[Persistence of Chlamydia trachomatis in endometrium and peritoneal fluid of infertile patients with negative cervical culture]

Ginecol Obstet Mex. 2013 Jan;81(1):23-8.
[Article in Spanish]

Abstract

Background: Chlamydia trachomatis infection is considered a public health problem due to its high prevalence, and because is asymptomatic in 70% of women and provokes reproductive sequelae when it is not detected and treated timely.

Objective: To search for C. trachomatis in endometrium and peritoneal fluid of infertile women without detection of this pathogen in cervical secretions.

Patients and method: A retrospective and cross-sectional study was done in 38 patients with infertility only 18 showed peritoneal fluid infection and/or endometrial infection, eight of them were negative for the amplificated product of 129-bp from CT ompA gene in cervical secretions. Laparoscopic data showed that five of them had pelvic inflammatory disease.

Conclusion: The non-detection of Chlamydia trachomatis in endocervix does not reflect what happens in the upper genital tract, that's why we need to do a deliberate search of infection by this pathogen in endometrium of suspected women with infertility.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Ascitic Fluid / microbiology*
  • Cervix Uteri
  • Chlamydia trachomatis / isolation & purification*
  • Cross-Sectional Studies
  • Endometrium / microbiology*
  • Female
  • Humans
  • Infertility, Female / microbiology*
  • Retrospective Studies
  • Young Adult