Problem
Complaint: A 19-year-old woman comes in for her annual women's health examination and oral contraception refill. She has no physical complaints. She admits to being sexually active with her male partner of 1 month.
The patient has been sexually active since the age of 14. At age 15, she contracted chlamydia and received treatment. She did not return for follow-up after her antibiotic treatment. Her preferred method of contraception is combined oral contraceptives. She does not like to use condoms, because they ruin sexual spontaneity. She is allergic to doxycycline. Currently, she does not have medical insurance.
Her vital signs are temperature 98.6°F, pulse 80, blood pressure (BP) 100/60 mm Hg, weight 100 pounds, and height 5'2". Physical examination reveals external genitalia are without lesions, erythema, visible discharge, or the presence of nits or lice. Cervical speculum examination reveals a vaginal vault that is pink with and clear discharge. Cervix is anterior, midline, and pink, without lesions or visible discharge. Swab of the endocervix is sent for gonorrhea and chlamydia screening.
Laboratory Results: Laboratory results are positive for chlamydia, but negative for gonorrhea. Urine pregnancy test is negative.
a) What is the management plan for a patient with chlamydia?
b) What education does the patient need?