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undiagnosed chlamydia 3 years, 5 months now infertile?

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I had undiagnosed chlamydia for 3 years, five months. This occurred shortly after the placement (1 month) of the Mirena IUD with a long term partner who cheated. I didn't have any symptoms of chlamydia. I did have cramping which I believed was due to the IUD. I was celibate the years after I broke up with him, and mistakenly believed that everything was fine. I did have a fever about a year ago with a little lower back pain, but nothing in the uterus so I did not think it was PID at the time. Also, I have no period with the Mirena. If you had to guess, in your experience, what is the percentage likelihood that I am now infertile? I just finished a course of antibiotics to clear things up. The IUD will be removed at the doctor's office in a few months. Please don't be afraid to give me bad news. I am 25-years-old. Thank you.

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replied April 18th, 2012
Infertility Answer A34019
Welcome to ehealthforum,
Chlamydia infection if left untreated can lead to infertility (the chances are higher as it remains asymptomatic for a long time, and hence underdiagnosed). Having unprotected intercourse with infected partner can easily transfer infection to you. If left untreated, bacteria moves to uterus, infects the fallopian tube thus causing damage which can lead to tubal scarring and block and infertility (seen in almost 20% of women with infection). If you are planning for pregnancy, you should consider getting thorough infertility work-up done (along with HSG scan and hysteroscopy to look for patency of the reproductive tract). Sometimes, removal of scar tissues and tubal recanalization (if blocked) can improve your chances of pregnancy. Visit your doctor/gynecologist at the earliest for further evaluation and assistance.
Take care.

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