Screening Chlamydia is a preventable cause of infertility, ectopic pregnancy, and pelvic inflammatory disease.
Screening using urine testing or self-taken swabs
Usually asymptomatic. May have urethritis. Send a urethral swab or first-catch urine sample for nucleic acid amplification testing (NAAT) to confirm the diagnosis.
Hyperaemia and oedema of the cervix ± contact bleeding
Send endocervical (if symptoms) or self-taken vulvovaginal swab
Urine sample for chlamydia direct examination
Azithromycin 1 gm stat
Doxycycline 100 mg BD for 7 days