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Infectious Diseases

Have i got HIV

03/17/2006

Question:

I have been with my partner for 10 years and have always been faithful. I have recently found out that i have clymidia, contracted through his infidelity,i do not no how long i have had this and need to know what the chances are of having HIV and of me now being infirtile?

Answer:

Chlamydia ("kla-MID-ee-uh") is a curable sexually transmitted infection (STI), which is caused by bacteria called Chlamydia trachomatis. You can get genital chlamydial infection during oral, vaginal, or anal sexual contact with an infected partner. It can cause serious problems in men and women, such as penile discharge and infertility respectively, as well as in newborn babies of infected mothers. Chlamydia is one of the most widespread bacterial STIs in the United States. The Centers for Disease Control and Prevention (CDC) estimates that more than 3 million people are infected each year. Each year up to 1 million women in the United States develop PID, a serious infection of the reproductive organs. As many as half of all cases of PID may be due to chlamydial infection, and many of these women don't have symptoms. PID can cause scarring of the fallopian tubes, which can block the tubes and prevent fertilization from taking place. Researchers estimate that 100,000 women each year become infertile because of PID. In other cases, scarring may interfere with the passage of the fertilized egg to the uterus during pregnancy. When this happens, the egg may attach itself to the fallopian tube. This is called ectopic or tubal pregnancy. This very serious condition results in a miscarriage and can cause death of the mother. In men, untreated chlamydial infections may lead to pain or swelling in the scrotal area. This is a sign of inflammation of the epididymis. Though complications in men are rare, infection could cause, pain, fever, and sterility. When there is one STD always consider screening for other STD's including HIV.

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Response by:

Pamposh   Kaul, MD Pamposh Kaul, MD
Assistant Professor
College of Medicine
University of Cincinnati