What causes a positive IgM months after chlamydia exposure?

Question

Hello doctor,

On the 168th day after exposure to chlamydia, the chlamydia IgG test came back negative, while the IgM test was positive. I took Doxy-1 L-DR Forte (Doxycycline and Lactic acid bacillus) for seven days, starting two weeks after exposure.

The doctor I consulted said I did not need any further medication and advised me to drink more water for the burning sensation in my urethra. Is that okay? Why am I still IgM positive? I also did a Gonococci urine test, which came back negative. Is that okay? Do I need to repeat any other tests?

Kindly help.

Answer 1

Hello,

I am glad you chose icliniq for your medical-related queries.

I understand your concern. IgM positivity indicates a primary or acute infection. You have received the correct treatment for chlamydia. For the burning sensation in urine, in addition to plenty of fluids that have been advised to you, I suggest that you get a routine urine examination and urine culture or sensitivity at a laboratory.

Also, provide a urine sample for testing trichomoniasis infection. For gonorrhea, apart from the urine test you have already taken, I also suggest a pharyngeal swab. I also recommend getting an HIV (human immunodeficiency virus) rapid test. If the result is negative, repeat the test at three months and again at six months after exposure.

Hope I have solved your query. I will be happy to help you further.

Thank you.