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CDC, National Chlamydia Coalition Partner To Raise Awareness, Testing Rates

The National Chlamydia Coalition is partnering with the Centers for Disease Control and Prevention to increase public awareness and screening efforts for chlamydia, the most common sexually transmitted infection in the U.S., the Wall Street Journal reports. According to CDC, there were 1.1 million recorded cases of chlamydia in 2007, although experts estimate that there are twice as many cases that are not detected largely because the infection often causes few symptoms and many people go unscreened. The infection is three times more common in women than men, which experts say could be because men eliminate it from their bodies more readily than women. Chlamydia is treatable with a single dose of antibiotics, but if left untreated, it can lead to infertility or increased risk for ectopic pregnancies in women.CDC recommends that all sexually active women younger than age 26 be tested annually for the infection, as well as older women who have had a change of sexual partners. However, fewer than 40% of women in those groups are tested, the Journal reports. Chlamydia is particularly prevalent in women ages 15 to 19 and blacks, although sample studies have shown nearly 10% of all female Army recruits, 10% of female college freshmen and 14% of women in managed care plans are infected with chlamydia.Despite its prevalence, chlamydia is one of the least known STIs, which has compounded the difficulty of promoting screening efforts, the Journal reports. It causes few symptoms, and many people are unaware they were exposed to it. According to the Journal, many patients do not ask to be screened for the disease because the few symptoms it causes -- such as bleeding between periods, occasional vaginal discharge, pain during intercourse, pelvic pain in women, and burning upon urination in men -- are common to many conditions. While most screening efforts aim to identify active cases in younger women, there is a serious risk of infertility to older women who were exposed to the bacteria when they were younger, the Journal reports.According to the Journal, the chlamydia bacteria can move to a woman"s upper genital tract and set off pelvic inflammatory disease, which often leaves inflammation and scar tissue that obstructs a woman"s fallopian tubes and fertilization. PID is the most common cause of ectopic pregnancy and can cause endometriosis, a condition in which small portions of the uterine lining tissue grow outside the uterus, which can cause infertility and pain. Miklos Toth, a New York City-based ob-gyn, said, "It"s not the infection itself but the body"s response to get rid of the bacteria that causes scarring. And even if just some fragments of the bacteria remain, the immune system thinks an active infection is still present."According to the Journal, about 25% of women treated for chlamydia are re-infected within six months likely because of a partner who was not treated. CDC recommends that doctors prescribe a second course of antibiotics for partners of people with the infection. However, many doctors do not screen for or discuss chlamydia during office visits with their patients, especially pediatricians who may be uncomfortable discussing sexual activity with their younger patients, the Journal reports. Lynn Barclay, president of the American Social Health Association, said, "A lot of health care providers aren"t making the connection when they are dealing with adolescents. But to pretend that teenagers aren"t having sex is very dangerous."The Journal reports that the issue of how minors can pay for chlamydia testing can also create barriers. All 50 states allow minors to be tested and treated for STIs without parental consent. However, if a minor"s health insurance is provided by his or her parents, a lab fee listed on an explanation of benefits report for the testing could be considered a breach of confidentiality. Although some doctors suggest that minors pay the $40 to $90 cost for the test in cash, many refer younger patients to STI or family planning clinics that offer low- or no-cost testing. The Jour
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Opinion Piece Examines Abortion-Rights Opponents' Response To Connection Between Recession, Abortion

In response to recent news reports from Reuters, the Associated Press and other media outlets tying the recession to an increase in demand for abortion, the antiabortion-rights community is arguing that women are "choosing their own material comfort over the life of their unborn children" -- an interpretation that is "wrong on several accounts" -- Double X contributor Anna Murphy Paul writes in an opinion piece."No one wants her most intimate decisions to be driven by money," but, at the same time, "opting not to have a child you can"t afford to raise can be a realistic and responsible -- if painful -- choice, one often based on taking good care of the kids you already have" Murphy Paul says. She continues, "Nor is the intrusion of economic concerns on childbearing a phenomenon of this recession, or even the loosening of sexual mores over the past half-century; historically, financial hardship has been an ever-present motivation for ending a pregnancy."Murphy Paul cites the results of a 2005 Guttmacher Institute survey that found that nearly three-fourths of respondents said that the reason they decided to have an abortion was that they "could not afford a baby right now," which was the second-most common reason. The report found that the top reason for having an abortion was that children would interfere with women"s education, work or ability to care for dependents, all "concerns that are also largely economic in nature," Murphy Paul writes. She notes that at the time the study was published, "the Dow was still riding high, and the housing bubble seemed it would never pop." Murphy Paul adds that a 1987 Guttmacher survey on the same subject produced results "almost identical" to the 2005 survey.However, "to hear the pro-life activists tell it, women aren"t really struggling with difficult choices -- they just don"t want to give up the luxuries to which they"ve become accustomed," Murphy Paul writes. Abortion-rights opponents promote offers of counseling and no-cost infant supplies provided through "pregnancy re centers" to support women who choose not to have an abortion, but such centers often provide misleading information or offer little assistance beyond the first few months after birth, she says."Pro-life activists are surely right about one thing: It"s tremendously sad when a woman decides that she can"t bring into the world a child whom under better circumstances she would have welcomed," Murphy Paul continues. However, the "harsh rhetoric about selfishness and irresponsibility help far less than an acknowledgement of -- and lasting aid with -- the true costs of raising a child," she writes. According to Murphy Paul, in "the absence of such help, the most responsible act is to face economic reality head-on. For some women, that may mean abortion" (Murphy Paul, Double X, 5/15).