Chlamydia Infection and Pregnancy: What You Need to Know - Obstetrics and Gynecology

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Hello, Dr.
Wei.
I apologize for the intrusion and appreciate your understanding.
I would like to ask the following questions:
1.
I want to become pregnant, but I have previously been infected with Chlamydia, and it has recurred after treatment.
What should I do? Does this mean I cannot get pregnant if it hasn't been fully treated?
2.
If I contract Chlamydia during pregnancy, will it affect the fetus?
3.
What methods are used to test for Chlamydia? Is it through a Pap smear or a blood test?
4.
Regarding health supplements, can pregnant women consume propolis?
I would be very grateful for your response.
Thank you!

Rita, 30~39 year old female. Ask Date: 2001/02/20

Dr. Wei Fumao reply Obstetrics and Gynecology


1.3.
Find a medical center to test for infections and receive treatment (which can be done through blood tests or cervical cultures).
2.
Late pregnancy infections have a significant impact on newborns, increasing the risk of premature rupture of membranes, preterm birth, and making the fetus more susceptible to conjunctivitis and pneumonia.
4.
I apologize, but I am not very familiar with health supplements.

Reply Date: 2001/02/20

More Info


Chlamydia infection, also known as chlamydia, is a common sexually transmitted infection (STI) that can have significant implications for both women and their pregnancies. Here’s a comprehensive overview addressing your questions regarding chlamydia and its impact on pregnancy.

1. Previous Chlamydia Infection and Pregnancy: If you have previously been treated for chlamydia but suspect a recurrence, it is crucial to seek medical advice before attempting to conceive. Untreated chlamydia can lead to complications such as pelvic inflammatory disease (PID), which may affect fertility. If you have been treated and are symptom-free, it is generally safe to try to conceive. However, it is advisable to get retested to ensure the infection has been cleared completely. If you are still experiencing symptoms or have concerns about a recurrence, consult your healthcare provider for appropriate testing and treatment.

2. Impact of Chlamydia During Pregnancy: If a pregnant woman contracts chlamydia, there can be risks to both the mother and the fetus. Chlamydia can lead to complications such as preterm labor, low birth weight, and the risk of passing the infection to the baby during delivery, which can result in conjunctivitis or pneumonia in the newborn. Therefore, it is essential to get screened for STIs, including chlamydia, during pregnancy, especially in the first trimester, and to follow up with treatment if necessary.

3. Testing for Chlamydia: Chlamydia is typically diagnosed through laboratory tests. The most common method is a nucleic acid amplification test (NAAT), which can be performed on urine samples or swabs from the cervix or urethra. A Pap smear (cervical cytology) is not specifically designed to detect chlamydia, but it can identify other cervical issues. Blood tests are not used to diagnose chlamydia. If you suspect you have chlamydia or have been exposed, it is important to get tested as soon as possible.

4. Propolis and Pregnancy: Propolis, a natural substance produced by bees, is often marketed as a health supplement due to its purported antimicrobial and anti-inflammatory properties. However, there is limited research on the safety of propolis during pregnancy. While some women may choose to use it, it is always best to consult with a healthcare provider before taking any supplements during pregnancy. The potential risks and benefits should be carefully weighed, and your doctor can provide personalized advice based on your health history and current condition.

In conclusion, if you are planning to conceive and have a history of chlamydia, it is essential to ensure that the infection is fully treated and resolved. Regular screenings during pregnancy are crucial for the health of both the mother and the baby. If you have any concerns or symptoms, do not hesitate to reach out to your healthcare provider for guidance and support. Taking proactive steps in managing your reproductive health can lead to a healthier pregnancy and outcome.

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