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Chlamydia and infertility

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I had chylamidia when i was about 16/17 yrs old, I went to gum and was given treatment and cleared it, and haven't had it again, I went into a long term relationship and we didnt use protection and I never got caught pregnant, I was in that relationship for 5 yrs. I am now in a steady relationship with someone else and have been for nearly 2 yrs, we have decided we would like to start a family, but my partner also caught clyamidia 2 times when he was younger and also was treated succesfully. We have been haveing sexual intercourse about 3 times a week, for about a year and a half, and i'm still not pregnant. I'm starting to become very concerned, as I am panicking that I can't concieve. We are both 25. And want a child very much, we are ready to become parents. Can you help?

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replied January 28th, 2010
Infertility Answer A9577

Welcome to the ehealthforum and I am really glad to help you out. In females, chlamydia is the most common preventable cause of infertility. It may block the fallopian tubes by scarring which prevents the fusion of sperms and egg and causes the tubes to become blocked at the very ends. This is known as hydrosalpinx. Scar tissue can also develop around the fallopian tubes that makes it more difficult for the tube to "pick up" the egg at the time of ovulation. The problems can lead to infertility and an increased risk for ectopic (tubal) pregnancy. In males, chlamydia infection can affect sperm function and male fertility.

I would suggest both of you get a detailed examination from a fertility expert. You may need an ultrasound of the uterus, hysterosalpingography or diagnostic laparoscopy and semen analysis to confirm the diagnosis. Moreover the other causes of infertility like problems in ovulation, tubes, uterus, cervix, endometriosis, pituitary, hypothalamus or problems in the male genitourinary tract also need to be probed.

The exact cause for difficulty in conceiving can only be diagnosed by investigations to weed out the various possibilities and then confirm a diagnosis. I must admit that it’s not possible to make an online diagnosis as a physical examination is required for the same. I sincerely hope that helps. Take care.

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