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Interaction of microbiology and pathology in women undergoing investigations for infertility.
Debattista, Joseph; Gazzard, Caroline M; Wood, Robyn N; Allan, John A; Allan, Janet M; Scarman, Anthony; Mortlock, Miranda; Timms, Peter; Knox, Christine L.
Afiliación
  • Debattista J; Sexual Health and AIDS Service, Prince Charles Hospital, Health Service District, Brisbane, Australia. joedebat@powerup.com.au
Infect Dis Obstet Gynecol ; 12(3-4): 135-45, 2004.
Article en En | MEDLINE | ID: mdl-15763913
BACKGROUND: Cases of endometriosis with no tubal damage are associated with infertility, suggesting an immunological rather than mechanical barrier to reproduction. Laparoscopy and falloposcopy results of clinically asymptomatic women undergoing investigation of infertility were correlated with the outcomes of microbiological screening for Chlamydia trachomatis, Mycoplasma pneumoniae, Mycoplasma hominis, ureaplasma species, Neisseria gonorrhoeae, Neisseria meningitidis and Chlamydia pneumoniae. METHODS: A total of 44 women presenting to a hospital IVF service for laparoscopic or laparoscopic/falloposcopic investigation of infertility provided endocervical swabs, fallopian tube washings, and peripheral whole blood for analysis. RESULTS: Of these 44 women, 15.9% (7) showed evidence of C. trachomatis infection as detected by either PCR or EIA serology. Of these 7 women, 5 (71%) had no or mild endometriosis and 2 (29%) had moderate or severe endometriosis. Of the remaining 37 women who showed no evidence of chlamydial infection, 15 (40.5%) had no or mild endometriosis. CONCLUSION: Women with infertility, but without severe endometriosis at laparoscopy, showed a trend towards tubal damage and a higher rate of previous C. trachomatis infection. Although not statistically significant, this trend would suggest that, where moderate to severe tubal damage is found to be the primary cause of infertility, C. trachomatis infection could be a likely cause for such tubal damage.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Chlamydia / Chlamydia trachomatis / Endometriosis / Infertilidad Femenina Tipo de estudio: Prevalence_studies / Risk_factors_studies Límite: Female / Humans País/Región como asunto: Oceania Idioma: En Revista: Infect Dis Obstet Gynecol Asunto de la revista: DOENCAS TRANSMISSIVEIS / GINECOLOGIA / OBSTETRICIA Año: 2004 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Egipto
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Chlamydia / Chlamydia trachomatis / Endometriosis / Infertilidad Femenina Tipo de estudio: Prevalence_studies / Risk_factors_studies Límite: Female / Humans País/Región como asunto: Oceania Idioma: En Revista: Infect Dis Obstet Gynecol Asunto de la revista: DOENCAS TRANSMISSIVEIS / GINECOLOGIA / OBSTETRICIA Año: 2004 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Egipto