HomeAnswersGeneral MedicinechlamydiaHow to confirm that my wife is not affected by chlamydia infection?

I have chlamydia infection and had unprotected sex with my partner. Will my partner get affected?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At November 10, 2020
Reviewed AtNovember 6, 2023

Patient's Query

Hi doctor,

I have been in a monogamous relationship with my wife for over four years. Recently we both had to get screened for a medical procedure she is doing in a month. I tested positive for Chlamydia, but she did not. We both re-tested to make sure there were no false positives/negatives. The results came back the same. We had unprotected sex as little as a week before the tests. Prior to my wife, I had 2-3 sexual partners who could have passed the disease to me, but if this were the case, would not my wife almost certainly have it too? I have learned it can sit dormant, but would still be transmittable? I have never shown any symptoms. These tests have nearly ruined our marriage since all the doctors and her friends have basically said that infidelity is the only explanation. Knowing that I have been true to my partner, set me down this path of searching for answers. I have found some vague research indicating Chlamydia organisms can be contracted from ticks. I have not had tick bites recently, but definitely have in the past four years. Could something like this induce a positive test result, but not get transferred to my partner? Or are there other explanations?

Hello,

Welcome to icliniq.com. I hope that I can clarify the situation:

Chlamydia types D to K cause urogenital infections. The signs of chlamydia-infected urinary and genital organs in men usually affect the urethra: it becomes inflamed (urethritis). The patient feels a feeling of pressure and a painful burning sensation when urinating. Chlamydia may also cause an outflow of pus from the urethra. The germs can move up to the prostate gland as well as to the testicles and epididymis: An inflammation of the prostate (prostatitis), testicles (orchitis), or epididymitis may develop. Pain and infertility (sterility) are possible consequences in these cases.

However, many infected men do not show any symptoms of Chlamydia at all. This is known as an asymptomatic infection which can persist for years and decades. Nevertheless, also these patients must be treated with antibiotics to avoid the infection becoming symptomatic in the future and to protect sex partners.

I truly hope this explanation is of help.

The Probable causes

Asymptomatic chlamydia infection.

Probable diagnosis

Asymptomatic chlamydia infection in a male patient.

Treatment plan

1) Eradication of the infection with a suitable oral antibiotic. To be prescribed by the patient’s family doctor/GP or urologist. 2) Re-test after treatment to control the therapy success.

Preventive measures

1) Protected sex until the end of antibiotic therapy. 2) Explaining to those who do not read medical textbooks properly that many cases of chlamydia in men remain asymptomatic for a very long time, sometimes even indefinitely.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Alexander Davis
Dr. Alexander Davis

General Practitioner

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