Chlamydia and Gonorrhea infections. Who should be screened? What is the current treatment?

Chlamydia and Gonorrhea infections.  Who should be screened? What is the current treatment?

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Chlamydia and gonorrhea infections are the most common sexually transmitted infections in the US.  These bacteria often infect the mouth, urogenital and anorectal areas.  If unknown or not treated they can cause spread to other organ systems, scar fallopian tubes, increase the chance of ectopic pregnancy, infertility, and pain with intercourse and defecation.  Ouch! 

Best treatment plan…. Have both members of the couple get STI testing before oral or genital intercourse. Have your partner wear a condom from start to finish. Routinely get screened for infections so an infection can be adequately treated.

Risk factors:

  • ALL sexually active individuals less than age 25
  • Men who have sex with men
  • Transgender and gender-diverse people
  • Transactional sex
  • Having multiple sexual partners
  • Personal history of sexually transmitted infection

Screening guidelines (per USPSTF and CDC)

Annual screening for chlamydia and gonorrhea in any sexually active people under age 25 AND anyone (of any age) with risk factors.  Screening should test all the “parts” used for sex (mouth, genitals, anus).


–Gonorrhea, if uncomplicated, is routinely treated with a single antibiotic dose injected into the muscle.

–Chlamydia treatment requires a 7-day oral course of doxycycline. 

When to test to confirm the infection is gone?

  • If pregnant, a test of cure should be obtained 4 weeks after treatment.
  • If not pregnant, testing 3 months after will confirm no reinfection.  I urge those infected to tell those who they have had intimate contact with. 
  • If they are a couple, I educate them both about the infection that they share, treatment regimens they both should take, and the LOW risk of getting re-infected after treatment…. Unless one of them has another partner. 

About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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