The reason why chlamydia can have such a devastating effect in women is because it can travel to the delicate reproductive organs. The uterus, or womb, is shaped like an upside-down pear with its lower end narrowing to form a protective opening called the cervix. In teenage girls the cervix is still not fully developed and matured and is lined with fresh tissue that is easily infected by chlamydia. Of course you can catch chlamydia at any age but their young cervix makes teenage girls far more vulnerable. But it doesn’t just stop at the cervix. The bacterium can creep upward to the uterus and fallopian tubes, the fine tubes that act as guides for the egg to move from the ovaries, at ovulation, down into the uterus. It can cause chronic inflammation and infection in these tubes, which may not be noticed for many months or even years. This long-term infection can cause the tubes to gradually scar and become blocked so that while you may still be producing eggs they are not able to travel down into the womb to get fertilized by sperm. This condition is known as pelvic inflammatory disease and whilst there are other causes of it, we know that half of all PID cases may be due to chlamydia. PID is a concern because not only can it ruin your fertility but also if a pregnancy does occur it can cause it to form outside the uterus (called a tubal or ectopic pregnancy). The scarring can also cause pain that can last for months or even years. Occasionally, the effects of PID can be so severe that surgery is required to remove pus, get rid of scar tissue or remove the damaged organs.
|
Chlamydia is a bacterium, a microorganism that invades human cells. Like other sexual infections it can enter your body through sexual contact and the exchange of body fluids like semen or vaginal secretions. It is a concern because if undiagnosed and untreated it can cause serious long term problems that it may not be possible to put right. In many cases chlamydia spreads without giving you any symptoms. This characteristic is what gave chlamydia its name: it’s derived from the Greek work for cloak, hinting at its covert, hidden nature of spreading. In fact, three-quarters of all infected females and half of infected males have no idea they've got it as they can’t feel anything wrong. This doesn’t mean that it can’t still be spread or can’t cause damage to your body. It most certainly can and a lot of my time in clinic is spent trying to treat women who have been damaged by chlamydia.
If we are going to look at all the options then the most successful way to avoid catching chlamydia is to not have sex at all – known as abstinence. This is because unless they have been tested at the right times then you can’t know if your partners are infected or not. I appreciate that this is not necessarily the most desirable way to go about things and so the next most important thing you can do is to always use a condom when having sex. Use condoms for all types of sexual contact, even if penetration does not take place. Condoms work by stopping blood, semen and vaginal fluid, which can all contain chlamydia or other STIs, from passing from one person to another. Don’t rely on your partner to have condoms – there is no shame in carrying your own and shows you care about your own health.
|
Having worked as a sexual health doctor for many years I have noticed that people ask certain questions substantially more than others. So I thought I would answer some of them here. Many people ask, quite sensibly, whether having caught chlamydia once, they are protected from it in the future. Whilst this does happen with certain infections like chicken pox and measles it is sadly not the case with chlamydia. Just because you have been successfully treated in the past does not mean that you are protected from becoming infected with Chlamydia again in the future. With some infections, our body develops a strong immunity if we’ve been exposed to a particular bug,
If you do test positive for chlamydia then it would be strongly advisable for you to go and get checked out for other sexually transmitted infections at a GU clinic. Chlamydia is certainly the more common STI and so is good to screen for, but being infected with chlamydia means that you might be at risk of catching other infections as well. If you were exposed to chlamydia during sex then you may have also been exposed to other infections, as most are transmitted in the same way, and also, having chlamydia can make those infections easier to catch. For instance did you know that women with chlamydia are 5 times more likely to get HIV, the virus that causes AIDS, from an infected partner? It’s important to think about these things too.
|
