Chlamydia is one of the most common sexually transmitted infections (STIs), affecting millions each year. The good news is it’s easily treatable with antibiotics, but because it often shows no symptoms, many people don’t realize they’re infected. This makes it highly contagious and can lead to serious long-term health issues if left unchecked.
Understanding Chlamydia Treatment Options
Effective treatment typically involves one of three antibiotics: doxycycline, azithromycin, or erythromycin.
- Doxycycline is now preferred in the US due to increasing resistance to azithromycin. Treatment involves one pill daily for a week.
- Azithromycin is often prescribed as a single dose, making it convenient. It’s the recommended option for pregnant individuals.
- Erythromycin is primarily used for infants who may contract the infection from their mothers, preventing severe complications like blindness or pneumonia.
Affordable options are available, and resources like GoodRx and Optum Perks can offer additional discounts. Always complete the full course of medication, even if you feel better, to ensure the infection is fully cleared.
The Importance of Partner Notification and Treatment
Chlamydia requires a straightforward but crucial step: informing all sexual partners. Delaying this conversation risks spreading the infection. Many states allow “expedited partner therapy” (EPT), where a doctor provides medication for partners to take directly, simplifying the process.
Sexual activity must be avoided during and immediately after treatment to prevent reinfection. If you’ve taken a single-dose antibiotic, abstain for seven days. If you’re on a week-long course, wait until treatment is finished and symptoms have completely disappeared.
Why Retesting Is Essential
Chlamydia can recur. Three months after initial treatment, retesting is critical, even if you believe partners were treated. Untreated chlamydia can cause severe complications, particularly in women, including pelvic inflammatory disease (PID), blocked fallopian tubes, and infertility.
Modern Treatment Options: Telehealth and Online Care
Traditional doctor visits aren’t the only option. Telehealth providers can diagnose and prescribe treatment remotely, making care more accessible. However, severe symptoms or complications may still require in-person evaluation.
“Online STI care can be a great option for mild to moderate symptoms or routine screening,” says Dr. Shannon Chatham, a board-certified physician. “But some cases require in-person attention.”
The Bottom Line
Chlamydia is effectively managed with antibiotics. Prompt treatment, partner notification, and regular screening are essential to prevent serious health consequences. Telehealth offers a convenient alternative, but severe symptoms should always be evaluated by a healthcare professional. Ignoring the infection isn’t an option—early intervention protects your health and your partners’.
