Chlamydia Trachomatis and female infertility

Chlamydia trachomatis infection is very important etiological factor of female infertility. It is prevalent sexually transmited infection that can lead to serious reproductive morbidity. Management and control of Chlamydia trachomatis is challenge lagely due to its asimptomatic nature. Aim: The purpose of this study was to evaluate the frequency of Chlamydia infection in unselected infertile women. Material and methods: A method used to detect Chlamydia trachomatis in the cervical swabs of infertile women was direct imunofloroscent test. If it was a suspect, then we used enzyme-immuno assay ELISA test. The study included 807 patients who were divided into two groups. The first group consisted of those patients treated for primary (493) infertility, and second group of secondary infertility (314). Patients treated for secondary infertility were further divided regarding the infertility after abortion or after delivery. Also, patients were divided into two age groups: below 35 and above 35. Results: Cervical smear positive findings on Chlamydia trachomatis was in 75 (9.3%) patients, out of which in 40 (5%) treated for primary and 35 (4.3%) treated for secondary infertility. Positive findings on Chlamydia trachomatis in patients treated for secondary infertility after abortion was in 20 (2.5%) patients and 15 (1.8%) of those following childbirth. Conclusion: In patients treated for infertility cervical smear on Chlamydia trachomatis should be performed.