Chlamydia Symptoms: What to Look For

Recognize the common and uncommon signs of chlamydia infection in men and women.

Medically reviewed by healthcare professionals

Last updated: April 2025

Understanding Chlamydia Symptoms

Chlamydia is often called a "silent" infection because many infected people have no symptoms. When symptoms do occur, they can be mild and easily confused with other conditions. This makes regular testing crucial for sexually active individuals, especially those under 25 years of age.

Important to Know

Up to 75% of women and 50% of men with chlamydia have no symptoms at all. Even without symptoms, the infection can still cause damage and be transmitted to partners.

Symptoms in Women

When women do experience symptoms, they may include:

  • Abnormal vaginal discharge that may have an unusual odor
  • Burning sensation during urination
  • Pain during sexual intercourse
  • Bleeding between periods or after sex
  • Lower abdominal pain, sometimes with fever and nausea
  • Pain, itching, bleeding, or mucus discharge from the rectum (if infection is rectal)
  • Sore throat (if infection is in the throat from oral sex)

Complications of Untreated Chlamydia in Women

If chlamydia isn't treated, it can spread to the uterus and fallopian tubes, causing pelvic inflammatory disease (PID). PID can lead to:

  • Permanent damage to reproductive organs
  • Infertility - difficulty getting pregnant or inability to become pregnant
  • Chronic pelvic pain
  • Ectopic pregnancy - pregnancy outside the uterus, which can be life-threatening

When to Seek Medical Attention

If you experience severe pelvic pain, especially with fever, seek medical attention immediately as this could indicate PID. Don't wait for symptoms to worsen or go away on their own.

Symptoms in Men

When men do experience symptoms, they may include:

  • Discharge from the penis - this can be clear or cloudy
  • Burning or painful sensation during urination
  • Pain and swelling in one or both testicles (less common)
  • Pain, discharge, or bleeding from the rectum (if infection is rectal)
  • Sore throat (if infection is in the throat from oral sex)

Complications of Untreated Chlamydia in Men

Although less common than in women, untreated chlamydia in men can cause:

  • Epididymitis - infection of the epididymis (the tube that carries sperm from the testicles), which can cause pain, swelling, and in rare cases, infertility
  • Reactive arthritis - painful joints, inflammation of the eyes, and urethritis
  • Prostatitis - inflammation of the prostate gland

When to Seek Medical Attention

Men should seek medical attention if they experience discharge from the penis, burning during urination, or pain/swelling in the testicles.

Symptoms of Rectal Chlamydia

Chlamydia can infect the rectum through receptive anal sex or potentially by spreading from the vagina. Symptoms of rectal chlamydia may include:

  • Rectal pain
  • Rectal discharge
  • Rectal bleeding
  • Pain during bowel movements

However, like other forms of chlamydia, rectal infections are often asymptomatic.

Symptoms of Chlamydia in the Throat

Chlamydia can infect the throat through oral sex with an infected partner. Symptoms may include:

  • Sore throat
  • Pain when swallowing

Most throat infections with chlamydia cause no symptoms.

Chlamydia and Pregnancy

Untreated chlamydia during pregnancy can lead to:

  • Premature birth
  • Low birth weight
  • Transmission to the baby during delivery, which can cause eye infections or pneumonia in newborns

Recommended Testing

All pregnant women should be tested for chlamydia during their first prenatal visit. Those at high risk should be tested again in their third trimester.

When Should I Get Tested?

The CDC recommends the following testing schedule:

  • All sexually active women under 25 should be tested annually
  • Women 25 and older with risk factors (new or multiple partners, sex with a partner who has an STI) should be tested annually
  • Pregnant women should be tested during their first prenatal visit
  • Men who have sex with men should be tested at least annually and every 3-6 months if at high risk
  • Anyone with symptoms should get tested immediately
  • Anyone whose partner has been diagnosed with chlamydia should get tested

Types of Tests

Chlamydia testing can be done with a urine sample or by swabbing the affected area (cervix, penis, rectum, or throat). Many clinics and healthcare providers offer convenient testing options.

Sources & References

1. Centers for Disease Control and Prevention. (2022). Chlamydia - CDC Fact Sheet (Detailed).

2. World Health Organization. (2022). Sexually transmitted infections (STIs): Chlamydia.

3. American College of Obstetricians and Gynecologists. (2021). Chlamydia, Gonorrhea, and Syphilis.

4. Mayo Clinic. (2022). Chlamydia trachomatis.

5. U.S. Preventive Services Task Force. (2021). Screening for Chlamydia and Gonorrhea: Recommendation Statement.