Conditions
Chlamydia testing and treatment with a video visit
Chlamydia is a very common sexually transmitted infection that often has no symptoms, but the right treatment cures it. In a discreet video visit, the doctor evaluates you and gives you a lab order to get tested at a lab near you. If appropriate, the doctor prescribes and we send your prescription to your pharmacy in Puerto Rico.
Is it an emergency? Call 911.
Is this an emergency?
This is not an emergency service. Call 911 or go to the nearest emergency room if you have:
- Severe lower belly pain with fever
- Sudden severe pain, vaginal bleeding or fainting if you could be pregnant
- Sudden, severe pain or swelling in a testicle
- Sexual assault: go to the emergency room or call 911
- Possible HIV exposure in the last 72 hours: go to the ER to be evaluated for preventive treatment (PEP)
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At a glance
Chlamydia
Common symptoms
- Unusual vaginal discharge
- Burning when you urinate
- Discharge from the penis
- Pain or swelling in the testicles
- Rectal pain, discharge or bleeding
- Other names
- Chlamydial infection · Chlamydia trachomatis
- Usual test
- NAAT on urine or a vaginal swab, by lab order
- Treatment
- Oral antibiotic, only when the medical evaluation calls for it
- Possible complication
- Pelvic inflammatory disease, ectopic pregnancy and infertility
On this page(9)
What is chlamydia?
Chlamydia is a bacterial infection passed on through vaginal, anal or oral sex without a condom with someone who has it. It can also pass from mother to baby during childbirth.
According to the CDC, chlamydia often has no symptoms, but it can cause serious health problems even without them. In women, untreated chlamydia can spread to the uterus and tubes (pelvic inflammatory disease) and lead to chronic pelvic pain, ectopic pregnancy or infertility. Treatment cures it but does not undo damage already done, which is why testing early matters, especially if you notice unusual vaginal discharge or testicular pain.
How we care for chlamydia by video
You see Dr. Diana Nieves Castro, MD, a Puerto Rico–licensed general practice physician with several years of emergency-department experience. No judgment, in English or Spanish. Join from a private place; visits are not recorded.
The doctor asks about any symptoms, your recent partners and whether you could be pregnant, and gives you a lab order for testing. The CDC recommends a nucleic acid amplification test (NAAT) on a urine sample or a vaginal swab, and a vaginal swab can be self-collected. The doctor often orders a gonorrhea test too, plus any other tests she decides on with you.
Once your result is in, the doctor goes over it with you. If it is positive, or your partner has chlamydia, the doctor considers treatment: if appropriate, the doctor prescribes and we send your prescription to your pharmacy. More on STI testing and treatment.
Your doctor
Dr. Diana Nieves Castro, MD
General practice physician
Several years of emergency-department experience.
Founding Executive Director of The Health Initiative.
Your visit in 3 steps
Request a visit online 24/7 — we confirm your time by email or text.
Request your visit.
Book a visit and choose "Doctor visit". You pay by card when you request it.
See the doctor by video.
We send you a secure video link. It works on your phone, tablet or computer.
Get tested and get a plan.
Take the order to the lab; the doctor reviews your result with you and tells you the next step.
Price
A doctor visit costs US$79, with no membership, and includes the lab order. You pay the lab for the tests. Reviewing your result is a US$49 follow-up visit. You pay by card when you request the visit, and you get a full refund if the visit can’t take place. See all prices.
Video visit
Doctor visit
US$79
For a new problem, urgent care (non-emergencies), primary care, children, birth control, STIs, skin and acne, and visitors. Includes a doctor's note if you need one.
- You’re charged when you request the visit.
- Full refund if the visit can’t take place
Chlamydia symptoms
Most people have no symptoms, and when they appear it can take weeks. When there are symptoms, they can include:
- Unusual vaginal discharge
- Burning when you urinate
- Discharge from the penis
- Pain or swelling in the testicles
- Rectal pain, discharge or bleeding
Chlamydia treatment and your partner
Chlamydia is treated with an antibiotic taken by mouth. Under the CDC STI Treatment Guidelines, it can be a 7-day course or, in some cases, a single dose; the doctor chooses the one that fits your case, including in pregnancy.
For partners, the CDC recommends:
- That your sex partners from the 60 days before your symptoms or diagnosis be evaluated, tested and treated. If you had no partner in that time, your most recent partner.
- That you avoid sex until 7 days after single-dose treatment, or until a 7-day course is finished, and until your partners have been treated.
- That you retest about 3 months after treatment, even if you believe your partner was treated.
Your partner needs their own evaluation with a doctor. The doctor helps you plan how to tell them. In pregnancy, the CDC recommends a repeat test about 4 weeks after finishing treatment.
The CDC recommends a chlamydia test every year for sexually active women under 25, and for older women with risk factors such as a new partner or several partners. And if you want a method to prevent pregnancy, see birth control online.
If you’re under 21
If you are under 21, a parent or legal guardian must sign the consent, stay on camera for the whole visit and show photo ID.
When to go to the ER
For your safety, go to the emergency room or call 911 if you have any of these signs. See when to go to the ER.
- Severe lower belly pain with fever
- Sudden severe pain, vaginal bleeding or fainting if you could be pregnant
- Sudden, severe pain or swelling in a testicle
- Sexual assault
- Possible HIV exposure in the last 72 hours, to be evaluated for preventive treatment (PEP)
How we care for you
We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you.
We see adults and children of all ages. Patients under 21: a parent with patria potestad (parental authority) or a legal guardian is on camera for the whole visit and shows photo ID.
Real-time video visit. We send you a secure video link. It works on your phone, tablet or computer.
If appropriate, the doctor prescribes and we send your prescription to your pharmacy. We do not prescribe controlled substances.
You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).
In an emergency, call 911.
Frequently asked questions
How do I get a chlamydia test if the visit is by video?
Can chlamydia be cured?
When can I have sex again?
Does my partner need treatment?
About this page
Author: The Health Initiative
Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)
Disclosure: Founding Executive Director of The Health Initiative
Published: 2026-09-30 · Updated: 2026-10-02
Sources (5)
- CDC: About Chlamydia (opens in a new tab) (accessed 2026-10-02)
- CDC: Chlamydial Infections, STI Treatment Guidelines 2021 (opens in a new tab) (accessed 2026-10-02)
- CDC: Sexually Transmitted Infections Treatment Guidelines, 2021 (opens in a new tab) (accessed 2026-10-02)
- CDC: preventing HIV with PEP (opens in a new tab) (accessed 2026-10-02)
- Ectopic pregnancy (MedlinePlus, NIH) (opens in a new tab) (accessed 2026-10-02)