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Untreated fungal infection

Hello dear medical team,

I am not usually a hypochondriac, but I have a small concern. This year, we want to start trying to conceive. In my annual check-ups, everything has always been fine. I have a fairly regular cycle, have never taken the pill, and have been tracking my temperature for months. The temperature curve is mostly good (of course, 1 or 2 cycles may have had a short high phase due to stress), otherwise it's 11 days of high temperature. Unfortunately, I read a newspaper article that said an untreated vaginal yeast infection can lead to infertility. This reminded me of something that happened about 10 years ago. I was 17 and knew something wasn't right (crumbly discharge, itching), but don't ask me why: I didn't go to the doctor. Every time my period came, the yeast infection would briefly go away (or lessen, or I would notice it less) and I thought, "It'll go away." Eventually, it went away on its own. (I can't remember exactly) but it was definitely 8 months... Totally embarrassing and absolutely incomprehensible but I can't change it. Since then, I had another yeast infection that went away immediately with suppositories and I have been fine since then. If I ever feel a slight itch, I use the yeast cream and everything is okay in a few hours. I go to the doctor every year and I even remember that in 2010 I had a swab done and the doctor said the environment was great. I even had a Chlamydia test done (I have never had unprotected sex but still wanted to have it tested once). Now to the current issue: I am very anxious because of this newspaper article. Although a vaginal ultrasound is done every year, I read that adhesions cannot be seen. So my question is: would I have noticed if bacteria had risen due to my previous untreated yeast infection and caused a fallopian tube infection or adhesions? Should I bring up this topic again with my gynecologist (she doesn't know about the previous untreated infection)? Thank you.

Dr. med. Frauke Gehring

Good day,

An inflammation of the fallopian tubes that leads to adhesions always comes with pain, which you would have definitely noticed! An infection that is not severe, so it does not cause swollen lymph nodes and pain, but only discharge and itching, does not ascend to the fallopian tubes. If you have endured a coming and going for months, a) it would not have been serious and b) it is even conceivable that it may not have always been fungal infections, but for example also hormonal discharge or sensitivity to cleansing lotions.

Please do not start your journey to fulfill your desire for children with unfounded fears, but simply enjoy the "practice"!

Warm regards,
Dr. Höllering

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Experte für Gynecology

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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