Chlamydia in men

Interesting specifics tailored to men about chlamydia


Infection in men


Infection in men with Chlamydia is often associated with sexually active 15-19-year-olds. Factors that make one more predisposing are sexual activity, new or multiple sex partners, inconsistent use of contraceptives, history or prior STD and concurrent gonococcal infection. It is important to be vigilant about chlamydia because it has been on the rise. See graph below.


Total increase of chlamydia from 1989 to 2009


The graph displays a total increase of chlamydia over time from 1989 to
2009.  In the year 2008 there were 600 infected women per segment of   100,000   people. This is in comparison to mens’ infection rate of about 210 infections per  population segment of 100,000 people in 2009. The infection is more easily  transmitted to women rather than men.


Gender and chlamydia


In a study of 14,322 individuals between the ages of 18 and 26 across the US, found an infection rate of 3.7 percent in men but with a higher prevalence in African Americans at 11 percent. The Center for Disease Control and Prevention (CDC) measured African American men as 8.7 times more likely to be infected. With the exception of men who have sex with men (MSM) Hispanic men are also disproportionately higher in incidence rates for chlamydia.


Possible conditions resulting from Chlamydia infection in men.


Chlamydial urethritis, chlamydial proctitis and epididymitis conditions can result from infection in men by C. trachomatis. Chlamydial urethritis in men is typically known as gonococcal and non-gonococcal. Chlamydia is the most likely culprit in non-gonococcal urethritis. Clinically, urethritis will present with a mucoid or watery discharge and pain upon urination as a primary complaint. Symptoms will show about five to 10 days after exposure. In gonococcal urethritis symptoms show earlier between two to seven days. In addition when dealing with gonococcal infections discharges are typically more copious and purulent. Other origins of urethritis are Mycoplasma genitalium, Herpes simplex virus, trichomonas vaginalis and ureaplasma urealyticum.

Chlamydial proctitis is known as the inflammation of the rectal area, specifically the mucosa. It is primarily a concern in men who have sex with other men. Symptoms are anal rectal pain, discharge, tenesmus and constipation. It is noted that rectal chlamydia is often asymptomatic and is more common than urethral chlamydia.

Epididymitis is caused by most frequently by C. trachomatis or N. gonorrhoeae in men sexually active below the age of 35. Along with epididymitis is frequently Asymptomatic urethritis. Factors that make one more susceptible to infection are age greater than 35, recent urinary tract surgery and anatomic abnormalities. Signs and symptoms of epididmitis are testicular pain on one testicle or the other and palpable swelling of the epididymis. Those that present with suspected epididymitis should get tested for both chlamydia and gonorrhea.

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