 weeks the optimal time for an invitation to retest for urogenital chlamydia because this group showed the highest uptake proportion, whereas the median time to retest was shortest and patients had a comparable positivity proportion compared to the and week groups.
National guidelines in several countries differ regarding the recommended timing of retesting varying from 3 to 12 months after the initial positive result 6 — 9 and also differ regarding the appropriate target population. For example, the UK national guideline restricts retesting to young patients under the age of 25 years due to lack of sufficient evidence for retesting patients over 25 years. Therefore, we recommend that retesting should not be restricted to young patients only. A limitation of this study is that we did not collect data on sexual behavior, or partner change, nor did we verify partner treatment between the initial test and retest, so we cannot assess retesting rates in subgroups defined by perceived risk for reinfection.
Moreover, we did not include a randomization group of 3 months 12 weeks , although this cutoff point is used in several guidelines 8 , 10 and might be a suitable interval for retesting. Because the uptake decreased with prolonged retest intervals and was significantly lower in the week retest group compared with the 8-week group, we advice to invite for a retest to be done no later than 3 months after treatment. On the other hand, the optimal time to detect new infections rather than to detect nonviable material from the initial infection has been debated.
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A retest of at least 8 weeks after initial diagnosis and treatment has therefore been recommended. Lastly, since this study was performed in a STI clinic setting in the Netherlands serving a high-risk population, the results might not be generalizable to lower risk populations and other regions. This might explain the high uptake in our setting. Of note, the choice for sample collection location was made after patients were told their scheduled retest date.
It is of interest that patients assigned to a shorter interval time to retest more often preferred home collection. In conclusion, this clinical trial regarding the optimal timing of retesting, invitation for retesting 8 weeks after initial treatment appears the optimal time to retest heterosexual patients after initial diagnosis and treatment of urogenital chlamydia infection.
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Patients assigned to the 8-week group showed the highest uptake proportion, whereas the median time to retest was shortest, and patients had a comparable positivity proportion compared with the and week groups. National Center for Biotechnology Information , U. Published online Sep 6.
Schim van der Loeff. Author information Article notes Copyright and License information Disclaimer. Received May 30; Accepted Aug 4. Published by Wolters Kluwer Health, Inc. The work cannot be changed in any way or used commercially without permission from the journal.
This article has been cited by other articles in PMC. Abstract Background Chlamydia trachomatis is a common, often recurring sexually transmitted infection, with serious adverse outcomes in women. Methods A randomized controlled trial among urogenital chlamydia nucleic acid amplification test positive heterosexual clients of the Amsterdam sexually transmitted infection clinic. Conclusions Patients with a recent urogenital chlamydia are at high risk of recurrence of chlamydia and retesting them is an effective way of detecting chlamydia cases.
Randomization, Specimen Collection, and Testing Procedures Patients with a positive urogenital CT nucleic acid amplification test were randomized for chlamydia retesting, either 8, 16, or 26 weeks after they received treatment, advised on partner notification, and counselled. Statistical Analysis Patients were included in the study only once. Open in a separate window.
Positivity Proportions for Chlamydia Retesting Of patients who provided a retest sample, 7 had a missing or invalid test result, and test results were available for Subgroup Analysis We performed several subgroup analyses. Global estimates of the prevalence and incidence of four curable sexually transmitted infections in based on systematic review and global reporting. PLoS One ; Risk of sequelae after Chlamydia trachomatis genital infection in women. J Infect Dis ; Suppl 2: Pelvic inflammatory disease and fertility. A cohort study of 1, women with laparoscopically verified disease and control women with normal laparoscopic results.
Sex Transm Dis ; Chlamydia is treated with antibiotic pills, which usually work very well to cure the infection.
It is important to complete all the medication and take it as directed, even if you start to feel better. Go back to your health care provider if you still have symptoms after you finish your medication.
If you have chlamydia, you will be asked about who you had sex with in the past two months 60 days. This is because chlamydia is a reportable infection. Anyone you have had sex with will need to be tested and treated. Partners are almost always given medication whether they have symptoms or not.
How to tell your partners you have chlamydia - Hack - triple j
There are a few ways you can tell partners about STI testing. Some people want to tell partners in person, others want to tell partners anonymously. You can talk to your health care provider about what ways might work best for you. It takes time for an infection to be cleared from the body, so it is important that you do not have penetrative sex including oral sex for 7 days after you and your partners start the antibiotic treatment.
If you or your partners do not finish the treatment or miss pills, the infection may be passed back to you or your partners and may cause health problems later on. If that happens, talk with your health care provider to see if you or your partners need more treatment.