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Chlamydia Consultation and Prescription

 
A Young couple holding hands.
 
Chlamydia is the most common bacterial sexually transmitted infection (STI) in the UK.6 It can be passed on easily through unprotected sex (sex without using a condom). Many thousands of people who have chlamydia do not know they have it.4 It is, however, easy to cure with a short course of antibiotics.

Symptoms and long-term complications may develop if it is left untreated.

If you are concerned that you may have chlamydia then we can assess you within an hour and your prescription can be dispensed, packed and shipped to you by Home Health the same day. You also have the option of having the prescription sent to yourself or to your chosen pharmacy for fulfilment but the costs for the dispensing and the medicines could vary greatly and you may have to wait a few days if the medicine is not in stock. With Home Health you know we will have stock and you pay one price for the consultancy, the prescription, the dispensing and confirmed 1st Class trackable delivery shipping to your selected address. For Chlamydia you will be charged £10 for the prescription and £9.99 for the treatment which will probably be one of the following:-
 
A Pharmacist at work.

Possible treatments we prescribe if clinically appropriate:

Azithromycin  500mg – two tablets to be taken immediately

Doxycycline 100mg – 1 capsule to be taken twice a day for 7 days

Further Information:

Common Symptoms

In at least 70% of women and 50% of men with chlamydia, there are no symptoms. You can be infected with chlamydia for months, even years, and can be passed on to others without knowing.

However, if you notice any of the following, then it is important to be tested for chlamydia. We sell home chlamydia tests on this website, for more information or to purchase click here.

Symptoms In Women

  • Bleeding between periods.
  • Bleeding after sex.
  • Pain during sex.
  • Increase or unusual vaginal discharge.
  • Burning or discomfort when passing urine.
  • Lower abdominal (pelvic) pain.

Symptoms In Men

  • Pain or burning when passing urine.
  • Discharge from the penis.
  • Discomfort in the urethra.
  • Pain, swelling and tenderness of the testicular area.

Common Reasons for Requesting Treatment

If you have received a positive chlamydia test result, either from a swab or a urine test.

You have had sexual intercourse with a partner who has been tested positive for chlamydia.

Common Treatments

Antibiotic treatment should be started promptly if tested positive for chlamydia with either Azithromycin or Doxycycline.

They are both effective forms of treatment that have a high cure rate. There is no difference in adverse effects or efficacy found between the two choices.12
Over 95% of people who take their antibiotics correctly will be cured of the infection.

Please visit the following sites for further information regarding the medication:

Azithromycin

Doxycycline

Five Step Plan for Chlamydia

1. Antibiotic: Complete the antibiotic prescribed, as soon as possible.

2. Partner notification: Your current partner and any from the last three months should also have treatment for chlamydia.

3. Avoid sex for 7 days: You and your partner need to avoid sex for seven days from the first day of the antibiotic treatment.

4. Attend a GUM clinic for the screening of STIs: We advise that you also visit a GUM clinic to be screened for other sexually transmitted diseases or you can buy these tests from Home Health by Clicking Here.

5. Repeat the test 3-12 months later: Repeat the test to check for re-infection between 3-12 months, or sooner if there is a change of partner.

It is recommended that you visit a GUM /sexual health clinic for screening of other sexually transmitted infections including gonorrhoea, hepatitis B, HIV, and syphilis. This should be done at least 1 week after completing treatment. Your current partner should be treated as well regardless of any test result. 3,5 We sell a range of home sexual health tests on this website, click here for more information on our full range of tests.

It is important that previous partners (from the last 6 months) are notified, you may choose to do this, or it can be done anonymously through a GUM clinic. 6 This is to help reduce the spread of chlamydia.

It is advised that sexual intercourse with or without condoms (including oral sex) is avoided for 7 days after the treatment is started, as this is how long it takes for the infection to clear. By following this, you reduce your chances of the treatment not working or becoming re-infected.

If you have a coil (IUD or IUS) then uncomplicated genital Chlamydia infection does not require it to be removed.3

If you are under 25, then you are at a higher risk of catching Chlamydia again. You should retest again in 3 months.

Causes

Young people are at a greater risk of acquiring chlamydia, however, it can occur at any age. Ideally, young sexually active people should be screened for chlamydia every year. In 2014 there were 206,774 new diagnoses of chlamydia infection, and 70% of those were under 25.2

Chlamydia is caused by the bacteria, chlamydia trachomatis it is spread from one person to another through unprotected vaginal, anal or oral sex. It can also spread through contact with infected vaginal fluids or semen, for example by sharing sex toys that have not been thoroughly washed. Chlamydia can also pass from a pregnant woman to her baby. Chlamydia cannot be passed through kissing or hugging.

When To Seek Further Advice

You may need to seek further advice from a GP or GUM clinic if any of the following apply:

  • You had sex before you and your partner finished treatment.
  • You forgot to take your medication or didn’t take it properly.
  • If your symptoms don’t go away.
  • You were treated for chlamydia whilst pregnant
Chlamydia Tests

The following tests can be carried out to confirm a chlamydia diagnosis, which includes either a urine test (FCU)* or a swab. 3,5 You can be tested at (or obtain free and confidential chlamydia self-testing kits from):

Your GP practice

A local GUM (sexual health) clinic

Contraceptive clinic

You can also buy chlamydia testing kits from our website, for our full range of sexual health tests, click here.

A test to ensure the infection has gone after treatment has finished is not usually necessary, except in pregnant women.1 Repeat testing is advisable after 3-6 months to check for re-infection especially in those under the age of 25, and who are at high risk of re-infection.1

*(FCU)- first-catch urine sample. Do not empty your bladder for at least 1 hour before the test, then catch the first sample of urine you pass from your bladder.

Complications

If left untreated then the infection may spread and cause problems in other parts of the body, leading to long-term health problems. This is why you should consider regular testing and ensure you are treated quickly.

Complication in Women

Pelvic Inflammatory disease (PID) occurs in 16% of women with untreated chlamydia. PID can increase the risk of infertility, ectopic pregnancy, and chronic pelvic pain. One review 9</sup suggests that one episode of PID may cause tubal infertility in up to 18% of woman, affected.

A picture of PID.

Men

Epididymo-orchitis (pain and inflammation of the epididymis and testes). Some studies suggest a possible association with male infertility, but the evidence for this is not conclusive.10,11

A picture showing epididymitis.

In males and females

Chlamydia can also cause sexually acquired reactive arthritis. It can affect about 1% of men but is rare in women. Chlamydia can infect the eyes causing conjunctivitis which can cause eye redness, pain, and discharge. Chlamydia can also infect the rectum (with unprotected anal sex) leading to discomfort and discharge from your rectum.

Chlamydia in pregnancy

There is a greater risk of premature rupture of membranes and a low birth weight if a woman has chlamydia during pregnancy. There is also a risk of the baby developing chlamydia conjunctivitis if the infection is left untreated.

References

1.NICE CKS: Chlamydia – uncomplicated genital June 2006

2.Public Health England PHE, 2015

3.British Association for Sexual Health and HIV (BASHH) 2015 UK national guideline for the management of infection with Chlamydia trachomatis, [BASHH, 2015].

4.Scottish Intercollegiate Guidelines Network (SIGN) guideline Management of genital Chlamydia trachomatis infection [SIGN, 2009].

5.Royal College of General Practitioners (RCGP) guideline Sexually Transmitted Infections in Primary Care [RCGP, 2013].

6.Health Protection Agency guideline on Diagnosis of Chlamydia trachomatis, Quick Reference Guide for General Practices [HPA, 2008].

7.BNF 71 (2016) British National Formulary.

8.Schembri G, Schober P. Risk factors for chlamydial infection in chlamydia contacts: a questionnaire-based study. J Fam Plann Reprod Health Care 2011; 37(1): 10-16.

9.Haggerty CL, Gottlieb SL, Taylor BD et al. Risk of sequelae after Chlamydia trachomatis genital infection in women. J Infect Dis 2010 Jun 15; 201 Suppl 2: S134-55.

10.Bezold G, Politch JA, Kiviat NB, et al. Prevalence of sexually transmissible pathogens in semen from asymp- tomatic male infertility patients with and without leuko- cytospermia. Fertil Steril 2007; 87: 1087–1097.

11.Joki-Korpela P, Sahrakorpi N, Halttunen M, et al. The role of Chlamydia trachomatis infection in male infertility. Fertil Steril 2009; 91(4 Suppl): 1448–1450.

12. Lau Cy, Qureshi AK. Azithromycin versus doxycycline for genital chlamydial infections: a meta-analysis of randomized clinical trials. Sex Transm Dis 2002;29(9):497-502.

 
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