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.
Pay now, then choose your time right away. Full refund if you cancel 24 hours or more ahead.
See the cancellation policy
You can cancel for a full refund or change the time up to 24 hours before your visit. Within 24 hours you can't cancel and there's no refund. If you don't join in the first 10 minutes, there's no refund.
If you choose a time less than 24 hours away, it can't be cancelled or changed.
If the clinic can't see you, for example because of a technical problem on our side, we refund you in full.
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 an online 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
Video doctor visits 24/7 — book online and choose your time right away.
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 has a published price, with no membership, and includes the lab order. You pay the lab for the tests. To go over your result with the doctor, you book a lab results review. You pay by card when you request the visit, and you get a full refund if the clinic can’t see you. See all prices.
Video visit
Doctor visit
$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 clinic can’t see you
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’s 2021 STI Treatment Guidelines, the first-line treatment is doxycycline for 7 days, and a single dose of azithromycin is one of the alternatives; in pregnancy, the CDC recommends azithromycin. If appropriate, the doctor chooses the one that fits your case. More on when antibiotics are prescribed by telehealth.
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.
To prevent another infection: if you are a man who has sex with men or a transgender woman and you had a bacterial STI in the past 12 months, the CDC (2024) recommends doxy-PEP, one dose of doxycycline within 72 hours after sex. The doctor works out with you whether it is appropriate, and whether HIV PrEP makes sense for you too.
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 had unprotected sex and don’t want to get pregnant, the Plan B pill works best the sooner you take it.
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)
Why a video visit
| Comparison | By video | Emergency room |
|---|---|---|
| Getting there | From home: join from your phone, tablet or computer. | Drive and find parking. |
| Hours and time | Every day, any time (Puerto Rico time). Video doctor visits 24/7 — book online and choose your time right away. | In Puerto Rico, a median of 4 h 52 min from arrival to departure for patients sent home (US: 2 h 42 min; Oct 2024–Sep 2025).1,2 |
| Price | $79 visit · $49 follow-up · $35 forms. You see it before you pay; no insurance needed. | Depends on your insurance and on what is done. |
For problems that are not emergencies. In an emergency, call 911.
Table sources
- 1. CMS Care Compare, “Timely and Effective Care – State”, measure OP-18b: median time in the emergency department, arrival to departure, for patients sent home (opens in a new tab), data for Oct 2024–Sep 2025 (accessed 2026-10-02)
- 2. CMS Care Compare, “Timely and Effective Care – National”, measure OP-18b (US figure) (opens in a new tab), data for Oct 2024–Sep 2025 (accessed 2026-10-02)
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.
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?
What antibiotic treats chlamydia?
When can I have sex again?
Does my partner need treatment?
Related topics
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: 2026-10-11
Sources (6)
- 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)
- CDC (MMWR 2024): Guidelines for the Use of Doxycycline Post-Exposure Prophylaxis for Bacterial STI Prevention (opens in a new tab) (accessed 2026-10-09)
- Ectopic pregnancy (MedlinePlus, NIH) (opens in a new tab) (accessed 2026-10-02)