Ask a doctor on the topic of Gynecology

Functionality of the uterus after years of Chlamydia infection

March 24, 2013 | 25,00 EUR | answered by Dr. med. Ralf Berg

Hello,
thank you for the opportunity to ask a question! I (36 years old) tested positive for Chlamydia at the cervix during a visit to the gynecologist. Since I have not had any sexual intercourse for 4 years, it seems to be an infection that I have had for years without being treated. In the last 8 years, I have had 4 different types of intrauterine devices (both copper and hormonal), so an infection could easily have spread to the uterus and fallopian tubes. According to my information, such an untreated infection can lead to a dysfunction of the fallopian tubes. Since I still want to have children, I am very interested to know if (if the fallopian tubes were bypassed through artificial insemination) an untreated Chlamydia infection for years could reduce the likelihood of a fertilized egg implanting in the uterus, or if the likelihood of implantation is not reduced.
Thank you for your response!

Dr. med. Ralf Berg

Dear patient,

Even though there are no studies specifically for this case, it can generally be said that any chronic infection of the uterus can decrease the chances of implantation.

When the time comes and you have decided on artificial fertilization, one should investigate your suspicion. This means checking to see if there is actually a colonization of Chlamydia in the uterus.

In addition to direct detection of the pathogen in the uterus through a swab, one can also search for Chlamydia antibodies in the blood. In the case of a positive result, the infection should be treated before implantation.

I hope I was able to answer your question satisfactorily. Conclusion: Yes, Chlamydia infection reduces fertility/implantation but 1. it can be detected promptly and should be treated before implantation in the case of a positive result.

Best regards, Dr. R. Berg