IgG positive chlamydia test -- what to think?

[bpostital]

hello, see my first post Nov 1, 2009...
Sexual contact in 2009/10:
May 2009: received oral sex
October 24, 2009 --- ??? (blacked out due to heavy drinking.  No evidence in my house that someone else was there, I don’t THINK I could have had any sexual contact)

Oct 24 – November 4 --  diarrhea with every bowel movement (for 10 days)
Oct 27  – pain in urethra begins, no change in pain during or after urination (would continue in varying forms for 2 ½ months)

NO discharge or burning when peeing.

Nov 1-8: nine days of antibiotics of the Cipro family.

TESTS:
Nov 2009 (pre-cipro) -- Urine test for 85% of bacteria – negative
Mid-Nov 2009 – ultrasound.  All normal, with “a few tiny tiny stones” found in one kidney
late-Nov 2009 – Stanley-Mears 4-glass test – all 4 negative
Mid-Dec: urine Chlamydia test (PCR) – negative
Mid-Jan pain in urethra subsides to irregular recurrence
End-Jan (12 ½ weeks post-Oct-24th) blood test for HIV,  syphillis – negative
Mid-Feb – blood test for HIV 1-2, VDRL, TPHA, Chlamydia IgG + IgA – negative for all EXCEPT pos IgG result of “128”.  (pos is > 64)

The pos Chlamydia IgG test was explained to me as a sign that AT SOME POINT in the past I had Chlamydia and it was resolved.

My questions:
Can Chlamydia resolve on its own?   I am aware of the sentiments on the forum that the antibiotics I took (of the cipro family) do NOT resolve Chlamydia.
Does a IgG = 128 mean that I had active Chlamydia relatively recently?  Meaning, is it possible I got it that night I blacked out? (but the cipro wouldn’t have resolved it(?))  I have had more frequent sex in the past (pre-2009), but with girlfriends. (My urethra still sometimes really bothers me when I sit.  Is it possible to have active Chlamydia in my urethra? Urethritis? Epidydimis?  gonorrhea? ecoli?
That positive IgG test is freaking me out,I’m trying to see if some sort of lingering Chlamyd is causing my urethra pain to come back, from Chla somewhere that isn't found in a blood test.  Thank you!

[H. Hunter Handsfield, M.D.]

You are continuing to grasp at straws.  As you were told both on this forum and on the urology forum, your symptoms don't suggest any STD and never did; you probably had no sexual exposure that could have resulted in an STD; and if you had an infection, the antibiotics you received would have eradicated it.  All the tests you have had since your previous question on this forum have been a waste of money.

The chlamydia IgG blood test is worthless and is never used to diagnose a current chlamydial infection.  Your positive result might mean a past genital chlamydial infection; or a respiratory infection with other, non-sexually transmitted chlamydia species; or nothing at all.  And yes, chlamydia normally goes away without treatment, usually within several weeks to a few months.

You asked all the other questions before and the answers are no different.  You're just going to have to accept the apparently difficult reality that you don't have chlamydia or any STD.

Please note MedHelp's rule about a maximum of 2 questions every 6 months on each of the professionally moderated forums.  No more permitted on this one before next fall.  In addition, I'm not going to respond to any follow-up comments on this thread.  There is no information you can provide that could change my opinion and advice.  Please move on.  If you still have trouble accepting and understanding this, it might suggest a need for psychological counseling.  I suggest it out of compassion, not criticism.

HHH, MD

[bpostital]

Thanks very much for your candor and suggestion, I might indeed take you up on it.  All the best, you guys do a great service to the online community here.