Chlamydia positivity may lead to infertility. Chlamydia infection is a common sexually transmitted disease, and if left untreated, it may lead to complications such as pelvic inflammatory disease and tubal adhesions, which in turn can affect fertility. Chlamydia infection is mainly transmitted through sexual contact, and may present with no obvious symptoms or only mild urinary pain and increased secretions after infection. Long term infection of Chlamydia in the female reproductive tract can lead to inflammation of the fallopian tubes, causing damage to the cilia function of the tubes, narrowing or obstruction of the lumen, and hindering sperm egg binding and fertilized egg transport. Male infections may cause epididymitis or epididymitis, affecting sperm quality and transport function. Chlamydia infection can also increase the risk of ectopic pregnancy, as fallopian tube lesions may cause fertilized eggs to implant in abnormal locations. Some individuals infected with Chlamydia may not have significant damage to their reproductive system, especially those detected early and treated promptly. However, individuals with recurrent infections or long-term untreated conditions are more prone to infertility related complications. Infertility caused by chlamydia infection is mostly reversible, and the pathogen can be eliminated through standardized antibiotic treatment such as azithromycin tablets and doxycycline capsules. However, the structural damage to the fallopian tubes that has already formed may require assisted reproductive technology intervention.
It is recommended that reproductive age individuals who engage in sexual activity undergo regular screening for chlamydia and seek medical attention promptly when symptoms of the urinary and reproductive system occur. Avoid sexual contact during treatment, and partners should receive synchronized treatment to prevent cross infection. Daily attention to safe sexual behavior protection, keeping the external genitalia clean and dry, and enhancing immunity can help prevent infection recurrence. If pregnancy preparation is unsuccessful for more than one year, a reproductive system assessment should be conducted to rule out potential factors such as chlamydia infection.
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