Gonorrhea Infertility: What You Need to Know

Gonorrhea is a common sexually transmitted infection, but many people don’t realize it can mess with the ability to have children. The bacteria can damage the tubes that carry sperm or eggs, scar the lining of the uterus, and even inflame the prostate. These changes often happen without obvious symptoms, so you might think you’re fine while fertility slips away.

How Gonorrhea Affects Fertility

In women, untreated gonorrhea can spread to the upper genital tract and cause pelvic inflammatory disease (PID). PID harms the fallopian tubes, making it hard for an egg to travel to the uterus. Even a small blockage can lower the chance of pregnancy or raise the risk of an ectopic pregnancy.

Men face a different set of problems. The infection can travel to the epididymis, the tube that stores sperm, leading to epididymitis. Swelling and scar tissue here reduce sperm count and motility. Some studies show that a single episode of gonorrhea can cut sperm concentration by up to 30 percent.

What You Can Do Now

If you suspect you’ve been exposed, get tested. A simple urine test or swab can confirm the infection in minutes. Early treatment with antibiotics usually clears the bacteria and prevents long‑term damage. Even after treatment, it’s wise to have a follow‑up exam to check the health of your reproductive organs.

Protecting yourself from future infections is just as important. Using condoms every time you have sex cuts the risk of gonorrhea by more than half. Regular STI screening—at least once a year if you’re sexually active—helps catch problems before they become permanent.

For couples already trying to conceive, a fertility work‑up can reveal if gonorrhea caused any blockage. In many cases, surgery can repair scarred fallopian tubes or remove infected tissue from the epididymis, restoring fertility chances.

Bottom line: gonorrhea isn’t just a nasty sore; it can quietly undermine your plans for a family. Testing, prompt treatment, and safe sex are the three pillars that keep the infection from stealing your reproductive future. Stay informed, act fast, and protect your chances of having kids when you’re ready.