I'm not sure what to make of your symptoms, which aren't typical for a chlamydial infection. But you were treated correctly:  the precaution against gonorrhea (ceftriaxone/Rocephin shot) probably was unnecessary, but certainly won't hurt anything. Azithromycin 1 gram is exactly right for chlamydia. To your questions:

1,4) This depends on what you mean by "cured". Probably you would be non-infectious within a day, but this hasn't been studied in detail and it is generally advised that sex shouldn't be resumed for a week, either with the original or a new partner. If cure is defined as certainty that the infection is gone entirely, 5-7 days would be a good estimate. And if you mean time to a negative test, that can take up to 3 weeks. That's because chlamydial DNA, which is detected by routine testing, can persist quite a while after all chlamydia organisms have been killed by the antibiotic.

2) Partly right, partly wrong. No data have ever shows that oral chlamydia causes sore throat or any other symptom. Even oral gonorrhea, which is a much more inflammatory bacteria than chlamydia, usually (>90%) causes no sore throat or other symptoms. In any case, although genital to oral transmission of chlamydia is possible, it has been documented clearly only for fellatio (penile-oral exposure) and not by cunnilingus (vaginal to oral). The chance you have (or had) chlamydia orally is very low -- and in any case, would be cured by azithromycin.

3) Chlamydia has never been known to be transmitted by kissing, both because oral chlamydia is rare, and the mechanics of transmission probably don't allow it. There is definitely no risk to your new partner by kissing.

I hope these comments have helped. Let me know if anything isn't clear.

HHH, MD

Thank you for your reply. I guess my only follow-up questions are as follows:

1. When you talk of a negative test taking up to 3 weeks and the residual Chlamydial DNA, does this mean that I could still test positive but it would be a false positive? Is the residual chlamydial DNA contagious or harmful or has infection been cured in 5-7 days and the residual DNA is harmless matter?

2. So even if I have an oral chlamydia infection I would be at no risk of transmitting it through kissing? 

3. Can an oral infection be passed through oral sex on a female? I know the transmission from genital to oral during cunnilingus hasn't been documented but is there any evidence of it transferring from an oral infection to the vagina via cunnilingus?

Again, thank you for your reply. I have followed you and Dr. Hook's publications for years and I truly thank you for your clear insight. 

2) That's what I said. I haven't changed my mind in the last couple of hours!

3) Why keep asking about an infection that a) you almost certainly don't have and b) would be cured if you did? In any case, oral to female genital transmission has never been reported and probably doesn't occur, or rarely enough to be ignored. Let it go.

Thanks for the thanks. I'm glad to have helped. 

I just got my test results back and I was negative for Chlamydia and Gonorrhea. While my results were negative, I have read in some of your previous writings that Chlamydia infections often clear on their own . I have also read that Chlamydia infections in men tend to clear on their own faster in men than women.

We've gone beyond the two follow-up questions included with each new question, so that ends this thread. Best wishes.