Sexual health -Three of the four infected women – and one in two infected men – do not get early symptoms. But this does not mean that it goes easy.
Two out of five infected women will develop pelvic inflammatory disease or PID. PID are infertility 20% of the time; debilitating chronic pelvic pain 18% of the time as well as life-threatening ectopic pregnancy, 9% of the time. You can infertile men. And if a woman with chlamydia do not become pregnant, he 50-50chance disclosure of her newborn child.
Infants may die or be blind as a result.
"PID is very serious," said Kimberly A. Workowski, FACP, Chief of Division of STD guidelines for the control of diseases and an associate professor of medicine at Emory University in Atlanta.
"The question is the recognition of women and chlamydia screen before serious complications develop."
Reservoir chlamydia
It seems simple, but the numbers tell a different story. IN2000, CDC reported 379,078 cases of chlamydia infection. At the end of July 2001, led to improved screening of 362,229 cases. These reports usually means the case, which recognized and healed – in other words, "Tipoff iceberg. " Part of the problem, this reservoir are people who do not know, exercise and infection," says Workowski, frustration evident in her voice. "Treatment is effective. There is a good treatment, and in fact, drug that is available, can be provided in the office, so that you can take the patients they see. "
The problem is that people who are in danger, and to convince them that their lives and their loved ones – - are in danger.
Who is at risk? The short answer is that all sexually active people. Because men often have a characteristic early symptoms – discharge from the penis,
burning during urination or swollen testicles – they get better treatment.
This is a young, sexually active women aged 25 years and younger are most at risk. These women, who suggested that the U. S. Preventive Services Task Force this year, chlamydia screening should be retained as part of their daily health care. There is a verification work? Workowski points to the north-western states of Oregon, Idaho, Washington and Alaska.
"They were the initial rate of 13% [of women aged15-24] in the late 80’s, and now it is less than 5%," she says. "It should have large-scale screening programs in family planning clinics.
This proved to be very effective.
Now we have the funding necessary information for patients to report, so the preparation of thematic reports to go to an automated information system. "
The Task Force recommends chlamydia screening of pregnant women aged 25 years and younger. Nevertheless, He recommended not usual for all asymptomatic men or for women older than asymptomatic 25because is not sufficient proof that the benefits of such screening would outweigh the costs.
Chlamydia: a bug with bite
Chlamydia is a type of bacteria called Chlamydia Chlamydia. It can infect the penis, vagina, cervix, anus, urethra and eyes. It is transmitted sexually
either vaginal or anal sex. Condoms offer only partial protection – they are much better than nothing, and they keep HIV – but not always for the chlamydia bug. Unlike most other bacteria, chlamydia can not play, if they occur in human cells. The cells, he wants are the best type of that line the urinary and genital tract of men and women. These cells, known as epithelial cells are cylindrical to keep germs from liquids, while allowing the end.
They are particularly abundant in the lining of the urethra and the entrance to the cervix. It is here that the love bug bite.
Women may not notice the first symptoms of the disease, but within five to 10 days after infection, they may have bleeding between menstrual periods, pain during urination or intercourse, vaginal bleeding after sexual intercourse, urination low-grade fever, frequent calls to sore neck
abnormal discharge, and even yellowish discharge from the cervix, which may smell bad.
Conclusion? If you are sexually active man, you pay attention to your body. Get tested if you have no symptoms. If you’re sexually active women 25 years or younger, get tested every time when the physician. Say Patrol
Proposed studies of natural history in the 1970’s that many cases of chlamydia go away. Recent studies show that it is highly unlikely.
"There are studies that show some spontaneous regression, but you really want to take that risk? Workowski asked." Maybe a few percent of people spontaneously resolution.
We have much more sensitive test now. [The inability of researchers in 1970], to detect chlamydia may be a problem with the test they did.