The role of Chlamydia trachomatis infection in female infertility.
Department of Obstetrics and Gynecology, King Khalid
University Hospital, Riyadh, Saudi Arabia.
The incidence of positive Chlamydia cultures in females
undergoing laparoscopy for tubal patency is high. We advocate routine
screening for Chlamydia infection in females with infertility. Of seventy-five
patients undergoing laparoscopy for infertility, 49 grew Chlamydia on tissue
culture of material from the cervix, an incidence of 65.3%. of these 49 cases,
33 (67.3%) had tubal blockage. In asymptomatic patients, 22 out of 50 had
positive cultures from the cervix, an incidence of 44%. Peritoneal fluid
culture was negative in all infertile patients. When compared to populations
studied elsewhere, the incidence of Chlamydia appears to be high in our
population and significantly higher in the infertile patients. In the
management of infertility, pelvic inflammatory disease, and neonatal
conjunctivitis, Chlamydia should be routinely investigated and treated.
PMID: 17590722 [PubMed - in process]