THANK YOU VERY MUCH FOR YOUR ANSWER. I WAS WONDER BECAUSE IT WAS SO QUICKLY. I SENT THE SAME QUESTION TO ASCLS CONSUMER RESPONSE TEAM AND THEY RESPOND TO ME THIS:"... AS FO THE IGG ANTIBODIES TO CHLAMYDIA, YOU ARE CORRECT THAT THE RESULTS DO NOT TELL YOU WHETER THEY ARE CAUSED BY ANTIBODIES TO C. TRAHOMATIS, C. PNEUMONIES, OR C. PSITTACI. THE ANTIBODIES COULD BE DUE TO A PAST INFECTION WITH ANY OF THE LISTED ORGANISMS. YOU ASK ABOUT SPECIFIC TEST FOR CHLAMYDIA TRACHOMATIS. THERE ARE INDIRECT FLUORESCENT ANTIBODY TEST (IFA) THAT COULD BE DONE THAT ARE SPECIES-SPECIFIC FOR C. TRACHOMATIS, C. PNEUMONIAE, AND C. PSITTACI. THE CAVEAT IS THAT CROSS-REACTIONS COULD OCCUR THAT MAY COMPLICATE INTERPRETATION OF THE TEST RESULTS...A COMPLETE PANEL LOOKING FOR IGG ANTIBODIES TO EACH SPECIES INDIVIDUALLY WOULD BE MOST HELPFUL FOR UNDERSTANDING YOUR SITUATION BETTER."
I APPRECIATE YUOR OPINION. I CAN NOT AFFORD TO PAY FOR SEVERAL APPOIMENT WITH AN UROLOGY. I WANT TO KNOW THE EXACT NAME OF THE TEST THAT I NEED TO REQUEST MY DOCTOR TO DO IT.
To clarify before someone challenges me: I have ordered blood tests to diagnose suspected lymphogranuloma venereum (LGV), a rare STD due to particular strains of chlamydia. But that's a different issue. I have never ordered a blood test to check out a non-LGV chlamydial infection.
HHH, MD
Your symptoms indeed suggest you may have had a genital chlamydial infection, but as you apparently know, your positive blood test result could reflect a non-sexually transmitted chlamydial infection (especially C. pneumoniae). There simply is no test that does what you want. In fact, in 30+ years in the STD business, I never once had a patient in whom I ordered a chlamydia blood test, because a negative doesn't mean infection didn't occur, and a positive doesn't tell you which chlamydia species was the cause.
Barring some new technology that someone might invent in future years, you are never going to know the cause of your urethritis that long ago. I don't mean to be blunt, but I also don't want you to waste time and energy looking for a different answer. You won't find it.
Best wishes-- HH, MD