Can you cure mouth chlamydia?
Yes you can – chlamydia in the mouth, just as at other sites of the body, can be treated and completely removed with a simple course of antibiotics. However, it’s important to follow your treatment regime properly to ensure the infection is removed. Also, treatment only removes existing infections and won’t protect you from future infection.
Does oral chlamydia go away on its own? – if chlamydia is untreated, it is thought that up to 50% of people will clear the infection themselves within 12 months. However, in the remainder of people who don’t clear the infection, a chronic chlamydial infection becomes established, and in the longer term this can result in serious negative medical outcomes.
How does oral chlamydia treatment work? – there are 2 available treatments for chlamydia:
- The first choice antibiotic for chlamydia is the antibiotic doxycycline 100mg taken twice a day by mouth for 7 days (this should not be used in pregnancy)
- An alternative is a single dose of the antibiotic azithromycin 1g taken by mouth as a single dose
Which is better? – there are pro’s and con’s with each antibiotic, although there have been some concerns about antibiotic resistance to azithromycin – so many clinics are currently endorsing the 7 day doxycycline regime. A doctor consultation will help you decide which is right for you.
Make sure you use treatment correctly – it is important that you:
- Take all the antibiotics as instructed – don’t miss any out
- Do not have sex on treatment or for 7 days afterwards, not even oral sex or sex with a condom
- Your current/most recent partners should be tested, and treated as they are contacts
- Attend a sexual health clinic for a full STI screen
Do I need another test after treatment? – usually no, except in the following situations:
- You have to be treated with a different antibiotic to the 2 standard treatments, e.g. erythromycin
- You have rectal chlamydia as well
- You did not comply fully with the treatment regime
If you do get re-tested for your oral chlamydia this is known as Test of Cure – ToC. You need to wait 4-6 weeks from completing treatment to have this test. This is because the test may still test positive if there are dead organisms present, and you may get a false positive result.
What are the risks of not getting treatment? – risks of untreated chlamydia include:
- Pelvic inflammatory disease
- Decreased fertility in men and women
Can you treat chlamydia ‘naturally’? – it is not advised you treat chlamydia naturally as natural cures are not proven to work and there are serious risks involved when chlamydia isn’t treated properly. Some products mistakenly believed to be suitable treatments for chlamydia include: