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Salpingitis caused by Chlamydia trachomatis and its significance for infertility
Author(s) -
Czerwenka Klaus,
Heuss Friedrich,
Hosmann Josef,
Manavi Mahmood,
Jelincic Darko,
Kubista Ernst
Publication year - 1994
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349409029409
Subject(s) - chlamydia trachomatis , pelvic inflammatory disease , medicine , salpingitis , chlamydia , infertility , cervix , gynecology , vagina , obstetrics , immunology , surgery , pregnancy , biology , genetics , cancer
Between July and November 1991. 32 women (mean age 24.8 years) were examined laparoscopically in our department for suspected tubal sterility. All women had smears taken from cervix, vagina, and urethra, and all were negative regarding an infection with Chlamydia trachomatis. All women had open fallopian tubes, however, with inflammatory changes that varied in degree. Fifteen women reported pains and were classified as PID (pelvis inflammatory disease)‐positive, as compared to the PID‐negative group of 17 women without pain. In the group of the 15 PID‐positive women, we could detect Chlamy dia trachomatis in the form of salpingitis in II cases in the direct demonstration of the infectious agent. IgA antibodies were delected in the serum of all of these women. in 12 of them IgA +IgG antibodies. In the group of the 17 PID‐negative women, three were positive in the direct detection of the infectious agent. and IgA and/or IgG antibodies were detected in five cases. 38% of the women in the PID‐positive group and 68% in the PID‐negative group conceived within a period of one year after having completed a treatment with antibiotics.

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