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Chlamydia when wanting children
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Contact with chlamydia (Chlamydia trachomatis), bacteria that are transmitted primarily through sexual intercourse, can cause inflammation in the region of the groin. Many women and men have had contact with chlamydia in their lives. This can be detected in a blood test, which can be performed in your TFP clinic. Chlamydia infections can manifest in different ways and exhibit different symptoms in women and men. The insidious thing about the disease, however, is that most of those affected are unaware of the inflammation, and the bacteria are thus passed on unchecked.
Symptoms
If symptoms occur, women may experience severe lower abdominal pain with inflammation of the fallopian tubes and ovaries (pelvic inflammatory disease), intermenstrual bleeding, purulent vaginal discharge, high fever, and acute worsening of one's general state of health. Urinary tract infections can also occur.
In men, urinary tract infections occur along with burning upon urination, pain during sex, increased watery or even purulent discharge from the penis, and inflammation of the prostate.
Therapy
If inflammation due to chlamydia is detected, it should be treated with antibiotics immediately. It is essential to ensure that the partner is also treated. Antibiotics such as azithromycin or doxycycline are used. The duration of the therapy and the dose of the drugs are set based on the extent of the inflammation.
Consequences for fertility
Inflammation due to chlamydia can have serious consequences for the fallopian tubes as well as for the lining of the uterus. Even when no symptoms are present, the Chlamydia bacteria can adhere to the fallopian tubes (see adherent fallopian tubes) and subsequently lead to ectopic pregnancies and childlessness. Moreover, this cannot be remedied by antibiotic treatment. Once the fallopian tube is lastingly damaged, it will only very rarely be able to completely regenerate without medical intervention. In addition, Chlamydia bacteria can permanently adversely affect the environment of the uterine lining and are suspected of leading to multiple miscarriages as well as childlessness.
In men, the consequences of untreated inflammation as a result of chlamydia can include chronic urinary tract infection with pain in the testes and epididymides. The prostate may be affected by the growth of the bacteria, eventually leading to impairments of one's fertility with negative changes in one's sperm quality.
A chlamydia infection is therefore a common reason why couples have to present to a TFP fertility clinic over the course of their lives. Here, individual diagnostic procedures (spermiogramm, tubal patency assessment, hysteroscopy) can be initiated, and therapies such as IVF or ICSI planned and performed.
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