Can Chlamydia Cause a Miscarriage?

Woman in Blue Holds Her Pregnant Belly
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A chlamydia diagnosis might have you wondering if your pregnancy could be at risk. Chlamydia is one of the most common sexually transmitted diseases (STD), with as many as 1 to 2 million new infections diagnosed each year. But what are the risks of chlamydia infection during pregnancy?

Does Chlamydia Cause Miscarriage?

There is some evidence that chlamydia infection could play a role in miscarriages: 

  • In 2011, a Swiss study of blood, vaginal fluid and placenta samples from women found a higher rate of signs of chlamydia in women who miscarried than in women who carried their babies to term. This supports the idea that there is an increased risk of miscarriage in women who are infected with chlamydia.
  • And in a 2017 review, researchers describe two additional microorganisms that are similar to chlamydia: W. chondrophila and P. acanthamoebae.

Other Problems Caused by Chlamydia 

To add to that, according to the Centers for Disease Control and Prevention (CDC), untreated chlamydia can increase the risk of:

Your baby may also become infected with chlamydia during birth if you're not being treated for it, and this can cause eye and lung infections.

Having had a past chlamydia infection may also increase the risk of ectopic pregnancy, in part by increasing the risk of pelvic inflammatory disease. Unfortunately, an ectopic pregnancy is not a viable pregnancy. A prior infection may also cause fertility problems.

Chlamydia During Pregnancy

Not surprisingly, this evidence suggests that it is a good idea to protect yourself from chlamydia before and during pregnancy and to have it promptly treated if you do acquire it. Although researchers do not fully understand the relationship between chlamydia and miscarriage, getting treatment is always a good idea if you have any STD.

You should be tested for chlamydia at your first prenatal visit and again in your third trimester if you're considered to be at high risk for the STD. Testing is done on a urine sample or a sample of vaginal fluid taken with a swab.

Most women don't have symptoms with chlamydia. If you're pregnant and do have symptoms, you may experience:

  • Abnormal vaginal discharge
  • Bleeding after sex
  • Itching/burning with urination

Treatment for Chlamydia

If you feel you have symptoms of chlamydia or that you may be at risk, promptly talk to your doctor about testing and treatment. Fortunately, treatment is very simple.

During pregnancy, you can be safely treated for chlamydia with a single dose of an oral antibiotic called azithromycin. After that, you should be tested within three to four weeks to make sure the infection has cleared up. You may also be tested for chlamydia again later in your pregnancy, just to be sure you haven't reacquired it.

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  1. Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2017. Published September 2018.

  2. Baud D, Goy G, Jaton K, et al. Role of Chlamydia trachomatis in miscarriageEmerg Infect Dis. 2011;17(9):1630–1635. doi:10.3201/eid1709.100865

  3. Ammerdorffer A, Stojanov M, Greub G, Baud D. Chlamydia trachomatis and chlamydia-like bacteria: new enemies of human pregnancies. Curr Opin Infect Dis. 2017;30(3):289-296. doi:10.1097/QCO.0000000000000369

  4. Centers for Disease Control and Prevention. STDs during Pregnancy - CDC Fact Sheet (Detailed). Updated February 11, 2016.

  5. Malhotra M, Sood S, Mukherjee A, Muralidhar S, Bala M. Genital Chlamydia trachomatis: an updateIndian J Med Res. 2013;138(3):303–316.

  6. Centers for Disease Control and Prevention. Chlamydia Treatment and Care. Updated December 9, 2016.