Chlamydien -- The Most Huge STI in Germany

Chlamydia trachomatis is the most common sexually transmitted bacterium in Germany and Europe. In Germany, more than 300,000 new infections per year are affected, with the dark number being significantly higher due to the often symptomless course.

Young adults between 15 and 25 years are particularly affected. In women under 25, who are sexually active, the statutory health insurance companies offer a hunting free chlamydia screening test, since the infection can lead to serious consequences untreated.

The Tueckian of Chlamydia: In 70 to 80 percent of the Faelle in women and about 50 percent in men, the infection is no symptoms. Those affected pass the infection ignorantly to their sexual partners and risk long-term health damage.

Symptoms of women (if they occur):

• Changed, often staggered vaginal outflow
• Burn or pain in urination
• Interim bleeding or bleeding after intercourse
• abdominal pain
• Pain in intercourse

Symptoms of males (if they occur):

• Waessriger or schleimig-eitriger outflow from the urinary
• Burning in water
• Pain and swelling of testicles (epididymitis)
• Rare: joint pain (reactive arthritis)

Sequences of spaet in non-treatment: In women, an ascending infection can lead to ovine depletion, convulsions and infertility. An eggplant pregnancy is more likely. In the case of maenners, a secondary test can induce fertility.

The diagnosis is simple and reliable:

Abstrich or urine test: A PCR examination (Nuclesaeure amplification test) from a smear (Vagina, Harnroehre, Rachen or After) or from the first radiant is the most reliable method. The result is usually within one to two days.

Self-test vs. laboratory test: Chlamydien-Schnelltests are available in pharmacies and online. However, these are much less reliable than laboratory tests. A negative rapid test result does not leak an infection safely. A laboratory test is recommended for a reliable diagnosis.

When to test?

• After unharmed intercourse with new partner
• In symptoms such as unintentional outflow or burning
• If a partner has been tested positively
• Sexually active women under 25 (bank-funded screening)
• With planned pregnancy

The treatment of chlamydia is uncomplicated and successful in the vast majority of Faellen:

First line therapy: Doxycycline 100 mg twice for seven days. This therapy has the highest healing rate of more than 97 percent and is considered standard.

Alternatively: Azithromycin 1 gram as a single dose. More than the preferred therapy, aziithromycin, however, shows slightly lower healing rates (about 94 percent) than doxycycline and is therefore no longer recommended as first line therapy.

Partner treatment: All sexual partners of the last 60 days must be treated, even if they have no symptoms. Without partner mittreatment, a new infection (ping pong infection) is very likely.

Control test: A control test is recommended for five to six weeks after the end of the treatment to confirm the success of the therapy. During treatment, sexual intercourse should be dispensed with or a condom should be used.

The treatment of chlamydia is well suited for telemedicine, as the therapy is standardized and the diagnosis of laboratory results is assured. Many affected people are causing the discretion of an online consultation on this sensitive issue.

Over telemedical platforms such as your recipe.de you can get a prescription for antibiotic therapy after an aerial consultation. It is important that you recommend that you test and treat your partner.

Praevention: Condoms reduce Chlamydia risk by about 60 to 70 percent. Since Chlamydia can also be transmitted through oral traffic, condoms do not offer full protection. Regular tests with changing partners remain the most important intervention measure.