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Increased prevalence of endocervical Mycoplasma and Ureaplasma colonization in infertile women with tubal factor.
Piscopo, Rita Ccp; Guimarães, Ronney V; Ueno, Joji; Ikeda, Fabio; Bella, Zsuzsanna Ik Jarmy-Di; Girão, Manoel Jbc; Samama, Marise.
Afiliación
  • Piscopo RC; Clinical Department, Instituto Gera de Medicina Reprodutiva, São Paulo, SP, Brazil.
  • Guimarães RV; Clinical Department, Instituto Gera de Medicina Reprodutiva, São Paulo, SP, Brazil.
  • Ueno J; Clinical Department, Instituto Gera de Medicina Reprodutiva, São Paulo, SP, Brazil.
  • Ikeda F; Video-Hysteroscopy Section, Hospital Sírio Libanês, São Paulo, SP, Brazil.
  • Bella ZIJ; Clinical Department, Instituto Gera de Medicina Reprodutiva, São Paulo, SP, Brazil.
  • Girão MJ; Video-Hysteroscopy Section, Hospital Sírio Libanês, São Paulo, SP, Brazil.
  • Samama M; Gynecology Department, Universidade Federal de São Paulo - Escola Paulista de Medicina, São Paulo, SP, Brazil.
JBRA Assist Reprod ; 24(2): 152-157, 2020 05 01.
Article en En | MEDLINE | ID: mdl-32031768
OBJECTIVE: Most women suffering from tubal factor infertility do not have a history of pelvic inflammatory disease, but rather have asymptomatic upper genital tract infection. Investigating the impacts of such infections, even in the absence of clinically confirmed pelvic inflammatory disease, is critical to understanding the tubal factor of infertility. The aim of this study was to investigate whether the presence of endocervical bacteria is associated with tubal factors in women screened for infertility. METHODS: This retrospective cross-sectional study involved 245 women undergoing hysterosalpingography (HSG), screened for endocervical colonization by Chlamydia trachomatis, Neisseria gonorrhea, Ureaplasma urealyticum and Mycoplasma hominis, as part of a routine female infertility investigation between 2016 and 2017. RESULTS: endocervical bacterial colonization by Chlamydia trachomatis, Ureaplasma urealiticum, Mycoplasma hominis and other bacteria corresponded to 3.7%, 9.0%; 5.7% and 9.8%, respectively. There was no colonization by Neisseria gonorrhea. The prevalence of tubal factor was significantly higher in patients with positive endocervical bacteria colonization, regardless of bacterial species. When evaluating bacteria species individually, the women who were positive for endocervical Mycoplasma hominis had significantly higher rates of tubal factor. Associations between endocervical bacterial colonization and tubal factor infertility were confirmed by multiple regression analysis adjusted for age and duration of infertility. CONCLUSION: Besides the higher prevalence of Mycoplasma and Ureaplasma infectious agents, the findings of this study suggest the possible association of endocervical bacterial colonization - not only Chlamydia trachomatis and Neisseria gonorrhea, but also Mycoplasma species with tubal performance.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Portador Sano / Infecciones por Ureaplasma / Enfermedades de las Trompas Uterinas / Infertilidad Femenina / Infecciones por Mycoplasma Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adult / Female / Humans Idioma: En Revista: JBRA Assist Reprod Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Portador Sano / Infecciones por Ureaplasma / Enfermedades de las Trompas Uterinas / Infertilidad Femenina / Infecciones por Mycoplasma Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adult / Female / Humans Idioma: En Revista: JBRA Assist Reprod Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil