Infertilidad tubárica e infección genital por Chlamydia trachomatis-Ureaplasma urealyticum

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Abstract

Objective: To establish the association between tubal infertility and cervical infection by Chlamydia trachomatis (CT) or Ureaplasma urealyticum (UU) in infertile women. Methods: A comparative, and applied research with a non-experimental, case-control, contemporary-transactional and field design, including 60 women, separated into two groups matched according whether they were infertile (cases) or fertile (controls), in which was took a sample of endocervical swabs for molecular diagnosis of CT or UU and underwent hysterosalpingography to assess the permeability of the fallopian tubes. Results: It was detected in infertile and fertile women a prevalence of CT or UU infection of 18% and 35%, respectively; being higher detection among infertile women, although this difference was significant only for UU (p <0.05). Also detected more tubal permeability in fertile patients that in infertile (80% vs. 40%), being higher in engagement tubal in infertility patients (p<0.05). By associating the diagnosis of both CT and UU with hysterosalpingography's results found that the diagnosis of one of these microorganisms increased almost 3 to 5 times more likely to have obstruction of the fallopian tubes, respectively; although this higher risk doesn't showed significance (p>0.05). Conclusion: A large proportion of infertile women have CT or UU infection, sexually transmitted pathogens that might have tubal damage liability.

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José Urdaneta, M., Eliana Cantillo, H., Andrés Alarcón, S., Abdala Karame, H., De Acosta, J. S., Zoila Romero, A., … Endrina Mujica, A. (2013). Infertilidad tubárica e infección genital por Chlamydia trachomatis-Ureaplasma urealyticum. Revista Chilena de Obstetricia y Ginecologia, 78(1), 32–43. https://doi.org/10.4067/s0717-75262013000100006

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