A positive Chlamydia trachomatis in women means that a woman has a chlamydial infection, which is a sexually transmitted disease. The diagnosis can be confirmed by sampling vaginal, cervical, or urethral secretions. Most women who are positive for chlamydia may have no symptoms, but only a very small percentage of women may have increased vaginal discharge, increased cervical discharge, or more discharge or odor from the urethra. Chlamydia infection can be caused by close contact through sexual intercourse or underwear, so when a woman has a positive chlamydia test, she needs to be treated with macrolide antibiotics, such as azithromycin and clindamycin, for 7-10 days, and then rechecked after treatment.