Chlamydia Infection: Test Results and Future Implications - Urology

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Hello Doctor, two years ago I was diagnosed with a Chlamydia infection and received treatment.
After two years, I returned for a follow-up and had urine and blood tests.
The results are as follows:
1.
Urine: RESULTS of DNA screening for Chlamydia: NEGATIVE
2.
Blood: Chlamydia trachomatis IgG antibody, ISR: 0.55
Chlamydia trachomatis IgA antibody, ISR: 0.86
Positive: >= 1.0
Equivocal: >= 0.91 - 0.99
Negative: <= 0.93
3.
Blood: Chlamydia IgM antibody index: 0.16
Positive: >= 1.0
Equivocal: >= 0.91 - 0.99
Negative: <= 0.94
4.
Blood IgA: 209 MG/DL (40-350 MG/DL)
Could you please clarify the following for me, Doctor?
1.
Is it possible that the initial test two years ago was incorrect, or could it be that I have fully recovered and now show negative results?
2.
If I have not been reinfected, is there a possibility that the Chlamydia could recur in my body?
3.
Given my current condition, am I able to conceive?
Thank you, Doctor.

kkchan, 30~39 year old female. Ask Date: 2017/04/23

Dr. Du Shixi reply Urology


Hello: Your report should be discussed with your physician.
This facility cannot provide a diagnosis without an examination.

Reply Date: 2017/04/23

More Info


Understanding Chlamydia Infection: Test Results and Future Implications
Thank you for your detailed inquiry regarding your past Chlamydia infection and your recent test results. It’s important to understand the implications of these results and what they mean for your health moving forward.

1. Interpretation of Test Results:
Your recent urine test for Chlamydia DNA screening returned negative, which indicates that there is no current Chlamydia infection. The blood tests for Chlamydia trachomatis IgG and IgA antibodies showed values below the positive threshold, suggesting that your body does not have a significant immune response to Chlamydia at this time. The IgM antibody test also returned negative, which typically indicates no recent infection.
It is indeed possible that the initial diagnosis two years ago was accurate, and the treatment you received was effective. Chlamydia infections can be successfully treated with antibiotics, and many individuals will clear the infection without any long-term complications. After successful treatment, antibody levels (especially IgG) can decrease over time, leading to negative results on follow-up tests.

2. Possibility of Recurrence:
If you have not been re-exposed to Chlamydia through sexual contact with an infected partner, it is unlikely that the infection would recur on its own. Chlamydia does not remain dormant in the body; if you are negative for the infection, it means that you do not have it. However, if you engage in sexual activity with someone who is infected, there is a risk of reinfection. It is crucial to ensure that any sexual partners are tested and treated if necessary to prevent reinfection.

3. Implications for Pregnancy:
Given your current negative test results for Chlamydia, you should be in a good position regarding your reproductive health. Chlamydia can lead to complications such as pelvic inflammatory disease (PID), which can affect fertility if left untreated. However, since your recent tests indicate that you do not have an active infection, you should be able to conceive without any issues related to Chlamydia.
It is always advisable to consult with a healthcare provider before attempting to conceive, especially if you have a history of sexually transmitted infections (STIs). They can provide guidance on preconception health, including any necessary vaccinations, screenings, and lifestyle modifications to optimize your chances of a healthy pregnancy.

4. Future Considerations:
Moving forward, it is essential to maintain regular health check-ups and STI screenings, especially if you have new sexual partners. Open communication with partners about STI status and safe sex practices can significantly reduce the risk of infections.
In summary, your recent test results suggest that you are currently free of Chlamydia, and with proper precautions, you can plan for a healthy pregnancy. If you have any further concerns or questions, please feel free to reach out to your healthcare provider for personalized advice and support.

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