Laparoscopic Finding and Chlamydia Trachomatis Infection in Infertile Women

Adel Mohammed, Raghad; Abd Al-kareem Al-Kattan, Sabah

	Laparoscopic Finding and Chlamydia Trachomatis Infection in Infertile Women
Medical Journal of Tikrit
Article 1, Volume 19, Issue 2, 2013, Pages 315-324
Authors
Raghad Adel Mohammed; Sabah Abd Al-kareem Al-Kattan
Abstract
This study was done to explore the relationships between serum Chlamydia antibody and detection of tubal damage by laparoscopy in infertile women. Case series study design was used. It was conducted at Infertility Unit in Al-Batool Maternity Teaching hospital, Mosul, Iraq over one year period from January 2011 to January 2012. The study subjects were 121 infertile women. The mean age of them was 29±5.64 years; (range: 19 – 44). Two-third of them (65.0%) presents between 20-30 years old. From all patients consent was obtained for venous blood sample and then underwent diagnostic laparoscopy, venous blood samples were analyzed by enzyme linked immune sorbent assay for determination of Chlamydia IgG Ab. The results of the study revealed that Chlamydia IgG Ab was positive in 48 women (39.7%) while negative in 73 women (60.3%). Laparoscopic findings in women with Chlamydia positive antibody were tubal damage (distal or proximal occlusion of one or both fallopian tubes) 27.1%, adhesion (periadnexial adhesions) 31.3%. Endometriosis 18.8%, normal pelvis 22.9%, and laparoscopic findings in women with Chlamydia negative antibody were tubal damage 12.3%, tubal adhesion 23.3%, endometriosis 17.8%, and in normal pelvis 46.6%. It seems that there is a relationship between laparoscopic findings and serological tests for Chlamydia trachomaties infection in infertile women, so serology for Chlamydia trachomatis become an integral part of the fertility work up.
Keywords
Laparoscopy; Infertility; Chlamydia trachomaties; serology

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