Expert-Verified Medical Guide

Chlamydia in Nepal: The "Silent" Infection

Frequently symptomless but dangerous if untreated. Get the facts on the most common bacterial STI in Kathmandu.

Medically Reviewed

Expert Verified
Dr. G.P. YadavNMC: 15834
MBBSMD MedicineSTD Specialist
Reviewed: Jan 5, 2024
Updated: Jan 5, 2024

Clinical Observations in Nepal

At our clinic in Kathmandu, Chlamydia is the #1 most detected bacterial STI. Many patients present only when they experience complications like Pelvic Inflammatory Disease (PID) or chronic testicular pain because they didn't have early symptoms.

  • PCR vs. Rapid Tests: We strongly recommend PCR testing over cheaper "Rapid Antigen" kits, which often give false negatives in early or low-load infections.
  • Partner Treatment: In Nepal, re-infection is common because partners are often not treated simultaneously. We provide confidential partner notification assistance.

What is Chlamydia?

Chlamydia is a common STD caused by the bacterium Chlamydia trachomatis. It is often called the 'Silent Infection' because most people do not show symptoms. However, it can cause serious, permanent damage to a woman's reproductive system, making it difficult or impossible to get pregnant later.

[рдиреЗрдкрд╛рд▓реА] рдХреНрд▓реНрдпрд╛рдорд╛рдЗрдбрд┐рдпрд╛ 'рдХреНрд▓реНрдпрд╛рдорд╛рдЗрдбрд┐рдпрд╛ рдЯреНрд░рд╛рдХреЛрдорд╛рдЯрд┐рд╕' рдЬреАрд╡рд╛рдгреБрдмрд╛рдЯ рд╣реБрдиреЗ рдпреМрди рд░реЛрдЧ рд╣реЛред рдпрд╕рд▓рд╛рдИ 'рдореМрди рд╕рдВрдХреНрд░рдордг' (Silent Infection) рднрдирд┐рдиреНрдЫ рдХрд┐рдирдХрд┐ рдзреЗрд░реИрдЬрд╕реЛ рдорд╛рдирд┐рд╕рдорд╛ рд▓рдХреНрд╖рдг рджреЗрдЦрд┐рдБрджреИрдиред рддрд░ рдЙрдкрдЪрд╛рд░ рдирднрдПрдорд╛ рдпрд╕рд▓реЗ рдорд╣рд┐рд▓рд╛рдХреЛ рдкреНрд░рдЬрдирди рдЕрдВрдЧрдорд╛ рд╕реНрдерд╛рдпреА рдХреНрд╖рддрд┐ рдкреБрд░реНтАНрдпрд╛рдЙрди рд╕рдХреНрдЫ, рдЬрд╕рд▓реЗ рдЧрд░реНрджрд╛ рдкрдЫрд┐ рдмрдЪреНрдЪрд╛ рдмрд╕реНрди рдЧрд╛рд╣реНрд░реЛ рд╣реБрдиреЗ рдЬреЛрдЦрд┐рдо рд╣реБрдиреНрдЫред

Symptoms in Men

While many men have no symptoms, those who do may experience them 1 to 3 weeks after exposure. Common signs include a discharge from the penis and burning during urination.

[рдиреЗрдкрд╛рд▓реА] рдзреЗрд░реИ рдкреБрд░реБрд╖рд╣рд░реВрдорд╛ рд▓рдХреНрд╖рдг рдирджреЗрдЦрд┐рдП рдкрдирд┐, рджреЗрдЦрд┐рдиреЗрд╣рд░реВрдорд╛ рд╕рдВрдХреНрд░рдордг рднрдПрдХреЛ рез рджреЗрдЦрд┐ рей рд╣рдкреНрддрд╛рдкрдЫрд┐ рд▓рдХреНрд╖рдг рд╕реБрд░реБ рд╣реБрди рд╕рдХреНрдЫред рд▓рд┐рдВрдЧрдмрд╛рдЯ рдкрд╛рдиреА рдЬрд╕реНрддреЛ рд╢реНрд░рд╛рд╡ рдмрдЧреНрдиреБ рд░ рдкрд┐рд╕рд╛рдм рдлреЗрд░реНрджрд╛ рдкреЛрд▓реНрдиреБ рдореБрдЦреНрдп рд▓рдХреНрд╖рдг рд╣реБрдиреНред

Watery/Milky Discharge

Discharge from the penis, often less thick than gonorrhea pus.

Burning Urination

A stinging sensation when peeing.

Symptoms in Women

75% of women with Chlamydia have NO symptoms. If symptoms do occur, they can include abnormal vaginal discharge and a burning sensation when urinating. Untreated infection can spread to the uterus causing PID.

[рдиреЗрдкрд╛рд▓реА] рдХреНрд▓реНрдпрд╛рдорд╛рдЗрдбрд┐рдпрд╛ рднрдПрдХрд╛ ренрел% рдорд╣рд┐рд▓рд╛рдорд╛ рдХреБрдиреИ рд▓рдХреНрд╖рдг рджреЗрдЦрд┐рдЬрд╝рджреИрдиред рд▓рдХреНрд╖рдг рджреЗрдЦрд┐рдПрдорд╛ рдпреЛрдиреАрдмрд╛рдЯ рдЕрд╕реНрд╡рд╛рднрд╛рд╡рд┐рдХ рд╢реНрд░рд╛рд╡ рдЖрдЙрдиреЗ рд░ рдкрд┐рд╕рд╛рдм рдлреЗрд░реНрджрд╛ рдкреЛрд▓реНрдиреЗ рд╣реБрди рд╕рдХреНрдЫред рдЙрдкрдЪрд╛рд░ рдирднрдПрдорд╛ рдпреЛ рд╕рдВрдХреНрд░рдордг рдкрд╛рдареЗрдШрд░ рд░ рдирд▓реАрд╣рд░реВрдорд╛ рдлреИрд▓рд┐рдПрд░ 'PID' рдирд┐рдореНрддреНрдпрд╛рдЙрди рд╕рдХреНрдЫред

  • Abnormal vaginal discharge with an odor
  • Pain during intercourse (Deep dyspareunia)
  • Bleeding between periods or after sex

Why You Must Treat It

The Danger of Untreated Chlamydia

In Women: Infertility

Can cause scarring in fallopian tubes, leading to infertility or life-threatening ectopic pregnancy.

In Men: Epididymitis

Can cause painful swelling of the testicles and, in rare cases, lead to sterility.

It moves silently but causes lasting damage.

Testing & Treatment in Nepal

Diagnosis

The gold standard is NAAT (PCR) testing. It is 99% accurate and can be done via a simple urine sample or a painless swab.

Typical Costs in Kathmandu:

  • тАв PCR (DNA) Test: Rs. 6,000 - 10,000

Treatment

Chlamydia is easily cured with WHO-recommended antibiotics.

  • Azithromycin (Single Dose)
  • Doxycycline (7-day course)

Frequently Asked Questions

Q: Can Chlamydia go away on its own?

No, Chlamydia is a bacterial infection that requires specific antibiotics. Even if symptoms are mild or disappear, the bacteria remain in your body, continuing to cause damage and remaining transmissible to partners.

Q: How much does a Chlamydia test cost in Nepal?

A highly accurate Chlamydia PCR test costs approximately Rs. 6,000 - 10,000 depending on the laboratory.

Q: Is Chlamydia common in Nepal?

Yes, it is the most frequently diagnosed bacterial STI at our Kathmandu clinic. Because it is often 'silent' (no symptoms), many people carry it unknowingly until they face fertility issues or screen during routine checkups.

Q: How long is the treatment for Chlamydia?

Standard treatment is either a single dose of Azithromycin or a 7-day course of Doxycycline. You must abstain from sex for 7 days after the single dose or until the full 7-day course is completed.

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Last Updated: January 14, 2026 |Clinic: STD Treatment Clinic |License: 15834

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