Sexual Health  |  Chlamydia Pathway - Symptomatic patients




Sexual Health

Chlamydia Pathway - Symptomatic patients

The majority of people with chlamydial infection are asymptomatic.

Test for chlamydia if there are symptoms or signs that suggest chlamydia.

Women – symptoms and signs:

  • mucopurulent vaginal discharge
  • post-coital and/or intermenstrual bleeding
  • inflamed/friable cervix – may bleed on contact
  • urethritis/dysuria
  • suspected pelvic inflammatory disease (PID) – pelvic pain and tenderness
  • lower abdominal pain in the sexually active
  • joint pain (rare) – reactive arthritis in the sexually active
  • deep dyspareunia
  • tubal infertility or ectopic pregnancy
  • another sexually transmitted infection (STI)
  • rectal symptoms:
    • rectal infection is often asymptomatic but may cause discharge and anorectal discomfort


Men – symptoms and signs:

  • urethral discharge
  • dysuria
  • urethritis
  • scrotal pain or swelling – epididymo-orchitisor epididymitis in the sexually active
  • joint pain (rare) – reactive arthritis in the sexually active
  • rectal symptoms:
    • rectal infection is often asymptomatic but may cause discharge and anorectal discomfort
    • consider lymphogranuloma venereum (LGV):
      • mostly occurs among men who have sex with men, many of whom are also HIV-positive
      • commonly presents with proctitis with symptoms of lower gastro-intestinal inflammation, eg anorectal bleeding, discharge,
        tenesmus, and constipation.


Last updated : Monday, April 09, 2018
Next review date : Tuesday, April 09,2019


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.