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Could a previous bout of chlamydia have returned?

by Dr Howard Lee

question
I'm 30 and my husband is 35 and we have been trying for a baby for nine months now with no success. About seven years ago (before I met my husband), I was diagnosed with the STI chlamydia. I was prescribed antibiotics, but foolishly stopped taking them when the symptoms disappeared (probably only half the prescribed course). I then got on with my life - the symptoms never returned and I never went back to the clinic.

About 18 months ago and while I was still on the Pill I started having slight spotting (breakthrough bleeding), usually a couple of days after my period. I visited my GP and she changed my contraceptive Pill twice, but it still happened. I have now been off the Pill for nine months and I still get the breakthrough, which has now happened mid-cycle along with a tingling/smarting sensation that isn't going away.

I have been reading articles on the Internet which state that most infected people don't always show symptoms and I'm now really worried that I've still got chlamydia, or that it could now be PID. I have booked an appointment for a test but could you advise on what the probability is of having blocked fallopian tubes due to this infection, and whether it is possible to unblock them?



answer
It is difficult for me to make specific comments about your particular situation, as I am not in possession of your complete fertility history. Your account of your menstrual pattern does seem to support an ovulation pattern - the mid-cycle 'spotting', for instance. One of the most important questions would be to ask if either you or your husband have had any children, either in your current relationship or a previous one.

Some people - male and female - can be very fertile, some not so fertile. In about 20 cases per 100 there is a male factor involved in the infertility. Remember that fertility problems are very common - affecting 15 per cent of all couples. For about 50 per cent, a pregnancy will be achieved in the first 2-3 months; for 10 per cent it will take a year or more.

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