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February 7 , 2001

Six-Month Chlamydia Screening Urged for Under-25s


LONDON (Reuters) - Sexually active women aged up to 25 should be screened every six months for chlamydia, a sexually transmitted disease that can cause infertility, U.S. researchers said Tuesday.

Scientists at the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, said the illness was four times more common in young women. They are also infected quicker than women over 25 years old.

"We found the chlamydia incidence rate for females less than 25 years old to be more than five times greater than in women more than 25 years old and the median time to diagnosis of incident infection to be approximately half," Dr. Gale Burstein said in the research published in the journal Sexually Transmitted Infections.

Speaking in a telephone interview with Reuters, Bursetin said Chlamydia was a very big problem for women. "For sexually active females to be able to diagnose and treat new infections we recommend screening every six months," she said.

Chlamydia is one of the most common sexually transmitted diseases and the most preventable causes of serious gynecological problems.

It affects about three million women in the United States and in many cases there are no symptoms. The disease can cause pelvic pain, inflammation of the Fallopian tube, infertility and increased risk of ectopic pregnancy and HIV infection.

It is treatable with antibiotics.

DNA AMPLIFICATION TEST

The researchers tested 4,000 sexually active women between the ages of 12-60 who attended health centers in Baltimore, Maryland, for 33 months. Almost one in three below the age of 25 had chlamydia compared with fewer than one in 10 in older age groups.

Young women were also nine times as likely to be diagnosed with the infection more than once during the study period.

The researchers recommended that young women be tested regularly with a sensitive DNA amplification test.

Burstein said biological and behavioral causes made young women more vulnerable to chlamydia.

Chlamydia is not as serious in men as it is in women. So far there is no clear evidence to suggest that chlamydia infection in males is involved in infertility.

 

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