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Chlamydia pregnancy — DFSRH MCQ

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HardSTIsChlamydia pregnancyDFSRH

A pregnant patient has completed recommended treatment for uncomplicated chlamydia and symptoms have resolved. Which follow-up is specifically indicated because she is pregnant?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Arrange a chlamydia NAAT test of cure after treatment

The best answer is “Arrange a chlamydia NAAT test of cure after treatment”. BASHH recommends test of cure in pregnancy, as well as when adherence is uncertain or symptoms persist. NAAT should not be performed too early because residual non-viable chlamydial DNA can remain detectable for 3–5 weeks. Partner notification, abstinence until treatment is completed and later retesting for reinfection are separate parts of care rather than substitutes for test of cure.

Reference: BASHH, Chlamydia guideline with active treatment updates: https://www.bashh.org/resources/15/guidelines_chlamydia_2015