How is chlamydia treated?

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Chlamydia infections can usually be treated effectively with antibiotic tablets. Treatment lasts between one and seven days, depending on the antibiotic. It can take longer if there are complications.

Sexually transmitted chlamydia infections are sometimes symptom-free but sometimes they cause symptoms like unusual discharge or problems when you pee. Complications like abdominal , scarring, or infertility are possible if the goes untreated. Only can destroy the that cause chlamydia.

To make sure you don’t pass the on, it’s important to stop having sex until the end of the treatment. If you take a one-day course of treatment, you shouldn’t have sex for one week afterwards.

What does treatment involve?

If you’ve got a chlamydia in the genitals, throat, or anus area and there aren’t any complications, you’ll usually be prescribed an antibiotic called doxycycline. It is considered to be effective and well-tolerated. Possible side effects are oversensitivity to the sun, rashes and digestion problems. Allergic reactions are also possible but rare. Typically, you take the medication in the morning and evening for one week.

You shouldn’t take the tablets with dairy products because they stop your body absorbing the antibiotic properly. A good level of sun protection is important while you’re on the . They can also make birth control pills less effective. Having said that, you shouldn’t have sex during the treatment period anyway. To be on the safe side, after the treatment you can use non-hormonal birth control methods like condoms until the end of the menstrual cycle.

If doxycycline isn’t an option for you, you can take azithromycin instead. You take the azithromycin in a single dose.

What about pregnant women and babies?

Pregnant women who have a chlamydia are prescribed a single-dose azithromycin tablet because doxycycline can have a negative impact on how the unborn child’s teeth develop. Another alternative is the antibiotic erythromycin but you have to take it for one to two weeks. Azithromycin and erythromycin are equally effective at treating chlamydia. Azithromycin is considered to be slightly better tolerated.

Newborn babies infected with chlamydia during birth are also usually treated with azithromycin or erythromycin.

How are complications treated?

Doctors prescribe for “ascending infections” too. This is when the chlamydia spread to the internal sex organs or across the entire pelvic area. Often, a combination of different is given. Some of the medications are given in an injection or a drip (infusion). If there are complications, treatment also takes longer – typically two weeks.

Cluver C, Novikova N, Eriksson DO et al. Interventions for treating genital Chlamydia trachomatis infection in pregnancy. Cochrane Database Syst Rev 2017; (9): CD010485.

Deutsche STI-Gesellschaft (DSTIG). Infektionen mit Chlamydia trachomatis (S2k-Leitlinie, in Überarbeitung). AWMF-Registernr.: 059-005. 2016.

Deutsche STI-Gesellschaft (DSTIG). Sexuell übertragbare Infektionen (STI): Beratung, Diagnostik und Therapie (S2k-Leitlinie). AWMF-Registernr.: 059-006. 2018.

Páez-Canro C, Alzate JP, González LM et al. Antibiotics for treating urogenital Chlamydia trachomatis infection in men and non-pregnant women. Cochrane Database Syst Rev 2019; (1): CD010871.

Robert Koch-Institut (RKI). RKI-Ratgeber Chlamydiosen (Teil 1): Erkrankungen durch Chlamydia trachomatis. 2010.

Savaris RF, Fuhrich DG, Maissiat J et al. Antibiotic therapy for pelvic inflammatory disease. Cochrane Database Syst Rev 2020; (8): CD010285.

Weyerstahl T, Stauber M. Duale Reihe Gynäkologie und Geburtshilfe. Stuttgart: Thieme; 2013.

IQWiG health information is written with the aim of helping people understand the advantages and disadvantages of the main treatment options and health care services.

Because IQWiG is a German institute, some of the information provided here is specific to the German health care system. The suitability of any of the described options in an individual case can be determined by talking to a doctor. informedhealth.org can provide support for talks with doctors and other medical professionals, but cannot replace them. We do not offer individual consultations.

Our information is based on the results of good-quality studies. It is written by a team of health care professionals, scientists and editors, and reviewed by external experts. You can find a detailed description of how our health information is produced and updated in our methods.

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Created on July 9, 2025

Next planned update: 2028

Publisher:

Institute for Quality and Efficiency in Health Care (IQWiG, Germany)

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