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.
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