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Correlation between serum antichlamydial antibodies and tubal factor as a cause of infertility.

Abstract：

:Although salpingitis frequently produces tubal damage and infertility, many women with tubal factor as a cause of their infertility do not have a clinical history of salpingitis. In order to investigate whether or not some such cases might be due to subclinical chlamydial infections, we measured antichlamydial antibodies in the serum of 172 women consecutively undergoing evaluation for infertility. Only 16 (9.3%) had a prior history of salpingitis. Sixty-one (35%) had antichlamydial antibodies (S+), and of these 75% had tubal factor as a sole or contributing cause of their infertility, versus 28% of the seronegative (S-) women (x2 - 34, P less than 0.001). There was no association between chlamydial seropositivity and any infertility factor other than tubal factor in multivariant analyses. Subclinical infections with Chlamydia trachomatitis may be a major cause of tubal infertility in the United States, and chlamydial serologic studies may be useful in identifying the subset of infertile women likely to have tubal factor. :Although salpingitis frequently produces tubal damage and infertility, many women with tubal factor as a cause of their infertility do not have a clinical history of salpingitis. In order to investigate whether or not some such cases might be due to subclinical chlamydial infections, we measured antichlamydial antibodies in the serum of 172 women consecutively undergoing infertility evaluation. Only 16 (9.3%) had a prior history of salpingitis. 61 (35%) had antichlamydial antibodies (S+) and of these, 75% had tubal factor as a sole or contributing cause of their infertility, vs 28% of the seronegative (S-) women (chi square=34, P0.001). There was no association between chlamydial seropositivity and any infertility factor other than tubal factor in multivariant analyses. Subclinical infections with Chlamydia trachomatis may be a major cause of tubal infertility in the US, and chlamydia serologic studies may be useful in identifying that subset of infertile women likely to have tubal factor.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Jones RB,Ardery BR,Hui SL,Cleary RE

doi

10.1016/s0015-0282(16)46634-3

subject

Has Abstract

pub_date

1982-11-01 00:00:00

pages

553-8

issue

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)46634-3

journal_volume

pub_type

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Correlation between serum antichlamydial antibodies and tubal factor as a cause of infertility.