I took azithromycin for chlamydia and i still have discharge

I contracted Chlamydia from my partner and was treated within the month of getting it. shortly after being treated i noticed i was having discharge and abdominal bloating, cramping, irregular periods, spotting and bleeding during intercourse, pressure in my bladder, urine frequency and burning. i went back to my doctor on base (i am military) and she said it was strange i was having these issues and she sent me for another chlamydia test. it was negative. i went toan urgent care off base because the pain was extremely annoying and i couldn’t stand the constant visits to the bathroom. i was treated for a UTI even thought my tests weren’t positive for one. i was given cipro and also sent for my second chlamydia test because of my discharge. after a few days of the cipro not working i was able to get an appointment on base. the doctor performed a pelvic exam and got cultures and then diagnosed me with pelvic inflammatory disease and prescribed me levaquin and also flagyl because i had BV….i was sent for std checks again and it was negative as well. and sent for a ultrasound pelvic and trans bag which came back normal. i took the levaquin for two weeks and had absolutely no change in anything. i had seen my OBGYN and she said it wasn’t a big deal. the medicine would treat it and off i went… so after i was done the levaquin i had all of the same symptoms so i went back to urgent care and told the woman my problems and she did a pelvic exam.. said my cervix was irritated looking so she gave me a shot and two weeks of doxy. i had noticed myself slowly getting better in this time.. but as soon as medication was done i noticed symptoms came back. so i went back to the base doctor. she was extremely rude to me. yelled at me for having unprotected sex which at the time i had obviously stopped since being diagnosed with pid. my pelvic exam was painful… then she just prescribed me levaquin again….and azithromicin(spelling is suspect) and set me for more labs…. urine tests..uti check etc all negative. within five days of taking the levaquin no change. i decided to go to the ER and tell them my situation. the lady told me because of my past of endometriosis and my surgeries for it that i could possibly just be having a lot going on. so they gave me rosephin through an iv and also gave me doxy cyclone and flagyl.. also performed an ultrasound. ultrasound was normal besides cysts this time. but i have a history of cysts. so while taking this medicine i noticed a difference. i saw my ob again she told me it would just “take time”…. i then left my base because i am now stationed in korea. so my time in-between bases i was home on leave. i started experiencing the same issues once again. along with a killer yeast infection. i started taking anti biotics but the pain and urine issues were so annoying i decided to go to the urgent care. they turned me away and told me to go to the er. the doctor told me my ultrasound was okay besides the one large cyst on my left ovary had the possibility to cause pain.. which i feel. and she said right now nothing was an emergency so she could only treat me for the yeast infection and to follow up with an OBGYN. and that there was no way pid was still possible at this point. so then i called my insurance to try to get approval for an OB and they had to give me a primary care provider first, so by the time i saw one she gave me a referral and no OBGYNs would take me in a short time. so i was screwed. i went for a follow up with them and she did a pelvic exam and more tests for chlamydia and all. everything was negative. so nothing i could besides suck it up. i just now get to my base in korea and we have no obgyn readily available. i went to my doctor and gave him this entire same story because now I’m having a lot of discharge and bad cramping spotting and also bloating and urinary issues again and he did cultures and said it looked like some sort of infection…. he told me it was most likely not pid anymore… and also said i probably have interstitial cystitis… he told me to change my diet and come back in two weeks. I’m tired of this. i want to be better but i just don’t understand what is going on with me. i asked to be referred to an OB at another base about three hours away but he said it wouldn’t do any good. I’m just exhausted and feel helpless and i want this fixed before anything else goes wrong…… so now i have to wait two weeks to be seen again.. i don’t understand how i am diagnosed with this when this problem has been happening only since i got chlamydia.. that was back in march. i just need answers or someone with advice who has gone through this that can help me at all..

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How soon after sex can I have a test?

It’s important not to delay going for a test if you think you might have chlamydia. A test can be carried out straight away but you may be advised to have another test two weeks after having sex. You can have a test for chlamydia even if you don’t have any symptoms.

What does a chlamydia test involve?

  • If you have a vulva, you may be asked to take a swab around the inside of your vagina yourself.
  • A doctor or nurse may take a swab during an internal examination of your vagina and cervix (entrance to the womb).
  • You may be asked to provide a urine sample. Before having this test, you’re advised not to pass urine (pee) for 1–2 hours.
  • A doctor or nurse may take a swab from the entrance of the urethra (tube where urine comes out).
  • If you’ve had anal or oral sex, a doctor or nurse may swab your rectum (back passage) or throat (you may be given the option to do your own tests). These swabs aren’t done routinely on everyone.
  • If you have symptoms of conjunctivitis (an eye infection) swabs will be used to collect a sample of discharge from your eye(s).

A swab looks a bit like a cotton bud but is smaller and rounded. It sometimes has a small plastic loop on the end rather than a cotton tip. It’s wiped over the parts of the body that could be infected. This only takes a few seconds and isn’t painful, though it may be uncomfortable for a moment.

Cervical screening (smear tests) and routine blood tests don’t detect chlamydia.

If you’re not sure whether you’ve been tested for chlamydia, just ask.

How accurate are the tests?

The accuracy of a chlamydia test depends on the kind of test used and the type of sample that’s collected. The recommended tests are over 95% accurate in picking up chlamydia. As no test is 100% accurate there’s a small chance that the test will give a negative result when you do have chlamydia. This is known as a false negative result. This can sometimes explain why you might get a different result from another test or why you and a partner might get a different test result.

It’s possible for the test to be positive if you haven’t got chlamydia, but this is rare.

Where can I get a test?

There are a number of services you can go to. Choose the one you feel most comfortable with.

A chlamydia test can be done at:

  • a genitourinary medicine (GUM) or sexual health clinic
  • your general practice
  • contraception and young people’s clinics
  • some pharmacies.

Abortion clinics, antenatal services and some gynaecology services may also offer a chlamydia test.

In England, if you’re a woman aged under 25 years old, you may be offered a chlamydia test as part of the National Chlamydia Screening Programme (NCSP) when you visit some service for other reasons, for example at a pharmacy or your GP. 

The NCSP aims to identify people without symptoms to reduce the complications of untreated infection.  If chlamydia is not treated, it can cause health complications, especially in women.  Untreated chlamydia in women can cause pain in the pelvis, ectopic pregnancy (a pregnancy in the fallopian tubes) and infertility (being unable to have children).

If you are a woman aged under 25 years old and you are offered a chlamydia test as part of the NCSP you should consider taking it. 

In many areas, free home self-sampling tests for chlamydia are available to order online. This is where you take your own sample and send it to be tested. See www.nhs.uk

It’s also possible to buy a chlamydia test to do at home. The accuracy of these tests varies. Some types are very accurate when carried out according to the instructions, others can be less reliable. If you buy a testing kit make sure you get advice from a pharmacist or your doctor.

You can also choose to pay for a chlamydia test at a private clinic.

Will I have to pay for tests?

All tests are free through NHS services and the National Chlamydia Screening Programme. Treatment from these services is also free (see Treatment).

Will I know how long I've had the infection?

A chlamydia test can’t tell you how long the infection’s been there.

If you feel upset or angry about having chlamydia and find it difficult to talk to a partner or friends, don’t be afraid to discuss how you feel with the staff at the clinic or general practice.

How long does discharge last after taking azithromycin?

When taking antibiotics (doxycycline or azithromycin), symptoms usually settle quickly. Pain on passing urine and discharge go within a week, pelvic or testicular pain can take two weeks and menstrual irregularities should improve by the next cycle.

How long after azithromycin is chlamydia discharge gone?

It takes about one week for azithromycin to completely cure a chlamydial infection, and in some cases it can take up to two weeks for the infection to clear. If you are sexually active during this time, you can pass the infection to your partner(s), even if you have no symptoms.

Can you still have chlamydia symptoms after taking azithromycin?

If you've taken all your antibiotics but you still have symptoms, contact your doctor or another healthcare professional. According to the Center for Disease Control (CDC), you'll need a follow-up test three months after treatment to ensure that the infection is cured.

Is it normal to still have chlamydia symptoms after antibiotics?

If a person's symptoms continue for more than a few days after receiving treatment, he or she should return to a health care provider to be reevaluated. Repeat infection with chlamydia is common. Women whose sex partners have not been appropriately treated are at high risk for re-infection.