Can Recurrent UTIs Lower Fertility in Women?

Recurrent urinary tract infections (UTIs) are common, particularly in women, and may impact fertility. Chronic UTIs can cause pelvic inflammation, alter vaginal pH, or interfere with ovulation and sperm function, making conception more difficult. Symptoms like painful intercourse and frequent urination may also confuse early pregnancy signs. Understanding how persistent UTIs affect reproductive health is crucial if you are trying to conceive.

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Chronic UTIs may impact fertility by causing scarring or imbalances that affect conception. These infections might also alter cervical mucus or introduce bacteria to other pelvic areas, which can indirectly influence reproductive health.



The symptoms of UTIs can sometimes overlap with conditions like pelvic inflammatory disease, complicating fertility assessments. Additionally, antibiotics used to treat this condition may disrupt the vaginal microbiota, which is important for sperm survival.

While this condition alone might not directly prevent conception, its effects on the reproductive system could influence fertility over time. If you are trying to conceive and have frequent UTIs, it may be worth consulting a healthcare professional to address any potential concerns.


Recurrent UTIs: An Overview

Recurrent UTIs are defined as repeated episodes of urinary tract infections, typically occurring as two infections within six months or three within a year. These infections primarily affect the bladder but can also spread to the urethra and kidneys.

While recurrent UTIs are common, it’s important to address them, especially when trying to conceive, as they can influence the balance of the vaginal and reproductive environment.

UTIs are more common in those assigned female at birth and are typically characterised by symptoms such as burning urination, frequent urges to urinate, and lower abdominal discomfort.

Although manageable, frequent UTIs may benefit from medical guidance to ensure they don’t interfere with fertility. By seeking treatment and maintaining good urinary health, you can support your overall reproductive well-being during your journey to conception.



Causes of Recurrent UTIs

Understanding the aetiology of recurrent UTIs is essential in formulating prevention and treatment approaches. The most common causes include the following:

  • Bacterial contamination: Mainly E. coli originates in the bowel and migrates to the urinary tract.
  • Sexual activity: Friction and the introduction of bacteria during intercourse can trigger infections.
  • Poor hygiene practices: Wiping improperly or using irritants such as perfumed soaps may contribute.
  • Underlying health issues: Including but not limited to diabetes, hormonal issues, or kidney stones.
  • Incomplete treatment: Partial antibiotic treatment may suppress symptoms without completely eradicating the bacteria, allowing for recurrent infections.
By reducing these triggers, you can start addressing recurrent infections, particularly when it comes to fertility.


Can UTIs Affect Fertility?

Although typically separate from the reproductive system, recurrent infections can, over time, have an impact on fertility.



  • Pelvic inflammation and scarring from repeated UTIs

Chronic UTIs can sometimes spread beyond the bladder to the upper urinary or reproductive tracts. This might lead to inflammation or scarring in nearby reproductive tissues, which may affect the passage of eggs, particularly around the fallopian tubes or ovaries.

As a result, fertilisation could become more challenging. Managing recurrent UTIs with the help of a healthcare professional can support your reproductive health and improve your chances of conception.



  • The UTI-fertility connection: bladder vs. reproductive tract

Although the urinary and reproductive systems are separate, they are located close to each other. Repeated infections can alter the microbial and pH balance in the pelvic area.

These imbalances may affect vaginal health, disrupt cervical mucus, and create an environment less favourable for sperm survival, making fertilisation more difficult, even if ovulation is regular. Managing urinary health and addressing recurring infections can help support a healthy environment for conception.




Effects of Chronic UTIs on Reproductive Organs

Recurrent UTIs may ultimately lead to changes within the reproductive arena, which might lower the chances of successful conception.


  • Vaginal pH and sperm motility

One often overlooked effect of recurrent UTIs is on vaginal pH. The vagina maintains an intrinsic acidic condition for protection against infections; however, prescription medications against UTIs may alter this condition. Sperm motility and lifespan are possibly reduced by such conditions, reducing their ability to reach and fertilise the egg.


  • Risk of misdiagnosed pelvic inflammatory disease (PID)

The chronic condition of pelvic pressure may mimic urinary symptoms that a patient may easily misinterpret as a UTI; however, the real disease of concern could be suspicion of PID-acquired infection.

Untreated or poorly managed PID can cause lasting damage to the fallopian tubes and uterus, impacting fertility. It's important to have persistent symptoms evaluated by a healthcare professional to prevent long-term effects on your reproductive health.



UTI Symptoms That May Mask Fertility Concerns

Recurrent urinary tract infections can present symptoms similar to those of fertility issues or early pregnancy, which may cause confusion or delay diagnosis and treatment. It’s important to seek medical advice if you notice any persistent symptoms, to ensure timely diagnosis and proper care.



  • Painful intercourse and ovulation confusion

Pain during or immediately following intercourse is a common UTI sign that could potentially indicate ovulatory issues or may signal inflammation in the reproductive tract. Overlapping symptoms detract from detection when something more serious may be affecting fertility.


  • Mistaking UTI symptoms for early pregnancy signs

The other classic signs of early pregnancy are increased frequency of urination, fatigue, and lower abdominal discomfort. If relying solely on these symptoms, it can lead to false hope during TTC or, even worse, a completely missed ovulation window.



When UTIs Interfere with Trying to Conceive (TTC)

If you are trying to conceive and experiencing recurrent UTIs, it’s worth considering how these infections might affect your fertility. Frequent UTIs can cause discomfort during intercourse, alter your cervical mucus, and create stress from repeated infections or the need for antibiotics. These factors can disrupt the intimacy and excitement that often come with the process of conceiving.

While this condition may not directly prevent conception, it can impact the reproductive environment in subtle ways. For instance, repeated infections can alter the pH or microbial balance in the vaginal area, which can make it more difficult for sperm to survive and reach the egg. Stress from ongoing infections might also affect your overall health and fertility.

If you are dealing with recurrent UTIs while trying to conceive, it’s a good idea to consult with a healthcare professional. They can help assess your situation and recommend treatments to support your fertility. Taking steps to address these issues can help make your journey to conception more manageable and less stressful.



Prevention and Protection: Guarding Your Fertility from UTIs

One of the best preventive measures for recurrent UTIs is taking steps to protect your fertility and comfort.


  • Hygiene habits

Basic hygiene rules: always wipe front to back, avoid using harsh soaps or douches, and urinate before and after intercourse. Wearing cotton underwear may also inhibit bacterial growth, allowing breathing and avoiding prolonged dampness (e.g., post-gym or swimwear).


  • Safe sex practices while TTC

Inevitably, sex increases as people try to conceive, as well as exposure to UTIs. Non-spermicidal lubricants, hygiene for sex toys, and keeping both partners clean usually do much to reduce the chances of getting infections post-coitus.


  • Probiotics and UTI prevention

Probiotics- lactobacillus, in particular, can contribute positively towards a well-vaginal microbiome, for a relatively lower incidence of UTIs. Thus, as doctors prescribe, including yoghurt, kefir, or special supplements in your TTC journey may be effective.



Holistic Healing: Managing Recurrence Without Compromising Fertility

In the case of repeated infection, consider more natural management approaches that might minimally interfere with your reproductive aims.


  • Herbal remedies and an anti-inflammatory diet

Some herbal extracts, such as cranberry, uva ursi and d-mannose, may reduce bacterial adhesion to the urinary tract. In the same way, an anti-inflammatory diet with berries, leafy greens, omega-3s, and whole grains might help your body eliminate recurrent infections and help with hormonal balance.


  • Water intake and bladder support

Adequate daily water intake helps wash away bacteria from the urinary tract. To promote the bladder's lining, add bladder-helping teas like marshmallow root or corn silk. Always consult a healthcare professional before starting any herbs or supplements while trying to conceive.


When to Seek Professional Help

If you have a UTI more than once every couple of months, especially with abnormal discharge, pelvic pain, or fever, it’s best to see a doctor. You might need some tests like pelvic ultrasound, urine culture, or STI screening to rule out other causes that may affect your infertility.

In situations where the usual treatments aren't stopping recurrences, they can suggest sex-specific approaches advanced by urologists or physicians in reproductive health, including extended antibiotic protection, pelvic floor rehabilitation, or immunotherapy.


Recurrent UTIs can affect your path to parenthood if not properly managed. By understanding how these conditions develop and taking proactive steps to maintain both urinary and reproductive health, you can support your fertility. Being mindful and addressing any concerns early can help you balance managing infections with your efforts to conceive.

If you have been dealing with UTIs while trying to conceive, it’s best to prioritise your health and comfort. Seeking the right support can help you move forward with confidence in your journey.


FAQs on Can Recurrent UTIs Lower Fertility in Women?

  1. Can I still conceive if I keep getting UTIs every month?
    Yes, conception can take place; however, monthly UTIs may alter your vaginal pH, cervical mucus, and overall reproductive well-being factor. It may be helpful to speak with your healthcare expert about how often you're trying and whether there might be any underlying reasons affecting your ability to conceive.
  2. Are antibiotics for UTIs harmful when trying to get pregnant?
    Most antibiotics prescribed for UTIs are safe when trying to conceive, but extended or repeated use may disrupt the vaginal microbiome or, in some individuals, interfere with ovulation. As always, follow your doctor's instructions and discuss any fertility concerns before beginning treatments.
Disclaimer: Medically approved by by Dr Savitha Shetty- Senior Consultant Obstetrician and Gynaecologist at Apollo Hospitals, Sheshadripuram