Do genital infections hinder conception?

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Catherine Le Nevez
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"About a third of the cases of infertility that we see depends on reproductive system infections, and this applies to both men and women. "Word of the gynecologist Valeria Savasi, head of assisted reproduction of the Sacco Hospital in our city and expert in infections in pregnancy. Which therefore raises an important issue for anyone looking for of a pregnancy, or intends to safeguard her chances of having one in the future.



Not all infections, however, are equally "dangerous" for fertility. We see.

In this article

 



  • Uterine infections, the most risky
  • Because they can hinder pregnancy
  • The role of cervical mucus
  • How cervical infections are diagnosed
  • How cervical infections are treated
  • Vaginal infections: annoying, but do not prevent pregnancy
  • How to diagnose vaginal infections
  • How vaginal infections are treated

Uterine infections, the most risky

"The infections that can cause fertility problems are the ones that affect the cervix, therefore said cervical and caused by microorganisms such as Chlamydia, mycoplasma or uroplasma "says the gynecologist Rossana." They are infections that are sexually transmitted and generally do not give symptoms, so they tend to go unnoticed. Only sometimes can they lead to a little fever and pelvic pain. "(Read also: Chlamydia in pregnancy)



Because they can hinder pregnancy

"These infections - which can be single or caused by multiple bacteria at the same time - can cause achronic inflammation of the endometrium, the inner lining of the uterus "explains Savasi. It is precisely the inflammation that prevents theimplantation of the embryo, or to lead to repeated miscarriages in the first trimester. "



"Not only that: some infections, and in particular that of Chlamydia, can lead to anatomical damage, with occlusion (ie closure) of the tubes, which directly prevents conception".

The role of cervical mucus

It has also long been thought that cervical infections could hinder conception by changing the characteristics, and in particular the pH, of cervical mucus. This would make the cervical environment hostile to the survival of the sperm, resulting in their death.

"In reality, it is now thought that the problem is more related to sperm quality same as that of mucus "says Savasi." The point is that often the same infections are present not only in the woman, but also in her partner, where in the long run they can cause anomalies in the composition of the seminal fluid and in the motility of spermatozoa, which are already compromised ".

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How cervical infections are diagnosed

"For the diagnosis you need a cervical swab (the simple vaginal swab is not enough), which is not a routine examination and is not part of the preconceptional examinations, but is prescribed by the gynecologist only if the couple has problems with conception or before embarking on the assisted fertilization process "he says. This is because the same techniques of MAP could favor the propagation of these germs and the spread in the tubes, worsening the situation. (Read also: Cervical infections can be risky even during pregnancy)

How cervical infections are treated

Once the responsible germ is identified, cervical infections are treated with specific antibiotics. "They are all treatable" reassures Savasi. "What is certain is that if you get to therapy after years of settlement from the infection, it is not certain that the damage can be eliminated that the infection itself has caused over time. "For this reason, according to the expert, it would be advisable, once in a while, to take a swab to see how things are going.

It is not an official indication (therefore it is not an exam passed by the NHS) if there is not already a diagnosis of infertility or difficulty in conceiving or repeated miscarriages, but it could be a useful strategy for preserve fertility, especially if you tend to change sexual partners frequently, a condition that increases your risk of getting these infections.

Vaginal infections: annoying, but do not prevent pregnancy

On the other hand, infections involving the vaginal canal, such as fungal infections, for example Candida, or bacterial infections, such as Gardnerella, Streptococcus and Escherichia Coli, which are of intestinal origin and can colonize the vagina and bladder passing through the lymphatic vessels.

"Vaginal infections do not cause fertility problems precisely because they stop at the vaginal level and do not reach the neck of the uterus, where the spermatozoa 'stay'" underlines.

How to diagnose vaginal infections

They usually give quite noticeable symptoms, such as burning, itching, and foul-smelling discharge. In this case the diagnosis is practically certain. If in doubt, the gynecologist can prescribe a vaginal swab, which allows you to accurately identify the responsible bacterium or fungus.

How vaginal infections are treated

With specific ointments and ovules. Only in the most stubborn cases may oral therapies be necessary.

Read also: Chlamydia in pregnancy

Questions and answers

Can Uterine Infections Hinder Pregnancy?

Yes. These infections can cause chronic inflammation of the endometrium, which can prevent implantation of the embryo, or lead to repeated miscarriages in the first trimester.

How is cervical infections diagnosed?

For the diagnosis, a cervical swab is required, which is prescribed by the gynecologist only if the couple has problems with conception or before embarking on the assisted fertilization process.

Can Vaginal Infections Hinder Pregnancy?

Infections involving the vaginal canal, such as fungal infections, such as Candida, or bacterial infections, such as Gardnerella, Streptococcus and Escherichia Coli, are harmless for the purpose of conception.

TAG:
  • infection
  • chlamydia
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