Gonorrhea can lead to infertility and other health effects if left untreated. Antibiotic treatment can cure gonorrhea and reduce your chance of long-term complications.

Infertility is a complication of untreated gonorrhea in both men and women.

In women, untreated gonorrhea can cause pelvic inflammatory disease, an infection of the female reproductive organs, which can lead to infertility.

In men, untreated gonorrhea can cause epididymitis, an inflammation of the tube behind the testicles that holds sperm. The infection can lead to fertility issues via blocked sperm ducts.

This article takes a closer look at how untreated gonorrhea can affect fertility in men and women, and how to avoid these complications.

When left untreated, gonorrhea can move into the uterus, fallopian tubes, and ovaries.

This can lead to infertility as it can cause:

When the fallopian tubes are blocked, it leads to infertility because the egg and sperm cannot meet. This is termed tubal factor infertility (TBI). TBI accounts for around 30% of infertility cases in females.

Gonorrhea may also pass to a newborn during delivery and may cause an eye infection. However, certain medications can prevent gonorrhea from affecting a developing pregnancy or transmitting during childbirth.

If you have a penis, untreated gonorrhea can also lead to infertility, according to research.

This is because it can cause:

  • scarring of the urethra
  • an abscess inside your penis
  • epididymitis, which is inflammation of the semen-carrying tubes near your testicles

STIs like gonorrhea can also affect sperm quality.

The only way to know whether you’ve contracted gonorrhea is to get tested. A healthcare professional may use a urine test or a sample of fluid (by swabbing the penis, vagina, throat, or rectum) to determine if you have gonorrhea.

Gonorrhea can’t be treated with over-the-counter or home remedies. However, antibiotics can usually cure gonorrhea.

Next steps if you think you have gonorrhea

If you think you have gonorrhea, the first step is to make an appointment with a healthcare professional for a test.

You can also access free or lower cost STI diagnosis and treatment at:

It’s important to note that gonorrhea is treatable, but over-the-counter or home remedies don’t treat it.

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Gonorrhea is usually treatable, and it is possible to become pregnant after having gonorrhea.

However, if left untreated, the condition can affect your reproductive health and cause infertility, among other health issues.

If you have or think you may have gonorrhea, it’s important to contact a healthcare professional. Gonorrhea cannot be treated with over-the-counter products or home remedies.


Sian Ferguson is a freelance health and cannabis writer based in Cape Town, South Africa. She’s passionate about empowering readers to take care of their mental and physical health through science-based, empathetically delivered information.