In men, neglected chlamydia can lead to inflammation of the testicles which, in addition to causing other symptoms can pose a greater risk of infertility. In both men and women, Chlamydia trachomatis can sometimes cause small reddened patches to appear on the glans or, in women, on the vulva, in the vagina, on the cervix or on the anal level. Such lesions, single and generally asymptomatic, are then subjected to ulceration; therefore they regress spontaneously after a few days.
In short, the infection becomes evident, manifesting itself with the enlargement of the inguinal lymph nodes, which are gradually associated with each other giving rise to painful masses topped by purple skin.
If left untreated, the pathological picture, known as venereal lymphogranuloma, further worsens causing fistulation and leaking of purulent material, fever, an extension of infection to various organs, fibrosis and subsequent deformation of the genital area.
Diagnosis of STDs
If chlamydia infection is suspected, it is advisable to contact a doctor as soon as possible. This allows you to carry out an immediate check-up. Only a timely and reliable diagnosis of STDs can help prevent the appearance of more severe complications. The test generally consists of simply taking a cervical, urethral, vaginal or urinary swab, which will then be analyzed in the laboratory.
Currently, analysis techniques are available which, in addition to having sensitivity and specificity now close to 100%, allow obtaining results in a very short time. These tests are based on modern gene amplification techniques (such as PCR, LCR, and TMA) and are therefore able to directly detect the chlamydia genome.
Prevention of STDs
It is unpleasant to say, every time you have sex with a new person it is as if you were doing it also with all the partners with whom you previously had unprotected sex. Since Chlamydia trachomatis is sexually transmitted and can remain quiescent for long periods, it is good to avoid risky relationships, without ever forgetting that the use of condoms greatly reduces the risk of infection by STDs.
For prevention, it would be advisable to have an annual screening for all sexually active women under the age of 25, for those who are younger, but who frequently change sexual partners and all those who are pregnant.
Care and treatment
Fortunately, there are numerous pharmacological treatments able to eradicate chlamydia or infection by STDs, respecting individual sensitivities and contraindications. The most common is based on the administration of a single dose of azithromycin, while a valid alternative is represented by the treatment with doxycycline, which however provides a more lasting intake (7-10 days).