[Question #4830] Chlamydia in a monogamous relationship

27 months ago
My bf of 8 months is having symptoms of chlamydia and both of us went for testing today. We've both been cheated on, so we carry an air of distrust as it is and have a very loving, honest relationship . I don't believe he would do this to me. I have 100% been faithful and I'm anxiously waiting for results.  Is there any possibility,  even slight,  that one of us has been harboring this asymptomatically? He had these symptoms before me but took meds and tested negatively for everything, but lately he's been exhausted more than usual for a fit man (he's 50). What are chances this sort of thing can pop up again without him cheating? He is questioning me as if I'm the guilty party simply because he is having symptoms when i have only been with him. Also, he didn't use condoms before me while he dated after his divorce. I can't imagine not catching one thing during that time. I dated after mine but with condoms and was tested negative to all stds a month before we started dating. Please tell there are other explanations before we end up ending our beautiful relationship...
Edward W. Hook M.D.
Edward W. Hook M.D.
27 months ago
Welcome to the Forum.  I'll do my best to help.  I cannot help but wonder if you are getting ahead of things and this might be something other than chlamydial infection.  The symptoms of chlamydial infection in heterosexual men are a discharge from the penis or burning on urination but in a 50 year old man there are a number of other symptoms which may occur.  Further, fatigue (the only symptom you mention) is not a typical symptom of chlamydia, reinforcing my thought that this may be something other than chlamydia.  My advice would be to wait for tests (presuming you have both been tested) and go from there, seeking evaluation by his doctor  

Regarding your other, fundamental questions, indeed most chlamydial infections are asymptomatic and asymptomatic infections can be present for some time before causing symptoms.  

I hope this information is helpful.  EWH
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27 months ago
He currently has discharge from his penis and spotty underwear. Something similar happened over a year ago, but urine and blood came back negative and still was treatment with doxycycline. Could this latest event be from something dormant or is more likely that it is a fresh, newly contacted and not a reoccurance of something that was treated?
27 months ago
Also he is frequently urinating and now has some pain in his testes.   Here also feels that if my task comes back negative it's because in the weeks time that he told me this I was able to go get medication to get a negative treatments. I'm forced to go now to a pharmacy and get a print out of all the medications I was on in the last month to show him that I was not treated for anything. I'm not guilty of any of this.  And to my knowledge, if in fact I got medicated a week ago when he told me, I don't think that I would get a negative test result or that it would go away that fast. Please correct me if I am wrong.
Edward W. Hook M.D.
Edward W. Hook M.D.
27 months ago
As I said before, this may be something other than an STI.  Urinary frequency is not a typical symptom of STIs and testicular discomfort is also unusual.  This could be a urinary tract infection, a prostate infection, or something else including an STI.  Further, given your history of having only been together 5 or 6 months, there is little to be gained from trying to sort out from figuring out who gave what to whom.  You both need to be thoroughly evaluated and if appropriate, both be treated with the same medicine while,abstaining from sex.  EWH---