Association between chlamydial infections and pelvic lesions

K. Nakamura, Kouichi Nakamura, T. Ishimaru, Tadayuki Ishimaru, S Kurata, Suwako Kurata, A Fujishita, Akira Fujishita, Teturo Samejima, T. Samejima, H. Masuzaki, Hideaki Masuzaki, T Yamabe
Asia-Oceania journal of obstetrics and gynaecology · 1992 · vol. 18(3) , pp. 239–244 · doi:10.1111/j.1447-0756.1992.tb00009.x · PMID:1449424 · W2409529036
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This study found that infertile women with chlamydial infections had significantly higher total pelvic lesion scores, driven primarily by tubal lesions, suggesting tubal damage is a key factor in chlamydia-associated infertility.

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Abstract

Chlamydia trachomatis usually causes asymptomatic cervicitis, but it sometimes ascends into the uterine cavity, fallopian tubes, or peritoneal cavity, causing pelvic inflammatory disease and infertility. In this study, we examined endocervical chlamydial antigens and serum chlamydial antibodies in infertile women and laparoscopically evaluated pelvic lesions according to our pelvic scoring system. In patients testing positive for a chlamydial infection, the total pelvic score was significantly higher than in patients testing negative. When each area examined was assessed separately, however, only the tubal score was significantly higher in the chlamydia infected patients. These findings may indicate that tubal lesions are the major cause of infertility in women with chlamydial infections.

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Condition tags

infertility

MeSH descriptors

Chlamydia Infections Chlamydia trachomatis Chlamydia trachomatis Infertility, Female Adult Antibodies, Anti-Idiotypic Antibodies, Anti-Idiotypic Chlamydia Infections Chlamydia Infections Fallopian Tubes Fallopian Tubes Fallopian Tubes Female Humans Immunoglobulin G Immunoglobulin G Infertility, Female Infertility, Female Ovary Ovary

Citation neighborhood (sparse)

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Cites (1)

References (13)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:02:06.159351+00:00
License: CC0 · commercial use OK