Diagnosis and prevalence of persistent chlamydia infection in infertile women: tissue culture, direct antigen detection, and serology.

Abstract:

:Specimens for chlamydial culture, direct fluorescent antibody (DFA) test, two enzyme immunoassays (EIA) for antigen detection, and serum for chlamydial antibodies were collected from 256 infertile women. Specimens were taken from the tubes during tuboplasty and from the cervix and endometrium during laparoscopy or tuboplasty. Antibodies to Chlamydia trachomatis were found four times more often in patients with signs of prior pelvic inflammatory disease (PID) than in infertile women with normal pelvic findings. Only 48 (37%) of 131 patients with signs of prior PID had a history of PID. Ten or more C. trachomatis elementary bodies (EBs) per smear were found in 21 (8.2%) of 256 patients. Six patients had a positive culture or a positive antigen EIA test. All six had high numbers of EBs in the DFA test. We conclude that routine culture and EIA antigen tests detect only a minority of persistent chlamydia infections in this population, but subjective factors in the interpretation of DFA methods must be considered.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Thejls H,Gnarpe J,Lundkvist O,Heimer G,Larsson G,Victor A

subject

Has Abstract

pub_date

1991-02-01 00:00:00

pages

304-10

issue

2

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)54120-X

journal_volume

55

pub_type

杂志文章
  • Mild endometriosis and ovulatory dysfunction: effect of danazol treatment on success of ovulation induction.

    abstract::The effectiveness of ovulation induction with clomiphene citrate or human menopausal gonadotropins was evaluated in 52 infertile women with stage I or stage II endometriosis and ovulatory dysfunction: anovulation or luteinized unruptured follicle (LUF) syndrome before (group I) and after (group II) danazol treatment. ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)49811-0

    authors: Dmowski WP,Radwanska E,Binor Z,Rana N

    更新日期:1986-11-01 00:00:00

  • Increase in nerve fibers and loss of mast cells in polycystic and postmenopausal ovaries.

    abstract:OBJECTIVE:To quantify nerve fibers and mast cells in human ovaries at different functional stages. DESIGN:Retrospective study. SETTING:Research laboratory of the university. SPECIMEN(S): 8 human ovaries in the follicular (cyclic) phase, 7 polycystic ovaries, and postmenopausal ovaries with (n=5) or without (n=7) hype...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(01)01805-2

    authors: Heider U,Pedal I,Spanel-Borowski K

    更新日期:2001-06-01 00:00:00

  • Presence of soluble b-type cytochrome in human seminal fluid.

    abstract::In 1951 it was shown that human spermatozoa contained cytochromes a, b, and c. It was noted that the cytochromes were confined to the sperm and were not found in seminal fluid. More recently we have observed in seminal plasma a soluble component that has a typical spectrum of a reduced cytochrome b, but can be disting...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Trifunac NP,Bernstein GS

    更新日期:1981-03-01 00:00:00

  • The effects of prior gravidity on the outcomes of ovum donor and own oocyte cycles.

    abstract:OBJECTIVE:To determine the effects of prior gravidity on hormonal parameters, medication regimen, oocyte parameters, fertilization, and clinical pregnancy rates (PRs) in donor and own oocyte cycles. DESIGN:A retrospective study of 64 first-attempt ovum donor cycles and 102 first-attempt IVF and ZIFT cycles using own o...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)58157-6

    authors: Darder MC,Epstein YM,Treiser SL,Comito CE,Rosenberg HS,Dzingala L

    更新日期:1996-03-01 00:00:00

  • Retinoic acid suppresses interleukin-6 production in human endometrial cells.

    abstract:OBJECTIVE:To determine whether retinoic acid (RA) can regulate the expression of interleukin (IL)-6 in human endometrial cells in a manner that might be beneficial to women with endometriosis. DESIGN:In vitro study. SETTING:Academic medical center. PATIENT(S):Patients with endometriosis and controls. INTERVENTION(S...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(00)00483-0

    authors: Sawatsri S,Desai N,Rock JA,Sidell N

    更新日期:2000-05-01 00:00:00

  • Interruption of pregnancy by prostaglandin 15-methyl F2alpha.

    abstract::The current study was formulated to investigate the abortifacient activity of prostaglandin 15-methyl F2alpha (15-methyl PGF2alpha) administered intramuscularly to 80 healthy women with gestations between 8 and 22 weeks. Goals were the establishment of an effective dosage schedule and assessment of the incidence and s...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Bolognese RJ,Corson SL

    更新日期:1975-07-01 00:00:00

  • Relationship of the individual uterine size and the endometrial thickness in stimulated cycles.

    abstract::At present there is no agreement regarding the usefulness of monitoring the endometrial thickness in stimulated cycles. We tested prospectively the hypothesis of a linear relationship of the given individual uterine size and the endometrial thickness in stimulated cycles using a 240 degrees transvaginal sector scanner...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)56716-8

    authors: Strohmer H,Obruca A,Radner KM,Feichtinger W

    更新日期:1994-05-01 00:00:00

  • Comparison of the efficacy of spironolactone versus flutamide in the treatment of hirsutism.

    abstract:OBJECTIVE:To compare the efficacy of two antiandrogens, spironolactone and flutamide, in the treatment of hirsutism. PATIENTS, PARTICIPANTS:Twenty women with idiopathic hirsutism were randomized to receive either flutamide or spironolactone. DESIGN:Twenty hirsute women were recruited from patients presenting to the h...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Erenus M,Gürbüz O,Durmuşoğlu F,Demirçay Z,Pekin S

    更新日期:1994-04-01 00:00:00

  • Experimental immunological infertility effect of anti-GAPDH-2 antibodies on the fertility of female mice.

    abstract:OBJECTIVE:To examine the relationship between an antibody against GAPDH-2, a sperm-specific protein, and infertility of female mice. DESIGN:Basic research. SETTING:National Research Institute for Family Planning Beijing, World Health Organization Collaboration Center of Human Reproduction. ANIMAL(S):New Zealand rabb...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.09.001

    authors: Wang Y,Zhang N,Zhang X,Miao S,Zong S,Koide SS,Wang L

    更新日期:2009-12-01 00:00:00

  • Intrafollicular insemination for male factor infertility.

    abstract::Intrafollicular insemination is a promising new development that may have a major impact on ART, notably in the treatment of male factor infertility. Reported is the first successful intrafollicular insemination in the United States and the first successful intrafollicular insemination for male factor infertility. Alt...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)55191-7

    authors: Zbella EA,Tarantino S,Wade R

    更新日期:1992-08-01 00:00:00

  • Digital road mapping image--a novel fluoroscopic real-time guide for selective transcervical catheterization in the treatment of proximal tubal obstruction.

    abstract::Ten infertile women 20 to 40 years of age, with a standard HSG diagnosis of unilateral proximal tubal obstruction, underwent a transvaginal catheterization and recanalization of the fallopian tubes. To set a fluoroscopic real-time guidance technique for improving the results of transvaginal catheterization and recanal...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)55344-8

    authors: Eckstein N,Orron DE,Vagman I,Papo J,Lidor A,Chen Z,Ayalon D

    更新日期:1992-10-01 00:00:00

  • Immunological aspects of surgically induced experimental endometriosis: variation in response to therapy.

    abstract::Elevated endometrial antibody titers were detected in serum and peritoneal fluid of rabbits with experimentally induced endometriosis. Surgical extirpation of implants or suppression with gonadotropin-releasing hormone agonist resulted in decreased endometrial antibody titers, whereas the antibody titers in untreated ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)60802-6

    authors: Homm RJ,Garza DE,Mathur S,Austin M,Baggett B,Williamson HO

    更新日期:1989-07-01 00:00:00

  • Ovarian response of individuals to different doses of human menopausal gonadotropin.

    abstract::Hormonal profiles were compared in 14 ovulatory women who were treated with two different doses of gonadotropins in successive in vitro fertilization cycles. All patients suffered from mechanical causes of infertility. Serum estradiol (E2), follicle-stimulating hormone (FSH), luteinizing hormone (LH), and progesterone...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Benadiva CA,Ben-Rafael Z,Strauss JF 3rd,Mastroianni L Jr,Flickinger GL

    更新日期:1988-06-01 00:00:00

  • Diagnostic considerations in virilization: iodomethyl-norcholesterol scanning in the localization of androgen secreting tumors.

    abstract::Accurate localization of the source of androgen hypersecretion is critical to the appropriate surgical or medical management of women with virilization. Seven patients with virilization and hyperandrogenism of various causes were evaluated with the use of sequential studies: testosterone stimulation and suppression te...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Taylor L,Ayers JW,Gross MD,Peterson EP,Menon KM

    更新日期:1986-12-01 00:00:00

  • Ovarian surgery in an infertility patient as an indication for a short-interval second-look laparoscopy: a preliminary study.

    abstract::The usefulness of a short-interval second-look laparoscopy (SLL) after ovarian surgery was examined. In 23 infertile women who had either bilateral wedge resection (BWR) of polycystic ovaries, an oophorocystectomy (OC), or resection of endometriomata (RE), adhesions were graded before and after surgery and before and ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)48975-2

    authors: Pittaway DE,Daniell JF,Maxson WS

    更新日期:1985-11-01 00:00:00

  • Altered ultrastructure of mitochondrial membranes is strongly associated with unexplained asthenozoospermia.

    abstract:OBJECTIVE:To explore the contribution of an altered structure of sperm mitochondria to human asthenozoospermia. DESIGN:A retrospective study. SETTING:Andrology Clinic, University of L'Aquila. PATIENT(S):Fifteen ejaculates with forward motility (FM) ≥ 50%, and 57 asthenozoospermic ejaculates (FM <50%, sperm vitality ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2010.07.1086

    authors: Pelliccione F,Micillo A,Cordeschi G,D'Angeli A,Necozione S,Gandini L,Lenzi A,Francavilla F,Francavilla S

    更新日期:2011-02-01 00:00:00

  • Identification of antibody-laden sperm by cytofluorometry.

    abstract::A direct assay for measuring sperm-associated immunoglobulin G (IgG) and an indirect assay for measuring IgG plasma antisperm antibodies were devised utilizing fluorescein-labeled antihuman IgG and a fluorescein-activated flow cytometer. The method singularly analyzed Ig attached to the surface of sperm because sperm ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)48146-x

    authors: Haas GG Jr,Cunningham ME

    更新日期:1984-10-01 00:00:00

  • Blepharophimosis-ptosis-epicanthus inversus syndrome and hypergonadotropic hypogonadism.

    abstract:OBJECTIVE:To describe a woman with blepharophimosis-ptosis-epicanthus inversus syndrome and hypergonadotropic hypogonadism. DESIGN:Case report. SETTING:University medical center. PATIENT(S):One 25-year-old woman. INTERVENTION(S):Pedigree, hormone assays, and donor embryo transfer. MAIN OUTCOME MEASURE(S):Pregnancy...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.07.1763

    authors: Siewert AL,Stein Q,Flanagan J,Hansen KA

    更新日期:2008-11-01 00:00:00

  • Estrogenic response in women with amenorrhea during treatment with human menopausal gonadotropin with and without the simultaneous administration of bromocriptine.

    abstract::In an attempt to determine whether prolactin influences estrogen biosynthesis in the ovary, the estrogenic responses of women with amenorrhea under treatment with human menopausal gonadotropin (hMG), with and without the simultaneous administration of the prolactin inhibitor bromocriptine, were investigated in a total...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)44652-2

    authors: Larsen S,Honoré E

    更新日期:1980-04-01 00:00:00

  • Reactive oxygen species in human semen: validation and qualification of a chemiluminescence assay.

    abstract:OBJECTIVE:To standardize and validate an assay for reactive oxygen species (ROS) in human semen. DESIGN:ROS levels assayed in blanks, negative and positive control samples (30% H2O2), and human semen, with the use of a luminol-based chemiluminescence assay measured in a single tube luminometer. SETTING:Andrology labo...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2014.09.009

    authors: Vessey W,Perez-Miranda A,Macfarquhar R,Agarwal A,Homa S

    更新日期:2014-12-01 00:00:00

  • The immune response during the luteal phase of the ovarian cycle: a Th2-type response?

    abstract:OBJECTIVE:To test the hypothesis that during the luteal phase of the ovarian cycle, as compared with the follicular phase, the peripheral immune response is shifted toward a type-2 response. DESIGN:Prospective study. SETTING:Academic research setting. PATIENT(S):Women with regular menstrual cycles. INTERVENTION(S):...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(00)01553-3

    authors: Faas M,Bouman A,Moesa H,Heineman MJ,de Leij L,Schuiling G

    更新日期:2000-11-01 00:00:00

  • Use of a specific zona pellucida (ZP) protein 3 antiserum as a clinical marker for human ZP integrity and function.

    abstract:OBJECTIVE:To evaluate binding characteristics of a specific zona pellucida (ZP) protein 3 (ZP3) antiserum to human oocytes in order to determine its usefulness as a clinical marker for human ZP integrity and function and its correlation with IVF outcome. DESIGN:Prospectively designed, blinded, internally controlled st...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)58041-8

    authors: Oehninger S,Hinsch E,Pfisterer S,Veeck LL,Kolm P,Schill WB,Hodgen GD,Hinsch KD

    更新日期:1996-01-01 00:00:00

  • Ovulation induction and successful pregnancy outcome in two patients with Prop1 gene mutations.

    abstract:OBJECTIVE:To describe ovulation induction and pregnancy outcome in a unique model of genetically determined combined pituitary hormone deficiency (CPHD), with respect to the necessity for GH substitution therapy. DESIGN:Case report. SETTING:Academic units. PATIENT(S):Two patients with childhood onset of CPHD (GH, PR...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2004.03.026

    authors: Voutetakis A,Sertedaki A,Livadas S,Maniati-Christidi M,Mademtzis I,Bossis I,Dacou-Voutetakis C,Messinis IE

    更新日期:2004-08-01 00:00:00

  • Chromosomal abnormalities in embryos derived from testicular sperm extraction.

    abstract:OBJECTIVE:To compare the rate of chromosome abnormalities in embryos obtained from karyotypically normal patients with nonobstructive azoospermia undergoing testicular sperm extraction (TESE) to those from patients undergoing intracytoplasmic sperm injection (ICSI) with ejaculated sperm. DESIGN:Retrospective analysis....

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(02)04407-2

    authors: Silber S,Escudero T,Lenahan K,Abdelhadi I,Kilani Z,Munné S

    更新日期:2003-01-01 00:00:00

  • Clinical pregnancy after uterus transplantation.

    abstract:OBJECTIVE:To present the first clinical pregnancy after uterus transplantation. DESIGN:Case study. SETTING:Tertiary center. PATIENT(S):A 23-year-old Mayer-Rokitansky-Kuster-Hauser syndrome patient with previous vaginal reconstruction and uterus transplantation. INTERVENTION(S):Eighteen months after the transplant, ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2013.06.027

    authors: Erman Akar M,Ozkan O,Aydinuraz B,Dirican K,Cincik M,Mendilcioglu I,Simsek M,Gunseren F,Kocak H,Ciftcioglu A,Gecici O,Ozkan O

    更新日期:2013-11-01 00:00:00

  • Gestational hypothyroidism: development of mild hypothyroidism in early pregnancy in previously euthyroid women.

    abstract:OBJECTIVE:To determine the proportion of euthyroid women attending a fertility practice who develop hypothyroidism in very early pregnancy (gestational hypothyroidism [GHT]), and to examine the association of GHT with exogenous gonadotropin treatment. DESIGN:Retrospective cohort study. SETTING:A private reproductive ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2015.03.006

    authors: Hammond KR,Cataldo NA,Hubbard JA,Malizia BA,Steinkampf MP

    更新日期:2015-06-01 00:00:00

  • Interleukin-10 attenuates TNF-alpha-induced interleukin-6 production in endometriotic stromal cells.

    abstract:OBJECTIVE:To determine whether high levels of interleukin (IL)-10 can attenuate the production of tumor necrosis factor (TNF)-alpha-induced proinflammatory cytokines in endometriotic stromal cells. DESIGN:Prospective study. SETTING:Department of Ob/Gyn, Tottori University, Japan. PATIENT(S):Thirty-five patients with...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.04.052

    authors: Tagashira Y,Taniguchi F,Harada T,Ikeda A,Watanabe A,Terakawa N

    更新日期:2009-05-01 00:00:00

  • A prospective, randomized study comparing laparoscopic ovarian cystectomy versus fenestration and coagulation in patients with endometriomas.

    abstract:OBJECTIVE:To determine the difference between two laparoscopic methods for the management of endometriomas with regard to recurrence of signs and symptoms and pregnancy rate. DESIGN:Prospective, randomized clinical trial. SETTING:Infertility and gynecologic endoscopy units of two medical university hospitals. PATIEN...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.fertnstert.2004.04.067

    authors: Alborzi S,Momtahan M,Parsanezhad ME,Dehbashi S,Zolghadri J,Alborzi S

    更新日期:2004-12-01 00:00:00

  • Videolaseroscopy for the treatment of endometriosis associated with infertility.

    abstract::Recent advances in laparoscopic surgery have enabled the gynecologic surgeon to treat an increased number of diseases of the reproductive organs by using the laser through the laparoscope. This article reviews the results of 243 patients with infertility associated with endometriosis ranging in severity from mild to e...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)60483-1

    authors: Nezhat C,Crowgey S,Nezhat F

    更新日期:1989-02-01 00:00:00

  • Effect of T-shaped progesterone-releasing system on contraceptive efficacy and menstrual cycle regularity in Japanese monkeys.

    abstract::Twenty-seven sexually mature Japanese monkeys (Macaca fuscata fuscata) weighing 6 to 8 kg were used to evaluate and characterize the local and systemic effects of a T-shaped progesterone-releasing system (UTS) following transabdominal insertion into the uterus. None of five experimental animals conceived, while four o...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)41842-x

    authors: Oshima K,Hayashi M,Kato J

    更新日期:1976-05-01 00:00:00