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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Possible For One Partner To Be Treated Exactly The Same But Still Have Chlamydia When The Other One Has It Cured?

I am concerned about a couple things. One being that I had seen my OBGYN last month for an extremely long lasting period (27 days) fluctuating from light to heavy flows in November which I thought was due to my implanon because I have had irregular bleeding since having the initial insertion two and a half years ago. He did a CBC, TSH, and a few other blood tests that were all normal but the swab of my cervix was positive for chlamydia which I know I had caught in November because I have been married for the last 3 years and was tested for stds during my pregnancy and marriage. I was treated with 2 azithromycin pills in a single dose along with my partner who had caught it from his ex fiancé who cheated on him. I was to be re-tested in three weeks and during that time I had no bleeding problems and also was treated with a 5 day z-pack for bronchitis and my partner was treated with that also. I went back in for the retest and I was completely negative for gonnorehea and chlamydia but my partner had not been re-tested yet. We abstained from sex for a week and a half after the first treatment and then used condoms since then. I started my cycle on the 13th of January and it ended a normal 7 days later. 2 days after my cycle ended we had sex with protection again but the condom actually came off inside of me and it took me some digging around to get it out. 2 days after that mishap which was yesterday I started having some abdominal pressure and a brownish pink discharge and today it is a brownish and bloody light discharge with little abdominal pressure. I work at a lab and sent in a urine sample to test for chlamydia again and am waiting on the results. Is it possible for one partner to be treated exactly the same but still have chlamydia when the other one had been cleared of it after treatment since its the same strain of the disease? And if not the chlamydia what else could be wrong could it be PID? I have only had a brown discharge one time and that was due to implantation with my first and only pregnancy. I m stressing out and can not see my OBGYN again until next week. Btw they also did an ultrasound of my ovaries and I only had one small cyst on one ovary. I had talked to my OBGYN about changing birth controls when I went in before finding the chlamydia and after getting treated for that I decided I wanted to evaluate my cycle this month being cleared of the disease but I am worried because the condom came off it isn t due to birth control.
Tue, 4 Feb 2014
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General & Family Physician 's  Response
Hi, I went through your query. It is possible that your partner has not been cured even if the strain is the same because it might have undergone some mechanism of resistance in your partner's body. But the discharge and heaviness after unprotected intercourse could be due to pregnancy loss. I would advise you to get urine pregnancy test done. If negative and symptoms continue have a transvaginal ultrasound. Hope this helps.
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Is It Possible For One Partner To Be Treated Exactly The Same But Still Have Chlamydia When The Other One Has It Cured?

Hi, I went through your query. It is possible that your partner has not been cured even if the strain is the same because it might have undergone some mechanism of resistance in your partner s body. But the discharge and heaviness after unprotected intercourse could be due to pregnancy loss. I would advise you to get urine pregnancy test done. If negative and symptoms continue have a transvaginal ultrasound. Hope this helps.