Chlamydia and gonorrhea are two of the most common sexually transmitted infections (STIs) globally, with millions of new cases annually. Here you will find all the information necessary to protect yourself and manage these infections effectively.

Epidemiology of STIs

Epidemiology of STIs

The World Health Organization reported in 2012, 78 million new cases of gonorrhea among adults aged 15 to 49 years. In Colombia, chlamydia remains the most prevalent STI in this age group, which highlights the importance of preventive measures and early detection.

Transmission and Vulnerability

The transmission of these infections occurs mainly through sexual contact, especially affecting women due to the susceptibility of the vaginal skin and the possibility of microtrauma during intercourse. Gonorrhea presents a higher risk of transmission from men to women, while chlamydia, although less studied, suggests a similar risk in the "penis-in-vagina" sexual act.

Symptoms and Diagnosis

STI symptoms

Both infections can be asymptomatic, which complicates their detection without adequate screening. Early detection and treatment are crucial to prevent complications such as pelvic inflammatory disease (PID), which can lead to infertility.

Below, we present the common symptoms of chlamydia and gonorrhea, two of the most prevalent sexually transmitted infections:

  • Vaginal irritation or pain: More common in gonorrhea than chlamydia.
  • Abnormal vaginal discharge: It may be thick and look like pus.
  • Mild inflammation of the cervix: Specifically related to chlamydia, it can cause light bleeding after sexual contact.
  • Pain when urinating: Present in both infections.
  • Pain during intercourse: Particularly associated with gonorrhea.
  • Bleeding between periods: It can occur in both infections.
  • Abdominal and pelvic pain: Indicative of pelvic inflammatory disease, a serious complication of both infections.

Screening Recommendations

Sexually active women under 24 years of age are advised to undergo annual testing. This advice extends to any woman with new or multiple sexual partners, a history of STIs, or who has had a hysterectomy. Early detection facilitates effective treatment and prevents transmission.


gynecological treatment

Chlamydia is treated with antibiotics such as azithromycin or doxycycline. For gonorrhea, due to antibiotic resistance, ceftriaxone plus azithromycin is recommended. After treatment, it is important to abstain from sexual relations for at least seven days and ensure that all recent partners are also treated.


Prevention is essential to avoid these infections. Consistent condom use, open communication with sexual partners about sexual health and STI history, and participation in regular screening are key measures. Pregnant women should be tested to avoid complications during childbirth and protect the newborn.


Chlamydia and gonorrhea are serious but treatable infections. With the right information, proper precautions and medical follow-up, you can effectively protect yourself and enjoy a healthy sex life. Remember, knowledge and action are your best allies in the fight against STIs.

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