Chlamydia Testing, Screening and Treatment Clinic

Chlamydia is one of the most common sexually transmitted infections in Singapore.

It is caused by a bacterium called Chlamydia trachomatis. This bacteria infects both the urethra and rectum and men and women, and the cervix in particular for women. Occasionally chlamydia can also affect other parts of the body, including the throat and eyes. In most people, the infection is asymptomatic.

80% of men and women infected with Chlamydia will not show any symptoms!

For our Latest Article on Chlamydia click HERE. 

How do I get the disease?

  • Chlamydia is a sexually transmitted infection that you can get by having sexual contact (oral/vaginal/rectal intercourse) with an infected partner.
  • It can also spread from an infected mother to her baby.
  • Rarely, the infection can be spread by the fingers from the genitals to the eyes.

After infection, chlamydia symptoms usually appear between 1 to 3 weeks after exposure but may not occur until much later if at all.

Teens and young women below the age of 25 years old are most prone to getting infected with chlamydia.

Untreated Chlamydia in women can lead to Infertility!
Click here for details on STD Screening for Women

Symptoms: How do i know I have chlamydia?

Unfortunately, chlamydia does not cause any symptoms for the infected person. It is called the “Silent Epidemic” for this reason. It is estimated that nearly 90% of women and 70% of men do not show symptoms [John Hopkins University data]. Those who have symptoms, however, experience:


  • White/cloudy discharge from the penis;
  • Burning sensation when urinating;
  • Pain and/or swelling in the testicles
    While men do not always have symptoms,
    they tend to notice the infection more then women

  • Increase or unusual vaginal discharge;
  • Needing to urinate more frequently;
  • Pain during sex;
  • Bleeding/spotting after sex;
  • Lower abdominal pain on and off;
  • Irregular mensural bleeding

Diagnosis: How do I get tested?

For both men and women, a urine sample is sufficient. Women can also get a vaginal swab. Currently,
polymerase chain reaction (PCR) technology is used to diagnose this disease in a very sensitive
and accurate manner.

Chlamydia Treatment

Chlamydia is very easily treated and cured. Usually one course of antibiotics will be sufficient.
Treatment should begin as soon as chlamydia is discovered. If treated early, one can avoid the health problems it causes.

We will usually test for Chlamydia again 2 weeks after completing treatment to make sure it is gone.

This is to prevent an untreated Chlamydia infection from causing long term complications.

Complications: What if chlamydia is not treated or treated late?

If left undiagnosed and untreated, chlamydia can cause serious health problems like:


  • Urethritis or inflammation of the urethra causing discharge. Long standing infection causes narrowing of the urethra withdifficulty urinating and kidney problems.
  • Epididymitis, an infection which can cause infertility.
  • Arthritis or inflammation of the joints, urethra and eyes.

  • Pelvic inflammatory disease (PID), an infection of the reproductive organs (uterus, ovaries etc) causing ectopic pregnancy, premature birth, or infertility. It can also cause severe pain.
  • Cervicitis, an infection of the cervix causing abnormal vaginal discharge. Long standing cases may develop deep pelvic pain and backache.

Babies born to infected mothers can get infected in their eyes, respiratory tracts, causing premature delivery, early infant pneumonia or conjunctivitis.

How do I protect myself?

Condoms offer some measure of protection if used properly but the only sure way to protect yourself and your partner is to get tested and treated.

Click here to read our New Article on Chlamydia

If you think you are at risk of contracting chlamydia, it would be advisable to get tested as it is an easy and quick test (in men – urine test, in women – vaginal swab test) and chlamydia is easily treated.

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  1. Dear Dr,

    I went for chlamydia & gonococcal pcr test on 53rd day after exposure. Both results are negative. I provide urine sample but not actually the first catch of the urine, slightly a second after the first catch. Should I retest?

  2. Testing for Chlamydia trachomatis and Neisseria gonorrhea (gonorrhea) is done at the same time because the infections caused by these two got almost same symptoms. Proper diagnosis is important as both infections need different treatment. There is no specific symptom of the disease so regular check-ups are required. All sexually active women are at the risk of getting the disease and should get yearly screening.

  3. Damien

    Hi Drs,

    I am a male I had a Chlamydia/Gonorrhea PCR Urine test 16 weeks after an exposure. I did not have any symptoms, I had urinated about one hour before the test but I did pass the first void urine into the cup.

    It came back negative, do you consider this reliable?


  4. Vaibhav

    What is htlv test window period?
    Is it common std

  5. sleeplessnight

    Hi doc, I hope u will reply to my question as I see the last entry is 2017 June.

    Recently I had burning sensation inside my vagina with itchy on the outside. I went to my gynea and she told me I have trich and prescribed me with antibiotics. She swab me to test for yeast, trich and gonoccoci. Results cane back not detected for all 3. I finished the med but I still feel uncomfortable and mild burning sensation.

    I requested my doc to perform full std which she swab me pcr for chlamydia, gonorrhea, trich and herpes all came back not detected and she refuse to treat me further saying it is all in my head.

    Lately I’m expecting my period but it never came but I do have all period symptoms breast soreness, cramping and lower back pain. I started to notice I have spotting (on and off blood spotting/ brown discharge). I Google and found chlamydia matches my symptoms. I went to std clinics to do another round of blood test (later found out that chlamydia is not accurate with blood test).

    So doc do u think I really have chlamydia based on my symptoms? My husband told me he had slight burning sensation on his penis just for a few sec and he is having sore throat and fever

    • sleeplessnight

      I’m still waiting for my blood test result to rule out other std..

    • We are not able to make a diagnosis of chlamydia just based on your symptoms. It would be best to see us for a proper consult and evaluation. There may be other non-infective causes of your symptoms that need to be assessed and treated.

  6. Hi,
    I am tested positive for chlamydia. Result: igg 1.73.
    That time when i go for the test i am having urine infection.

  7. Hi,
    Both my partner and I had some symptoms so we got tested. My results came back with positive ureaplasma but his came back negative on that but positive on chlamydia. How is that possible?

    • How is that not possible? My suggestion is to get both of you treated properly. Speak to your doctor about how to get treated.

  8. I test hiv and other std all neagtive but chlamydia igg is nehative and iga is positive this is curable. I take test after 110 days . And all result is correct or i want to retest.

  9. Itested positive for rectal chlamydia and have had a lot of diarrhea, they gave me doxycycline for 3 weeks twice a day,is that ok?

    • I don’t quite understand your question. You want me to verify the appropriateness of the therapy prescribed to you by your doctor? I am afraid that is not my place. If you have any queries on your treatment please bring it up to your attending doctor. I am sure he will be very happy to help you.

  10. Hello Dr. Tan,

    Do antibiotics affect the result of a PCR test? If so, how long should I wait until the dosage (1 week) is over?


    • I do not quite understand your question. If you are taking antibiotics to treat Chlamydia, you should wait for 2 weeks after completing the antibiotics before you go for a test of cure.

  11. Navin Sarao

    I have had no sexual contact other than my wife for last about 35 years and no past STD infection as far as I know
    No problem at all since got married 35 years ago
    Recently did some routine blood testing and shocked to find Chlamydia IgG positive at 2
    Absolutely no symptoms, so what does this mean, am I infected and could this IgG have persisted from any possible infection decades ago. Over the years have taken antibiotics for various reasons. Would appreciate any advice

    • This is me slapping my forehead with my palm. Why would anybody still do the Chlamydia IgG test? It is completely baffling. Here’s a fact: the Chlamydia IgG test is useless in detecting a Chlamydia infection. Yes you could have had a Chlamydia infection decades ago and the IgG antibodies persisted in your body till now. Just like you could have had Chickenpox when you were 7 years old and still have the antibodies in your blood today. Or maybe the Chlamydia IgG test was a false positive. Either way, doing a Chlamydia IgG test to detect an active Chlamydia infection is just about as useful as flipping a coin. You want to know if you have Chlamydia or not please go get a PCR test done.

      • Navin Sarao

        Thanks Drtan
        I have had a PCR test done subsequently and it is negative
        Thanks for your comments and advice

      • Whats a PCR test?

        • PCR stands for polymerase-chain reaction – this is a method of making multiple copies of DNA to be examined. It will directly detect the DNA of the organism, e.g. bacteria, as opposed to IgG antibody testing which checks for your body’s immune response to an exposure which can be from many years past.

  12. can i get the antibiotics for chlamydia over the shelf?

    my partner tested positive but i have not gone for my test yet due to financial issues.

    • drtan

      All antibiotics in Singapore require a doctor’s prescription to purchase. You cannot get it over the counter.

  13. Hi Dr Tan,
    My blood test shown:

    Anti HIV : Non-reactive
    VDRL : Negative
    TPHA : Non-reactive
    Anti Chlamydia igG: Positive
    Anti Chlamydia igA: Negative

    What these results mean?


    • To be fair, you should ask the doctor who did the tests for you interpret the results for you. That is a professional courtesy we like to observe. If you wish to have a second opinion on your test results, you can always visit us at our clinics. Click HERE for location info.

  14. Hi Dr. I recently did a STD Test (via blood) and was tested positive for Chlamydia. The doctor has put me on a 2 weeks antibiotic course – Doxycycline. Question- Is it safe to simply consume the antibiotic even if the results may not be accurate ? Thank you.

    • Like I said many times before, the blood test for Chlamydia is not accurate. It does not tell you if you are infected with Chlamydia or not. Doxycycline is a rather safe antibiotic to consume. Just like any other medicine it has possible side effects but very few people get them. The point here is not whether it is safe to take the medicine, the point here is you are taking medicines based on an inaccurate test.

  15. Richard Goh

    Hi Dr. Tan, few years ago I was diagnosed with Rosacea and had been on doxy for at least 3 years. I was recently diagnosed with chlamydia and my was prescribed with doxy for 2 weeks. Will the medication be effective because I’m just worried I might build a resistance towards doxy.

    • It is possible. It is best to recheck for chlamydia after you complete the antibiotics to make sure it is cleared. If it is persistent, you may need an alternative course of antibiotics.

  16. Hi Doctor, My partner and I were tested positive for ureaplasma. The doctor gave me monoclarium and doxycyline and it seems like the course can take to about 3 weeks, looking at the pills given. I have only started taking them and the side effect is terrible. Woke up this morning having terrible GERD issues, feeling something rising up my esophagus and constant belching. Is there any way to alleviate the symptoms because it is affecting my quality of life now and I’m so close to not continuing it all together

    • Personally, I do not treat a Ureaplasma infection unless it is causing symptoms. Many doctors believe that Ureaplasma is a normal commensal of the urinary tract. I also take this view unless it is causing symptoms then it could be a pathogen. Also, 3 weeks of Doxycycline and Monoclarium sounds like a massive overkill. The recommendation for treatment of Ureaplasma is 10 to 14 days of Doxycycline only. I really think you should discuss this with your doctor or maybe even seek a second opinion. The 2 questions you should pose to your doctor are: 1. Do you really need to treat the Ureaplasma? 2. If you do need to treat the Ureaplasma, do you really need so much antibiotics?

  17. Dear dr Tan,

    I’d like to know your opinion on my mediacal issues. A year and half ago I started having this crazy medical problems. Fist of all I still had yeast infections, bacterial vaginosis etc. Then my joints started to hurt like hell. I got tested for STDs through PCR in December 2013 and February 2014 (while having vaginal disconfort) all negative, including CT, G, plus HIV etc.. Then later in August 2014 my serious urogenital problems started aftera bad UTI (positive for E.Coli at the beginning. Pain lasted so they tested me again later and the urine was negative). In January 2015 refered for pain to an urologist and got tested for Chlamydia, Ureaplasma, Mycoplasma – swab test from vagina, cervix, urethra – all negative again. They found only bacterial vaginosis a refered to my obgyn. In May 2015 still joints pain and mild bladder pain/burn so my reumy tested me for Chlamydia, Myco, EBV etc again but through WB antibodies blood test. Chlamydia t. IGG +, IGA +!! He wanted to treat me with atb and me refusing because I have been always negative through swab and PCR. BUT this monday I got terrible abdominal pain and bleeding and was disgnosed with PID (infection only in my uterus). Doxycyclin has worked well so far that means I have to had Chlamydia or similar bacteria that is treated by the tetracyclines. So the question is HOWCOME? I got tested so many times. I sleep only with my husband! I do trust him and additionaly in last 2 months we have had intercourse only once as he has been in a hospital. I am scared to death as I might have a chronic/persistant chlamydia infection even I was tested many times… Thank you for your time!

    • I personally do not trust the IgG and IgA tests to diagnosed Chlamydia infections. The fact is that you had multiple negative PCR tests for Chlamydia and that to me is proof that you are not infected with chlamydia. I also do not suscribe to the “hidden chlamydia” theory. You were diagnosed with Endometritis. That is a very significant diagnosis. Commonly isolated organisms include Ureaplasma urealyticum, Peptostreptococcus, Gardnerella vaginalis, Bacteroides bivius, and group B Streptococcus. Chlamydia has been associated with late-onset postpartum endometritis. Enterococcus is identified in up to 25% of women who have received cephalosporin prophylaxis. Your doctor should be able to take the contents of your womb for culture to identify the organism.

  18. Hi, I would just like to check if your bencoolen clinic is open this afternoon during lunch time? Further, how much would it roughly cost to have a chlmydia test, consultation, and prescription? Thank you.

    • Hi John, yes we are open. We do not close for lunch. Consult $35 – $60, Chlamydia Test $100, Chlamydia Meds $50 to $60 depending on what meds you need.

  19. caveman

    Does your Scott clinic do std text?

  20. caveman

    Dr Tan

    Your novena and Scott clinic do std test too? Can go in the evening?

    • Yes all our clinics do STD tests.
      Scotts clinic is open 8am-9pm on Mon, Wed and Fri, 8am – 5.30pm on Tues and Thurs, 8am – 1pm on Sat.
      Novena clinic is open 8:30am to 5:30am Mon-Fri, and 9am-1pm on Sat.

  21. Hi Doctors,

    I recently have been diagnosed with Clamydia and have taken a 6 tablet regime of (4 the first day, 2 the next). I have told my sexual partners and they are now getting tested also. I experenced itchiness and swelling in the testicles and some light discharge.
    Question? How far back through my sexual history do I need to goto inform others? Would I go back beyond 7 weeks? 15 weeks? I know symptoms are not alway present however as I present with them I am not sure if it is normal for them to present so late? Can you explain if late presentation in people with symptoms is normal? Also can I retest in 7 days?



    • Oh wow. Excellent question. You are not going to like the answer. The answer is we don’t know. Most people infected with Chlamydia will not develop symptoms. And for reasons unknown, they may develop symptoms months or even years later. Of course, some people develop symptoms within 2 weeks of infection. So how far do you need to go back? I had a patient who swore that he had it for 8 years prior to being diagnosed. Like I said, you are not going to like the answer. Test of cure for Chlamydia should be done at 2 weeks after completion of the treatment. If not it might give a false positive.

  22. Hi Dr
    How accurate is a negative test for ghonerea and chlamydia – 7.5 days after possible exposure?

    I had a urine sample test


    • PCR test? Super accurate. Assuming you gave a proper first catch sample.

      • Thanks
        What is pcr? Was combined ghon and clymidia DNA urine test

        And was proper first catch

        • Hi Sir – sorry to bother
          Is PCR same as DNA urine test?
          It was proper first catch

          • Yes more or less the same. PCR is the testing technique. DNA is the thing that is tested for.

  23. Hi Dr Tan
    Thanks for answering my previous question
    I was very drunk a few weeks ago and may or may not of slept with someone, pretty sure the latter but 3 days after the night I had a small clear discharge, 2 days after that I had another one. They both could well of been precum I’m not sure, was clear and gooey like pre cum

    I got very anxious and started worrying I did sleep with someone, after that I starting feeling irritation at the tip of my penis etc – this may of been psychological of course
    Anyway I went to the clinic and got Tested and results came back negative for ghonerea and chylmidia through a urine test, straight away the irritation subsided / no other discharge either although I do feel like if I squeeze or milk my penis I can see some clear liquid far down the hole

    I have just seen there could be other STIs that cause discharge (if it wasn’t precUm) In the form of NGU or NSU

    Would a ureaplasma urine test check for two things and give me peace of mind or do I need another test for these?

    • NGU/NSU is an umbrella term covering many possible bacteria. The commonest being Ureaplasma Urealyticum and Mycoplasma Hominis. Culturing for these 2 bacteria is useful. However, I would routinely also conduct a urine microscopy to look for white cells. There can also be other non-STD causes of PU discharge like prostatitis. Please see your doctor for more advice. You are of course welcome to see us if you wish.

      • Thanks – what is PU discharge?
        So simply having a Ureaplasma along with my already cleared tests for chylm/ghon wouldn’t give me peace of mind that the discharge and pain I experienced was due to an sti? (If this was pain and not psychological )
        Does urea plasma urine test check for ureaplasma urealytucum and mycoplasma hominis or just the former?

        Do my symptoms sound like sti or could be psychological?

      • Kathy

        I had a test for chlamydia and it came back positive stating that I had antibodies chlamydia but I didn’t have chlamydia is this true or not or do I need to be treated

  24. Dr Tan I am diagnosed with chlamydia and doctor gave me doxycycline and monoclarium. I remember this doxycycline I took before years ago for acne but I didn’t complete the entire course back then. Will my body produce a resistance against it now?
    What are the chances of clearing chlamydia when I finish the course of doxycycline and monoclarium?

    • Hi Diana,

      Generally we’re worried about the germs we’re treating getting resistance, not your body itself. Seeing as it has been years and that the chlamydia probably wasn’t in your body at that point of time , I think it’s safe to say the chlamydia should not be resistant to doxycycline. It may be a good idea to test 1 month post treatment completion to see if the infection has been cleared up.

  25. Natasha

    Hi Dr Tan, I was told that I’m tested positive for chlamydia and been prescribed antibiotics. After a day then I realized my report stated result is equivocal with 0.97. It is near to negative mark range given in the report but that doctor told me was positive.

    My question is are doctors supposed to issue antibiotics due to an unconfirmed result or should he have done a retest instead? I find it unethical that he told me the wrong diagnosis therefore I’m not returning to that clinic anymore. I would have insisted a retest if he had told me it’s unconfirmed.

    Now that I have started my antibiotics, I should still finish the whole course right?

    • I am so sad to hear that this is still happening. Your doctor obviously did a Chlamydia blood test for you. I have stated time and again that the Chlamydia blood test is ABSOLUTELY USELESS. Even Singapore’s Ministry of Health has told doctors NOT to use this test anymore. Prescribing antibiotics based on the results for this test (even if it is positive) is completely uncalled for. Much worse if it is equivocal. This is not even yet taking into account the social and psychological impact of telling a patient she has Chlamydia when she might not even have it. Please stop your antibiotics and come to us for a proper Chlamydia test. As for what you want to do with this doctor, I leave it up to you.

  26. Hi Dr Tan
    Is it possible to have chlamydia symptoms 2 days after an exposure? i had a discharge but it looked like pre-cum.
    If you have chlamydia would you constantly have discharge or is it possible just to have 2 then they go away?
    Is it possible to have a pre-cum discharge if you do not have an erection?

    • Yes it is possible to get symptoms of Chlamydia infection as soon as 2 days post infection. Symptoms can go away by themselves even without treatment. It is possible to have ‘pre-cum’ without an erection. No use pondering about it. You have a discharge you better get it checked. See here for more info on STD screening.

  27. Thank you very much drtan, your replies have really helped to easy my worry.

  28. Sorry, could you please remove the last few sentences from my post: they were not meant for drtan.

    ‘Does she not realise that it’s not a nice thought thinking you have an STI that you can never get rid of!!!

    Not only that putting the fertility thing to one side what about any future long term damage of not getting rid of the infection, surely it will go on to do more damage, how can she just say it doesn’t matter and to stop thinking about it.

    I’m really mad and it’s making me question whether I want to cycle there again. Sorry I just needed to vent x’

    Many thanks

    • I’m sure anyone reading this in context knows that you were not talking about me. I am honestly very surprised by the response from your clinic. I consulted with some Chlamydia biologist and all of them scoffed at the notion of a hidden Chlamydia infection that cannot be cured. I am not in the habit of speaking ill of my colleagues. So in this case, all I would say is that perhaps you should consider seeking your fertility treatment at another clinic.

  29. Hi drtan,

    How long can the DNA of dead Chlamydia bacteria show up in a PCR chlamydia sample please. The lab I have used tests on menstrual tissue/blood and is saying that I am still positive after 3 x rounds of antibiotics since February. My result was 5.8 x 10^3 the same as when I tested in February before taking antibiotics.

    I am wondering whether the bacteria/bugs are dead as I know the test cannot distinguish between alive and dead bugs. This doesn’t seem right to me and would appreciate your thoughts.

    Is it reliable to test menstrual blood/tissue via PCR? I had to send a sample to the lab myself for testing. I had a serology antibody test in 2012 which showed I had had a past infection (my level was 48) but a further urine and swab test (in January this year) also showed I was negative before I took this test in February at the request of my clinic which then showed I was positive. Could it be that if I have antibodies present from a previous infection this is what is showing up on the PCR test? Many thanks for all your help.

    • Wow. Seriously good question. Yes DNA PCR for Chlamydia will detect dead bacteria as well as live ones. For urine and vaginal swab tests, we usually conduct the test of cure for Chlamydia 2 weeks after completion of antibiotics. By this time, there should be no more Chlamydia left in the system, dead or alive. Using menstrual blood to test for Chlamydia is not something widely accepted by the conventional medical community. This tests for so-called ‘hidden Chlamydia’. The PCR looks for DNA bits of the bacteria so your antibody test should not affect this test at all. My 2 cents worth: I seriously doubt the accuracy and specificity of the Chlamydia menstrual blood test. Blood is just not a good medium for Chlamydia testing. In fact some experts call this nonsense outright. I do not want to go that far because I always believe new technology and ideas need time to be proved or disproved. But for now, I am highly suspect of the test. My humble opinion – you do not have a Chlamydia infection.

      • Thank you so much drtan for replying so quickly and your thoughts. I have questioned this over and over with the clinic who asked me to get the test done for hidden c but they are adamant that they believe that I have a chronic infection which is active. I should add that my partner has also tested negative just less than a month ago too. My doctor (not connected to my clinic) refuses to prescribe me any further antibiotics as she is doubtful that I have Chlamydia and is saying that the amount of antibiotics I have had should have cleared any infection if there was one to begin with. I guess I was just unsure whether I needed to do anything more right now. Any further testing I mean. It’s so hard to know what to believe, so thank you for your time. I am glad that I contacted an expert and you have set my mind at rest. All the best.

    • Sorry drtan,

      I’m so mad right now. My clinic has been back to me today regarding my test result saying that…

      ‘When it comes to intrauterine infections we can never completely treat the infection. We only suppress the inflammation they cause using antibiotics during the medication program for an IVF treatment or a natural conception attempt and of course by using baby safe antibiotics in early pregnancies.
      With regards to any future IVF cycle of yours, having antibiotics in your program will be more than enough to suppress the inflammation (if any) caused by Chlamydia. This is why I don’t ask for any re testing on the Chlamydia even if at some point shows negative then it will be positive again after some months. Stop thinking about this matter”

      How can I not think about this matter. I would like to know whether I have an STI or not! and to be told that I will never be able to cure this is really upsetting me. Fertility treatment aside, I don’t want to live with Chlamydia for the rest of my life worrying if I could be passing this on. Everything I read says that it is 100% curable even Chronic infections. I realise that there is no proof that I have it from this one European PCR menstrual blood/tissue test and I should just trust my previous tests and take your opinion onboard but to be told by the clinic that is treating me that I have it and I will never be able to cure it in this day with all our medical advancements sounds like madness to me, but then I am no specialist.

      Does she not realise that it’s not a nice thought thinking you have an STI that you can never get rid of!!!

      Not only that putting the fertility thing to one side what about any future long term damage of not getting rid of the infection, surely it will go on to do more damage, how can she just say it doesn’t matter and to stop thinking about it.

      I’m really mad and it’s making me question whether I want to cycle there again. Sorry I just needed to vent x

  30. Shinoda

    Dear Dr. Tan,

    I took doxycycline to treat Chlamydia for a few days now but the discharge is more than before I took the antibiotics. Is it normal? Thanks a lot.


    • drtan

      No. Maybe it is not Chlamydia or not just Chlamydia. It is very unlikely for Chlamydia to be resistant to Doxycycline.

      • Shinoda

        Thanks Dr.Tan. I have been taking doxycycline for 3 days now..can I know how long should I expect the discharge to be cleared if it is chlamydia?

        • drtan

          Should start to clear right about now but can take 5 to 7 days for symptoms to completely subside.

  31. Dear Dr Tan,

    I have slight pain while peeing and my ejaculation fluid became watery and yellowish. Will I be prescribed the antibiotics if I am suspected chlamydia while waiting for the test results? Thank you.

    • If the symptoms are very severe or typical, we do start empirical anti-biotic treatment while waiting for the results.

  32. Worried

    Hi Dr Tan,

    Im a 35 yo female, married with a 3 yo child. Im have been having heavy discharge and lower backache. 3 months ago, the discharge turned to yellow and smelly and 1 month later, I had bleeding after intercourse and now bleeding without any reason. I have done pap smear test and yeast infection test. All showed negative. I have been to gynea and did a scan and showed no growth. My gynea diagnose me for having Dysfunctional Uterine Bleeding which Im not convinced. Im very concerned about my condition. I read through the website and am guessing that I maybe having Chlamydia.

    My husband and I are trying for another baby. But was holding back for my current condition. We both have not been unfaithful and known each other for the past 11 years.

    Can I ask what other similar disease or illnes that I have possibilities of getting based on the symptoms im having?

  33. Thank you for replying , Dr tan your replies scare me . What should I do? My test result form shim clinic (specialise in std) dated 6 mar 2012 indicated that chlamydia pcr(vaginal swab) result not detected and one more result for anybody status 1.63 for chlamydia IgG Ab. Ref range goes like this. Negative for less than 0.9, equivocal for 0.9 to 1.1 and positive for more than 1.10. And I m at 1.63 so dr said I m positive for chlamydia. He said it was due to past infection that is why antibody blood test showed.

    Dr prescribed me with doxycycline (100mg/cap) 60caps, one morning one night. In addition he also prescribed me with monoclarium (200mg/cap) 60 caps, take two before bedtime. He said to finish the all medication and be tested again six months later.

    The dr confirmed I have chlamydia why?
    I m seeking second opinion Please. Dr please help me. I m suffering. I want to have my family and have kids. If I don cure this, it will affect my Fallopian tube right?

    Thank you dr for your time. I appreciate it

    • Hi Rena,

      I say this again: I cannot agree with your doctor and hence I will not comment further. If you wish to have a second opinion please either see me or any other doctor for a formal consultation. This forum is NOT a platform for medical consults.


      Dr Tan
      Check out our new forum at

  34. And one more question dr. How soon can I get tested again after I finish one month medication? I m worried.

    • Hi Rena,

      Are you asking about Chlamydia? Why are you on one month of medication for Chlamydia? That sounds absolutely crazy. For Chlamydia, go for a retest (aka test of cure) 2 weeks after completion of the antibiotics.


      Dr Tan

  35. And can I take probiotics with the medication? Can I go to your clinic to check if I can have kids next time? What test I have to do? Thank you dr

    • Hi Rena,

      Please direct all future question to the doctor in charge of your case.


      Dr Tan

  36. Hi dr tan, I recently got check for std. Everything was ok except for herpes two and chlamydia. I don know when I got it. The vaginal swab chlamydia pcr result not detected but my blood test for chlamydia igg ab indicated 1.63 antibody status. Doctor prescribed me with monoclarium and doxycycline. Can I be cured after I complete the medicine? I m worried of not able to have kids next time. How can I check if my tube isn’t damage?

    • Hi Rena,

      This is so frustrating. I have counselled so many patients on this till I am blue in the face. It is not your fault, it is the fault of our medical profession. Listen carefully to what I have to say. Blood Test for Chlamydia IgG is NOT NOT NOT NOT NOT a test for active Chlamydia infection. I guarantee you that after all your medication the re-test will STILL SHOW that you have Chlamydia IgG. This DOES NOT MEAN you have a Chlamydia infection. Just like if you test positive for Hepatitis B IgG also DOES NOT MEAN you have an Hepatitis B infection. Ethically I cannot agree with the treatment you are on. Therefore I shall refrain from commenting further. Please seek advice from the doctor treating you.


      Dr Tan

      • Billy

        Hi Dr Tan
        I went for a full std check a month ago and everything came back negative except chlamydia .Which the doctor explained was very very low reading of the bacteria that causes chlamydia .( it was a swab test ) I then did a urine test however because of my medical aid messing me around the urine was only tested after 4 days ( it was at the lab , refrigerated the whole time ) the results came back negative . I have no symptoms what so ever, however I am still worried . What are the chances I have chlamydia ?

        • Hi,
          Sorry we are unable to interpret the results from other medical providers and would urge you to clarify these questions with the doctor who saw you. If you still have concerns, please come down to our clinic for a consult and possibly repeat testing.


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