Dr
Margaret answers emailers’ embarrassing problems
in this monthly problem page.
Chlamydia
in men
Dear Dr Margaret
My girlfriend has been treated for a chlamydia infection.
She wants me to go for a check-up, but I don’t think
I need a check. There’s nothing wrong with me.
It’s
good that your girlfriend has been tested, and that the
infection has been diagnosed, because it is important that
chlamydia is treated. Otherwise, in women it can spread
upwards into the reproductive tubes (Fallopian tubes) and
damage them. These tubes carry eggs from the ovaries into
the womb (uterus), so women with damaged tubes may have
difficulty becoming pregnant.
In
men, a chlamydia infection can cause a discharge from the
end of the penis, and pain when passing urine. This is called
NSU (non-specific urethritis). However, chlamydia does not
always cause NSU; in fact, men with chlamydia often have
no symptoms at all. So although you think there is nothing
wrong with you, it is quite possible that you have chlamydia.
You definitely need some anti-chlamydia treatment and, ideally,
a check-up at a sexual health
clinic.
Have
you had sex with your girlfriend since her treatment? If
so, you could have passed the infection back to her. Therefore
she will need to have another course of antibiotics at the
same time as you. Chlamydia is easy to treat and cure with
the correct antibiotic.
Another
reason for dealing with this properly is to protect your
own health, because chlamydia can cause problems for men
as well as for women. NSU is the commonest problem, but
chlamydia can sometimes cause pain and swelling in the small
tubes around the testicles (epididymitis). Recently, researchers
in Sweden found that chlamydia infection can reduce fertility
in men.
In
the UK, chlamydia is the commonest sexually transmitted
infection, and last year the number of diagnosed chlamydia
infections rose by 9% to 89,818. The true figure must be
much higher than this because many people are unaware they
are infected. The best way to protect yourself is to use
condoms.
Source
of information
Idahl A, Boman J, Kumlin U, Olofsson JI. Human Reproduction
2004;19:1121–6.