[Question #1755] Chlamydia

45 months ago
I was recently diagnosed with chlamydia. I just need a second opinion on a question. My husband insist he didn't cheat but my doctor was pretty adamant with her opinion about me contracting it recently.  Can a women have chlamydia for 2 - 2 and half years plus and show no signs of scarring or symptoms? I guess I just want to know if there is a sign of being recent or not. I had no  signs of either when checked at my appointment. 

Thank you. 
Edward W. Hook M.D.
Edward W. Hook M.D.
45 months ago

Welcome to the Forum.  I'll be glad to provide some information.  Trying to decide who give a chlamydia infection to whom is sometimes difficult as when an infected person has chlamydia it is transmitted to sex partners only about 20% of the time, per episode of sexual intercourse. Most chlamydia infections are asymptomatic, both in men and in women so infections can be present for long periods of time.   When present, the infections can persist for long periods of time and persistence for periods of more than a year are well documented.  The numbers of persons who have been studied for persistence of infection for more than two years who are without other signs of infection is quite small but this can certainly occur although.  Precisely what proportion of infections might persist this long is hard to know. 

I'm not sure if the following point is helpful or not but it might be helpful for you to ask your doctor if you have been tested for chlamydia infections in the past and, If so, ask what test was used.  Most currently available tests are very accurate and do not miss infections so when you were last tested may be helpful in sorting things out. 

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45 months ago
The problem I'm having is neither of us have been tested in several years. Just to clarify, to have the infection for two or more years without scaring or symptoms is unlikely but not unheard of. So unfortunately for me, there is no way of really know how long I have had the infection which leaves my husband's faithfulness up in the air. Do I have that correct? 

Also, is there other was of contracting the infection? I read online while it's rare, a person can also contract it from restrooms and kissing? 
Edward W. Hook M.D.
Edward W. Hook M.D.
45 months ago

Yes, you have that correct, it is possible to have an asymptomatic chlamydia infection persist without causing symptoms or complications for more than two years. 

Chlamydia is an STI and is not acquired from toilet seats or kissing.  The online source you found is incorrect.  VERY RARELY however tests for chlamydia can be falsely positive.

Sorry I cannot be more definitive.  EWH

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