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Chlamydia symptoms in women Chlamydia symptoms in women include: itching or burning in or around the vagina abnormal vaginal discharge (secretion) that may have an unusual colour or smell bleeding between periods and abnormally painful or heavy periods pain and bleeding during sex lower abdominal pain These symptoms can also be signs of health conditions such as hormonal changes, yeast infections, and endometriosis, so it can be difficult to diagnose chlamydia based on symptoms alone