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Chlamydia of the Throat diagnosis
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by meb99, Jan 04, 2007
Hi,
This is my situtation. I was diagnosed & treated for Chlamydia. My boyfriend started treatment (7 day), but on day one, I performed oral sex on him & came into contact with his semen.

My question is should I know worry about potential reinfection. If I was reinfected, would it only be of my throat, or could the bacteria travel to my cervix/vaginia again?

If it is my throat only that is reinfected, could my boyfriend & I resume vaginal intercourse after rescreening to make sure that is cleared & then just wait 3 months after retreatment to resume oral sex?

Also, would the doctor need to culture my throat or would a urine sample be sufficient to determine if I was reinfected.

What about rescreening? I know that if I hadn't been rexposed, some same to wait 3 months. Is 2 months sufficient? I've read that you should wait at least 3-4 weeks after treatment to make sure treatment worked.

Thanks for your help.



Answer:
239123_tn?1267651214
Unlike gonorrhea, chlamydia doesn't survive well in the throat and is rarely if ever transmitted by oral sex.  CDC guidelines (which I helped write) state that there is no reason to test for it, and in fact there are no commercially available lab tests approved for the purpose.  Anyway, if your throat were infected with chlamydia, the standard treatments would clear it up, presumably you already are being treated anyway.  Bottom line:  don't worry about it; just complete your treatment as prescribed.

Your question about rescreening is important.  According to CDC guidelines, anybody with chlamydia should be retested, preferably at 3-4 months after treatment.  Test-of-cure at 3-4 weeks is not recommended at all, except in special circumstances, e.g. in pregnant women or if atypical medications were used for treatment.  But you are right in a sense:  if test-of-cure is done, it should be no sooner than 3 weeks after completing treatment.

Good luck--  HHH, MD
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Member Comments (6)
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by sparkeler, Jan 04, 2007
Chlamydia of the throat is very rare b/c it's to hard to transmit via oral.  That much I know.  I doubt you were infected.
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by meb99, Jan 04, 2007
I completed treatment prior to the incident, just the 1g of azithromcyin. Should I ask the doctor for another dose just in case?
239123_tn?1267651214
Azithromycin is very long acting and persists in the blood several days after single-dose treatment.  If your reexposure occured within 4-5 days of treatment, there's no problem.  If later than that, you should be re-treated.
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by meb99, Jan 04, 2007
Hate to split hairs, but the exposure was 6 days after the treatment. On the boarder, so should I just ask for another dose to be safe?
239123_tn?1267651214
It's probably unnecessary, but that would be the safest approach.
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by idkever, Mar 15, 2008
A related discussion, Chlamydia of the throat was started.
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by sounhappy21, Apr 23, 2010
I wonder should I worry about getting treated again if I feel that the chlamydia isn't gone or is the medicine that good it just work on the first dose
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by meme605, Oct 27, 2011
A related discussion, How is chlamydia diagnosed in throat was started.