What are my chances of getting pregnant after a Chlamydia infection?

Dear Ask The Doctor: I was recently discharged from the hospital and diagnosed with tubo ovarian abscess. According to my labs I did not get tubo ovarian abscess through std's.Cultures came out to e coli. But 9 years ago, I was treated for chlamydia. And a year ago I went to an infertility clinic and had an hsg done and it revealed that my right fallopian tube is blocked. Possibly from chlamydia I caught 9 years ago. For the last 2 years I have been trying to get pregnant. I've honestly been stressing and I sometimes get emotional and cry and lose hope that I will never get to have a child of my own. A month ago, I go to er for severe abdominal pain and come to find out, I have 2 bilateral abscesses on my fallopian tubes. They immediately did surgery where they drained it out. I believe it was called a percutaneous abscess draining procedure. The er doctors said its pretty rare and usually its from stds, but thank god it wasn't. It was e coli. With all that I went through will I be able to get pregnant in the future?

There is still a chance of you getting pregnant in the future but the chances are slimmer. As you mentioned, you had a Chlamydia infection several years ago and the HSG did reveal the right fallopian tube is blocked. This means that the Chlamydia infection caused enough scarring to block the fallopian tube with a very small opening. Since you also had a tubo-ovarian abscess, it is also possible that the left fallopian tubes were affected (though you did not mention if the abscess was left, right or both). Tubo-ovarian (fallopian tubes and ovary) abscess complications include difficulties in conception. You may have ~10-15% chance of conceiving the natural way. If you want to know more about the other options, you may consider going back to the infertility clinic and ask about in-vitro fertilization, ICSI, artificial insemination, in vitro semination, etc. I do hope I have answered your question and I wish you well always.