Is Chlamydia trachomatis PCR Detection from Cervical Canal Swabs Associated with Tubal Obstruction?

Objective: To determine the relationship between a Chlamydia trachomatis PCR positive diagnosis from cervical canal swabs and the presence of tubal diseases among infertile women in Vietnam. Methods: In this cross-sectional descriptive study, women who sought infertility treatment at the Center for...

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Main Authors: Minh Tam Le, Vu Quoc Huy Nguyen, Le Na Thi Nguyen, Viet Quynh Tram Ngo, Hoang Bach Nguyen, Ngoc Thanh Cao
Format: Article
Language:English
Published: World Scientific Publishing 2020-03-01
Series:Fertility & Reproduction
Subjects:
Online Access:http://www.worldscientific.com/doi/epdf/10.1142/S2661318220500012
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author Minh Tam Le
Vu Quoc Huy Nguyen
Le Na Thi Nguyen
Viet Quynh Tram Ngo
Hoang Bach Nguyen
Ngoc Thanh Cao
author_facet Minh Tam Le
Vu Quoc Huy Nguyen
Le Na Thi Nguyen
Viet Quynh Tram Ngo
Hoang Bach Nguyen
Ngoc Thanh Cao
author_sort Minh Tam Le
collection DOAJ
description Objective: To determine the relationship between a Chlamydia trachomatis PCR positive diagnosis from cervical canal swabs and the presence of tubal diseases among infertile women in Vietnam. Methods: In this cross-sectional descriptive study, women who sought infertility treatment at the Center for Reproductive Endocrinology & Infertility, Hue University Hospital, Vietnam, from June 2016 to June 2017 were enrolled. All study participants were interviewed, and PCR tests were then performed to diagnose Chlamydia from cervical canal swabs. Hysterosalpingogram (HSG) was carried out to examine the uterine cavity and fallopian tubes. Results: Among 568 women whose mean age was 32.0 ± 5.1 years, the prevalence of C. trachomatis infection as detected by PCR was 5.8%. Eighty-one percent (460/568) of infertile women had normal HSG results, and abnormal HSG results were more frequent in women over 35 years old, in women with secondary infertility, and in those with a history of miscarriage or genital tract infection. However, there was no relationship between C. trachomatis PCR positivity and HSG results in infertile women. Conclusions: The diagnosis of C. trachomatis infection using the cervical swabs is the useful but not an effective method for routine practice for predicting tubal obstruction in infertile women.
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spelling doaj.art-e35ff42e41b74679a1864571d6229d9c2022-12-21T22:47:00ZengWorld Scientific PublishingFertility & Reproduction2661-31822661-31742020-03-01213810.1142/S266131822050001210.1142/S2661318220500012Is Chlamydia trachomatis PCR Detection from Cervical Canal Swabs Associated with Tubal Obstruction?Minh Tam Le0Vu Quoc Huy Nguyen1Le Na Thi Nguyen2Viet Quynh Tram Ngo3Hoang Bach Nguyen4Ngoc Thanh Cao5Center for Reproductive Endocrinology and Infertility, Hue University Hospital, Hue University, VietnamDepartment of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy, Hue University, VietnamDepartment of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy, Hue University, VietnamDepartment of Microbiology, Hue University of Medicine and Pharmacy, Hue University, VietnamDepartment of Microbiology, Hue University of Medicine and Pharmacy, Hue University, VietnamCenter for Reproductive Endocrinology and Infertility, Hue University Hospital, Hue University, VietnamObjective: To determine the relationship between a Chlamydia trachomatis PCR positive diagnosis from cervical canal swabs and the presence of tubal diseases among infertile women in Vietnam. Methods: In this cross-sectional descriptive study, women who sought infertility treatment at the Center for Reproductive Endocrinology & Infertility, Hue University Hospital, Vietnam, from June 2016 to June 2017 were enrolled. All study participants were interviewed, and PCR tests were then performed to diagnose Chlamydia from cervical canal swabs. Hysterosalpingogram (HSG) was carried out to examine the uterine cavity and fallopian tubes. Results: Among 568 women whose mean age was 32.0 ± 5.1 years, the prevalence of C. trachomatis infection as detected by PCR was 5.8%. Eighty-one percent (460/568) of infertile women had normal HSG results, and abnormal HSG results were more frequent in women over 35 years old, in women with secondary infertility, and in those with a history of miscarriage or genital tract infection. However, there was no relationship between C. trachomatis PCR positivity and HSG results in infertile women. Conclusions: The diagnosis of C. trachomatis infection using the cervical swabs is the useful but not an effective method for routine practice for predicting tubal obstruction in infertile women.http://www.worldscientific.com/doi/epdf/10.1142/S2661318220500012chlamydia trachomatisinfertilitycervical swabtubal disorders
spellingShingle Minh Tam Le
Vu Quoc Huy Nguyen
Le Na Thi Nguyen
Viet Quynh Tram Ngo
Hoang Bach Nguyen
Ngoc Thanh Cao
Is Chlamydia trachomatis PCR Detection from Cervical Canal Swabs Associated with Tubal Obstruction?
Fertility & Reproduction
chlamydia trachomatis
infertility
cervical swab
tubal disorders
title Is Chlamydia trachomatis PCR Detection from Cervical Canal Swabs Associated with Tubal Obstruction?
title_full Is Chlamydia trachomatis PCR Detection from Cervical Canal Swabs Associated with Tubal Obstruction?
title_fullStr Is Chlamydia trachomatis PCR Detection from Cervical Canal Swabs Associated with Tubal Obstruction?
title_full_unstemmed Is Chlamydia trachomatis PCR Detection from Cervical Canal Swabs Associated with Tubal Obstruction?
title_short Is Chlamydia trachomatis PCR Detection from Cervical Canal Swabs Associated with Tubal Obstruction?
title_sort is chlamydia trachomatis pcr detection from cervical canal swabs associated with tubal obstruction
topic chlamydia trachomatis
infertility
cervical swab
tubal disorders
url http://www.worldscientific.com/doi/epdf/10.1142/S2661318220500012
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