From the Departments of Venereologyt, Bristol Royal Infirmary, and the Royal United Hospital, Bath, the Public Health Laboratory*, Bristol, and the Family Planning Association Clinict, Bristol Royal InfirmaryThe first genital tract isolates of Chlamydia A were obtained from parents of babies suffering from TRIC ophthalmia neonatorum, by growth in the yolk sac of fertile eggs (Jones, Collier, and Smith, 1959;Jones, Al-Hussaini, and Dunlop, 1964). It was noted that the fathers of these babies were frequently suffering from non-gonococcal urethritis (NGU) and that the mothers often showed changes in the cervix. The isolation of Chlamydia from two of nine unselected males suffering from NGU confirmed the association of these organisms with non-specific genital infection (Dunlop, Al-Hussaini, Garland, Treharne, Harper, and Jones, 1965 (Dunlop, Vaughan-Jackson, Darougar, and Jones, 1972;Oriel, Reeve, Powis, Miller, and Nicol, 1972;Richmond, Hilton, and Clarke, 1972) and that they are only rarely isolated from equally promiscuous men without urethritis (Oriel and others, 1972; Richmond and others, 1972).However, a similar isolation rate was shown in men suffering from gonorrhoea (G) (Richmond and others, 1972) which threw doubt on whether a chlamydial infection was the initial cause of NGU, and raised the possibility that urethritis of any cause activated an existing but quiescent chlamydial infection in the male urethra. This activated infection appeared to be pathogenic since Chlamydia-positive patients with G were much more prone to develop post-gonococcal urethritis (PGU) than Chlamydia-negative G patients, and since the isolation rate of Chlamydia in men with NGU who had a long-standing untreated urethral