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Chlamydia
Published 23 June 2026 11:56am BST · 2026-06-23 · via www.telegraph.co.uk for the latest news from the UK and around the world.

Key facts

  • Chlamydia is one of the most common sexually transmitted infections worldwide.
  • Many people have no symptoms but it can cause infertility in women if left untreated.
  • Effective antibiotic treatment is available and highly successful.

Overview

Chlamydia is an infection caused by the bacterium Chlamydia trachomatis that is spread primarily through sexual contact. It affects both men and women and is most common among young adults, though anyone who is sexually active is at risk.

It is largely symptomless so routine screening is strongly advised, particularly for sexually active people or those with new or multiple partners.

The infection is treatable and curable, but early diagnosis is key in order to prevent complications such as infertility.

Signs and symptoms

When symptoms do occur, they often appear within one to three weeks after exposure. In women, symptoms may include:

  • Abnormal vaginal discharge
  • Pain during urination
  • Bleeding between periods or after sex
  • Lower abdominal pain

In men, symptoms may include:

  • Discharge from the penis
  • Pain or burning sensation when urinating
  • Pain and swelling in one or both testicles (less common)

Both men and women may also develop chlamydial infection in the rectum or throat, leading to discomfort, pain, or discharge, depending on the site of infection.

Dangers and complications

If left untreated in women, chlamydia can cause pelvic inflammatory disease, which may result in chronic pelvic pain, ectopic pregnancy or infertility. In men, untreated chlamydia may cause inflammation of the testicles and epididymis, which in rare cases can lead to infertility.

Pregnant women with untreated infection may pass it on to their babies during childbirth, causing eye infections or pneumonia in newborns.

Transmission

Chlamydia is spread through unprotected vaginal, anal or oral sex with an infected person. Transmission can occur even if the infected partner has no symptoms. It can also be passed from an infected mother to her baby during childbirth, but it is not spread through casual contact such as hugging, kissing, sharing food, or toilet seats.

Treatment

Chlamydia is treated with antibiotics, usually a single dose of azithromycin or a course of doxycycline. Treatment is simple and highly effective, but it is important that both the patient and their sexual partners are treated to avoid re-infection.

Prevention

Safe sex and regular testing can prevent spread of the disease. Prompt testing and treatment of partners is also important.

History

Chlamydia has been present for thousands of years and was first described in 1907. It was recognised as a sexually transmitted infection in the 1970s and since the late 1990s it has been the most common STI in Europe and the United States. The number of reported cases of the disease in England has fallen in recent years. In 2024 there were 168,000 diagnoses of chlamydia compared to more than 200,000 in 2019 – however, the number of tests has also fallen so the true figure may be higher.

Useful links

nhs.uk/conditions/chlamydia/

who.int/fact-sheets/chlamydia

cdc.gov/chlamydia/about



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