Chlamydia

Question 1

Risk Factors

Answer 1

Lack of barrier contraception
More than one partner
Partner positive for STI
Age <25

Question 2

Presentation
Male symptoms as well
Examination

Answer 2

Dysuria, dyspareunia, discharge, pain, smelly odour
Post coital bleeding.

Men - Dysuria, pain, discharge, epididymitis, orchitis.

Cervical bleeding, pelvic tenderness, discharge.

Question 3

Investigations

Answer 3

If severe, pelvic USS for things.
Vulvo-vaginal swab, NAAT for chlamydia, HIV, syphilis and gonorrhoea.
First catch urine sample.
Urine dip.

For men, first catch or external meatal swab.

Question 4

Management

Answer 4

Azithromycin, 1g single dose.

Doxycycline 100mg tds 7 days.

If contraindicated, erythromycin.