Update: November 2018
Chlamydia is a pathological process in the body, the causative agent
which are chlamydia. They are capable of causing a whole spectrum
lesions of various organs in humans. Chlamydia can not be attributed to either
to bacteria or viruses, but these microorganisms possess
amazing feature of damaging not only the external genital
organs, but also internal, violate the mucous membrane of the respiratory tract,
damage vessels and heart, teeth and joints, and also cause
conjunctivitis and otitis.
However, most often these microorganisms are localized in the urogenital
system, causing chlamydia in women, the symptoms of which sometimes
minor, or the disease is chronic asymptomatic
character. There are no characteristic, specific signs of chlamydia in women,
since it is impossible to determine without laboratory tests which
the type of infection causes an inflammatory process. Many women
interested in the answer to the question – how to treat chlamydia in women and what
are there chlamydia treatment regimens?
Ways of Chlamydia Infection
The development of this disease in a particular body depends on
how the infection occurred. Ways of infection
chlamydia in frequency can be distributed as follows:
- Половой путь — главный, основной путь передачи
these microorganisms. In this case, the inflammatory process in women
starts with the vaginal mucosa, then can spread to
fallopian tubes, causing adhesions, which threatens
infertility, the urethra – causing cystitis, and
the cervical canal can be inflamed. Any sexual contact without
condom – genital, oral, anal with a man,
carrier of chlamydia, leads to infection of the woman. From the way
контакта зависит и локализация инфекционного process.
- ATертикальный путь — это инфицирование
a newborn baby from the mother at the birth of the baby, that is,
passing through the infected female genital tract during childbirth. Have
Chlamydial infection can develop in a newborn.
conjunctivitis or lung damage. It is believed that during
pregnancy is also likely to infect the fetus, but this
- Контактно-бытовой путь. Evidence of this
there is also no way for chlamydia infection in women and men, however
it is believed that infection is possible when using someone else’s
towels, underwear, toilet covers, clothes, through dirty
hands, especially if the potential source of chlamydia is a person
which abundantly secretes bacteria. Haveстановлено, что инфекционность
chlamydia on cotton fabrics and household items protected
до 2 дней при 18-19 С температуре воздуха.
- ATоздушно-капельный способ – редкий путь
chlamydia infection because Chlamydia is transmitted in this way
pneumoniae from a patient with chlamydial pneumonia.
Chlamydia symptoms in women
How is chlamydia in women? Unfortunately, difficulties in
diagnosis and control of the treatment of this disease is due to the fact that
often asymptomatic chlamydia occurs in women.
Symptoms of this disease are found only in 33% of women.
However, the latent course of the infectious process is no less dangerous,
as for the woman herself, since it causes a number of complications and
последствий, так и для ее полового партнера, повышая риск его
infection. Also, if untreated, chlamydia is
potential risk to an unborn baby in case of pregnancy
Инкубационный период хламидиоза от 14 до 30 дней. If a
sexual infection occurred, the first symptoms may
manifest two weeks after doubtful sexual contact.
When chlamydia enters the female body, it passes through several
- The first stage is the direct penetration of chlamydia on
- ATторой этап — внутриклеточное размножение, которое у этих
microorganisms occur a little differently than other bacteria and
viruses, because chlamydia are inside human cells
organism in the form of reticular bodies, in the presence of favorable
conditions, they begin active reproduction, and after 2-3 days the cell,
in which they were dying.
- The third stage – direct inflammation of the mucous membrane
affected organ. After the cell in which it dies
there were reticular bodies, fresh microorganisms go into
intercellular space and quickly attack new
Read also on the topic:
- Antifungal drugs in pills
- Antifungal drugs in gynecology
- 11 rules – How to take antibiotics correctly
- Burning and pain when urinating in women and men
- Chlamydia in women and men, symptoms, treatment
- BUTнтибиотики при хламидиозе
Signs of Chlamydia in Women
Chlamydia infection can cause various disorders of the female.
- Кольпит. After infection with chlamydia symptoms
most often seen in the form of chlamydia colpitis, and
localized in the glands located near the vagina. Special
This is manifested in girls, pregnant women and women with
menopause when in the body there is a shortage of estrogen. With
This woman feels discomfort in the vagina – itching,
burning, discharge, urination disorders, abdominal pain,
low back, a slight increase in body temperature. More about
causes and symptoms of colpitis.
- Cervicitis. With длительном периоде развития
Chlamydia affects the cervix, causing cervicitis. AT этом
In the case of microorganism multiplication occurs in the cervical canal,
and on examination, the gynecologist sees that the cervix is enlarged, swollen,
inflamed. If a нет лечения, то при цервиците происходит слущивание
cervical epithelium and erosion occurs.
- Salpingoophoritis, endometritis,
salpingitis. With восхождении инфекции вверх по половым
ways a woman on the background of reduced immunity, constant stress
and other favorable conditions for the reproduction of chlamydia are possible
serious inflammation of the female genital organs,
diagnosed by a gynecologist on the basis of
осмотра, данных HaveЗИ.
What is the discharge for chlamydia in women?
Like any other sexually transmitted infection,
хламидиоз проявляется и патологическими выделениями, зудом,
burning sensation, pain, and even fever. Determine only by character
discharge of chlamydia is impossible because distinctive
it has no peculiarities. Besides, except for chlamydia
women may be other sexually transmitted infections,
such as, herpes, trichomoniasis, gonorrhea, as well as thrush.
Withзнаками хламидиоза у женщин могут быть следующие
- Temperature. With остром протекании процесса у женщины может
be low-grade body temperature 37-37.5 ° C
- Pain – may be minor, absent altogether or
to be quite intense, they occur in the lower abdomen,
in the lumbar region.
- Urination. If a воспалительный процесс затрагивает и
the urethra then all the symptoms of cystitis occur –
frequent and painful urination, pains at the end and beginning
emptying of the bladder, burning and craking during urination.
- ATыделения. The most common discharge for chlamydia in women
purulent character, white or yellowish, with
pungent odor. If a выделения с запахом рыбы у женщин,
это может указывать на развитие и гарднереллеза —
bacterial vaginosis. Because chlamydia creates favorable
conditions that trigger development and other infections.
- Burning. This symptom of chlamydia in women can also
be observed on the mucous membrane of the genital organs, since the mucous
the shell is the main place of vital activity of the pathogen.
- Cervical erosion. At the consultation of the gynecologist during the examination
minor bleeding can be detected in patients
on the cervical mucosa, and erosive formations that can
be a sign of chlamydia.
How to treat chlamydia in women
The problem of complex treatment of chlamydial infection in women
should be addressed according to the clinical picture of the patient. Finished
there are no general algorithms for treatment of chlamydia in women, since
each case should take into account the state of immunity,
associated diseases, intestinal microflora.
ATся информация о препаратах и схемах лечения предназначена
for reference only. Chlamydia treatment is carried out only
a qualified specialist based on the results of the analyzes,
history of the patient, in the dynamics based on the criteria of cure.
With любой бактериальной инфекции, в том числе и при хламидиозе,
antibiotics are used. Since the causative agent of the disease
parasitic intracellularly, respectively, and the choice of antibiotics
chlamydia is limited to only those antimicrobial
means that destroy the infection inside the cells:
- Tetracyclines: Doxycycline – Unidox Soluteb, Dorix,
- Макролиды: BUTзитромицин (Сумамед, Зитромакс, Хемомицин),
Джозамицин (ATильпрафен) и Кларитромицин (Кларбакт, Фромилид
- Fluoroquinolones: Ofloxacin (Floxin, Zanotsin, Tarivid, Ofloksin),
Levofloxacin (Tavanic, Glevo, Levostar, Flexid), Ciprofloxacin
(Tsifran, tsyprobay, tsiprinol, Cipro-bid), Spiramycin (Rovamycin),
Norfloxacin (Nolitsin, norbaktin), Lomefloxacin (Lomfloks),
The presence of other infections, such as STIs, is required to
the choice of antibiotic was as efficient as possible when mixed
- BUTзитромицин 500 мг 2 табл. one time or
- Doxycycline 0.1 twice daily for 7 days.
- Erythromycin 500 mg 4 times a day after 6 hours 7
- Ofloxacin 300 mg twice a day in 12 hours for 7 days
- Roxithromycin 150 mg twice a day after 12 hours 7 days
- Spiramycin 3 million IU every 8 hours, 7 days
- Erythromycin 500 mg after 6 hours 4 times a day 7 days
- Josamycin 750 mg 3 times a day after 8 hours 7 days
- Spiramycin 3 million Units after 8 hours, 3 times a day, 7 days.
Both partners are treated. With этом тетрациклины могут
used to treat acute uncomplicated urethritis or
cervicitis in previously untreated patients. Haveстойчивые к одному из
tetracycline chlamydia strains exhibit resilience to others
drugs of this group, that is, to change drugs one for another when
inefficiency within the same group makes no sense.
In practice, preference is given to 15-membered macrolides.
(Azithromycin) and 16-membered macrolides (Josamycin), resistant
forms, chronic chlamydia are treated with fluoroquinolones. But it will be
second-line therapy, since fluoroquinolones are immediately undesirable
To appoint, remembering that soon there will be nothing to cure tuberculosis. BUT
fluoroquinolones are reserve drugs. In pregnant women allowed
drug today is Josamycin (Vilprafen), which
prefer European standards.
The criterion for cure is negative PCR scraping
urogenital tract 1.5-2 months after the end
Chlamydia treatment regimens for women
Today, chlamydia treatment is the most difficult.
problem, the attending physician must be highly qualified, and
possess knowledge in many related fields of medicine because
there are often situations where the assignment is even very effective,
modern highly active antibiotics for chlamydia is
erroneous, ineffective, aggravating the course of infectious
It is very important in assessing the patient’s condition
diagnostic method, the level of training of the researcher laboratory
material, quality test systems for diagnostics. Often
Errors in diagnosis and treatment occur as follows.
- The use of low-quality test systems, low professional
preparation of the laboratory assistant, non-observance of the terms of delivery and the rules of taking
material for analysis in the diagnosis.
- The wrong choice of an effective treatment for chlamydia and
tactics of therapy, as a result of treatment is unsuccessful.
- Late determination of the stage of cure of the patient.
- Illiterate interpretation of test results. If after
comprehensive, staged treatment of urogenital chlamydial infection
using antibiotics, in control analyzes again
pathogens are detected, the reception of a repeated course of antimicrobial
drugs is impractical. In such situations, it should be competently
interpret the results of laboratory studies. Maybe,
error detection in the determination of cure criteria, since
after treatment, taking material for analysis in each method
laboratory diagnosis in terms of vary.
Chlamydia treatment regimens for women, препараты для терапии –
depend on the clinical symptoms of the disease, the severity of the process,
the duration of the disease, the age of the patient and related
With ectopia of the cervix in women, any treatment should be
start only after the results of cervical colposcopy, as well as
cytological examination of smears that will exclude or
will confirm pre-cancerous conditions. In case of negative
result, local treatment can be supplemented with enzymes, means
enhancing proliferation, as well as drugs that cause
Treatment for chlamydia in pregnant women should also be
stage, complex, taking into account all physiological
contraindications. Among antibiotics for chlamydia in the basic
The following drugs can be used for therapy: Rovamycin 3 million 3
p / day and Erythromycin 500 mg 4 p / day for 2 weeks. Purpose
doxycycline, fluoroquinolones are absolutely contraindicated for lactating
and pregnant women.
Chlamydia in women – consequences of infection
All inflammatory processes that occur during ascent
chlamydial infection to the uterus, fallopian tubes, ovaries can
cause endometritis, salpingitis, salpingo-oophoritis. Effects
Chlamydia can be expressed in the impossibility of conception, infertility and
increase the risk of developing malignant tumors in the future. AT
depending on the localization of the inflammatory process during reproduction
Chlamydia may have the following effects:
- Appendages of the uterus (salpingoophoritis) and fallopian tubes (salpingitis)
– very dangerous for women who want to get pregnant and give birth to a healthy
baby because chlamydia is different because after inflammation
adhesions and scars are formed in the fallopian tubes. BUT это может
cause infertility (see obstruction of the fallopian tubes),
ectopic pregnancy (symptoms).
- Cervix (endocervicitis) – with this localization of chlamydia
significantly increases the risk of malignant processes in
cervix (see signs of cervical cancer).
- The uterine lining (endometritis) – also makes it difficult
the occurrence of pregnancy and may increase the risk of spontaneous
- Reiter’s syndrome – chlamydial urethritis, conjunctivitis,