Adult Chlamydia Exposure Treatment in Texas
MD-only online evaluation for adults in Texas after possible chlamydia exposure, focused on guideline-based testing plans and antibiotic treatment when appropriate. $49 flat-fee video visit, no insurance required.
Chlamydia is a bacterial STI. Antibiotics can treat chlamydia, but testing is still important to confirm infection and to screen for other STIs that can occur at the same time.
- Risk assessment for confirmed exposure vs lower-risk contact
- Testing guidance for chlamydia, gonorrhea, HIV, and syphilis when indicated
- Antibiotic treatment when clinically appropriate
- Partner guidance and prevention counseling
- Adults only (18+)
What Does Chlamydia Exposure Mean?
Chlamydia is a common bacterial sexually transmitted infection caused by Chlamydia trachomatis. Many people have no symptoms, which is why testing matters even when you feel well. Chlamydia exposure means you had sexual contact with someone who has confirmed chlamydia, or you had a contact that raises concern based on timing and risk.
TeleDirectMD provides adult-only, MD-only online care in Texas focused on risk assessment, an appropriate testing plan, and antibiotic treatment when clinically appropriate. We also discuss prevention steps and when in-person evaluation is safer.
Chlamydia Exposure Symptoms and Red Flags
TeleDirectMD reviews exposure timing, symptoms, sites of exposure (genital, rectal, or throat), pregnancy risk, and whether gonorrhea or pelvic inflammatory disease might be a concern.
| Symptom or situation | What it suggests | Telehealth appropriate? | Red flag requiring urgent in-person or ER care |
|---|---|---|---|
| Partner with confirmed chlamydia within the last 60 days | Higher likelihood of infection, treatment may be recommended | Often yes | Severe pelvic pain, fever, or fainting |
| No symptoms after a lower-risk contact | Testing plan is often preferred to automatic antibiotics | Often yes | Pregnancy with pelvic pain or vaginal bleeding |
| Burning with urination or urethral discharge | Urethritis, chlamydia is possible, gonorrhea also possible | Sometimes | Inability to urinate, severe pain, high fever |
| New vaginal discharge, bleeding after sex, pelvic discomfort | Cervicitis, chlamydia possible, consider other causes | Sometimes | Severe pelvic pain, fever, vomiting |
| New severe testicular pain or swelling | Possible epididymitis or torsion risk | Often no | Sudden severe testicular pain, swelling, or nausea, urgent evaluation |
| Rectal pain, discharge, or bleeding after receptive anal sex | Possible rectal infection, may need targeted testing | Sometimes | Severe rectal pain, heavy bleeding, or fever |
Conditions That Can Mimic Chlamydia
Symptoms after exposure can overlap with other infections and non-infectious causes. Your TeleDirectMD physician uses symptom pattern, exposure details, and testing needs to guide the next steps.
Gonorrhea
Can look similar to chlamydia and may require an injection antibiotic for best treatment.
Trichomoniasis
May cause discharge or irritation, more common in some groups, testing matters.
UTI
Burning with urination can be urinary or sexually transmitted, history helps separate.
Yeast Infection or BV
Often causes itching or odor and can be confused with cervicitis symptoms.
Pelvic Inflammatory Disease
More serious infection involving the uterus or tubes, needs urgent in-person evaluation.
Non-infectious irritation
Friction, new products, or vaginal pH changes can cause symptoms without an STI.
When Chlamydia Exposure Can Be Managed Through Telehealth
TeleDirectMD can help with exposure counseling, testing plans, and antibiotic treatment when appropriate. Some situations need in-person testing or urgent evaluation.
When a Video Visit Is Appropriate
- Adult 18+ with a concern for exposure and stable symptoms, or no symptoms.
- Partner has confirmed chlamydia, or exposure timing is clear enough to plan testing.
- No severe pelvic pain, no high fever, and no severe testicular pain.
- You can obtain lab testing if recommended.
- Physically located in Texas at the time of the visit.
Red Flags Requiring In-Person or ER Care
- Severe pelvic pain, fever, vomiting, fainting, or severe weakness.
- New severe testicular pain or swelling.
- Pregnancy with pelvic pain, fever, or vaginal bleeding.
- Concern for sexual assault or inability to ensure safety.
- Symptoms suggesting a rapidly worsening infection.
How TeleDirectMD Manages Chlamydia Exposure in Adults
Care is individualized. Some exposures warrant empiric treatment, while others are best managed with testing first. We aim to treat appropriately without unnecessary antibiotics.
Testing Plan
- NAAT testing for chlamydia and gonorrhea is the standard approach.
- Additional STI screening (HIV and syphilis) is often recommended based on risk.
- Site-specific testing may be needed based on sexual practices.
Antibiotic Treatment When Appropriate
- For confirmed exposure to a partner with chlamydia, treatment may be recommended even if you have no symptoms.
- Doxycycline is commonly first-line for non-pregnant adults.
- If gonorrhea is a concern, in-person evaluation may be required for injection therapy.
Partner Guidance and Prevention
- No sex until treatment is completed and symptoms (if present) have resolved.
- Partners may need evaluation and treatment to prevent re-infection.
- Condom use reduces risk, but does not eliminate it.
TeleDirectMD does not prescribe controlled substances for STI visits. If symptoms suggest pelvic inflammatory disease, epididymitis, or severe infection, urgent in-person care is required.
Medication Table for Chlamydia Exposure
These are common adult regimens used for chlamydial infection when clinically appropriate. Your TeleDirectMD physician individualizes therapy based on history, pregnancy status, allergies, kidney or liver considerations, and whether gonorrhea coverage is needed.
| Medication | Dose | Duration | When used |
|---|---|---|---|
| Doxycycline | 100 mg by mouth 2 times daily | 7 days | Common first-line option for non-pregnant adults when treatment is indicated. |
| Azithromycin | 1000 mg by mouth once | Single dose | Alternative regimen in select situations, including when doxycycline is not appropriate. |
| Levofloxacin | 500 mg by mouth once daily | 7 days | Alternative option for select patients based on clinical judgment. |
| Pregnancy management | Varies by situation | Varies | If you are pregnant or might be pregnant, treatment and follow-up should be discussed carefully and in-person care may be recommended. |
If you are treated, avoid sex until 7 days after single-dose therapy or until a 7-day regimen is completed. If symptoms worsen, seek in-person care.
Home Care and Return to Work
Most adults can continue normal daily activities during evaluation and treatment. There are usually no work restrictions. The key precautions are sexual health steps to prevent spread and re-infection.
Home Care Checklist
- Avoid sex until treatment is completed and guidance is met.
- Notify partners so they can be treated and testing can be arranged.
- Take antibiotics exactly as prescribed and do not share medication.
- If taking doxycycline, use sun protection and take with water while upright.
- Plan follow-up testing when recommended to check for repeat infection.
When to Recheck
- Symptoms do not improve within 3 days after starting treatment.
- New pelvic pain, fever, vomiting, or fainting.
- New severe testicular pain or swelling.
- Repeat exposure or concern about re-infection.
TeleDirectMD Chlamydia Exposure Care: What to Expect
TeleDirectMD provides MD-only virtual urgent care for adults for $49 flat-fee video visits in 25+ states. For chlamydia exposure in Texas, your physician reviews exposure timing, symptoms, pregnancy risk, and red flags. When appropriate, we recommend testing, prescribe antibiotics, and provide partner and prevention guidance. No controlled substances are prescribed.