Pathogen and transmission
Chlamydial infections are caused by bacteria (Chlamydia trachomatis) and are the most frequently diagnosed sexually transmitted infections of bacterial origin. Transmission occurs through unprotected oral, vaginal or anal intercourse or during birth from the mother to the child.
About 70 % of women and 50 % of men with a chlamydial infection exhibit no or only minor symptoms. If symptoms do occur, they usually manifest within 2 to 6 weeks after infection, principally through stinging and pain during urination as well as through vaginal or urethral discharge. The infection can be transmitted to sexual partners even in the absence of symptoms. A chlamydial infection is treatable with antibiotics or may even heal spontaneously. In women, an untreated chlamydia infection can lead to pelvic inflammatory disease, which in turn occasionally causes abdominal pain, fever, abnormal discharge, pelvic pain or agglutination of the fallopian tubes, the latter of which increases the risk of ectopic pregnancy and sterility. In men, the consequence in rare cases is an epididymal inflammation with subsequent sterility. Infected newborns may come down with conjunctivitis or pneumonia.
Frequency and distribution
In Switzerland, as in the rest of Europe, the number of reported chlamydial infections per year has continuously increased since six years, with 11'013 new cases reported in 2016. Chlamydia affects an estimated 3 % - 10 % of the sexually active population, of which 70 % are women. The infection is common in adolescents and in young women below the age of 24; men are slightly older, on average, when diagnosed.
Condoms and other safer sex measures reduce the risk of getting infected with chlamydia. Therefore:
1. Vaginal and anal sex with a condom
2. And because everybody loves different things: do the personalised safer sex check at lovelife.ch
But an infection is nevertheless possible, and it’s important to detect it early. Once an infection is diagnosed, all sexual partners must be examined and, if necessary, treated.
People with changing or multiple simultaneous sexual partners should talk to their doctor or another specialist about HIV and other sexually transmitted infections and get advice on whether tests may be necessary.