Does malaria affect fertility?

Dec 02, 2025 Source: Cainiu Health
Dr. Li Feng
Introduction
In general, malaria can often affect fertility. If any symptoms occur, it is recommended to seek medical attention promptly. It is important to take mosquito-prevention measures in daily life, such as installing window screens and using bed nets at home, applying insect repellent and wearing long-sleeved clothing when outdoors to avoid mosquito bites. People living in high-risk areas may consult a doctor in advance for preventive medication. Prompt medical treatment is essential once infection occurs.

Generally, malaria can affect fertility. If any discomfort occurs, it is recommended to seek medical attention promptly. The detailed analysis is as follows:

Malaria usually impacts fertility because, after the Plasmodium parasite infects the human body, it destroys a large number of red blood cells, leading to anemia. In males, this may result in reduced sperm quality and decreased sperm count, while females may experience menstrual disorders and ovulation abnormalities. The risks during pregnancy are even higher, as the parasite can cross the placenta and infect the fetus, potentially causing miscarriage, preterm labor, fetal distress, or even stillbirth. Additionally, the mother may face life-threatening complications such as severe anemia and organ damage. All these factors directly or indirectly affect the fertility process and outcomes.

In daily life, effective mosquito prevention measures should be taken—install screens and bed nets at home, apply insect repellent, and wear long-sleeved clothing when outdoors to avoid mosquito bites. People living in or traveling to high-risk areas should consult a doctor in advance about preventive medication. Prompt medical treatment upon infection is essential, and conception should be planned only after full recovery. Maintaining a balanced diet rich in iron and protein helps strengthen immunity and reduce the risk of complications following infection.

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