Skip to main content
NCBI home page
Canadian Family Physician logoLink to Canadian Family Physician
. 1992 Nov;38:2647-2650, 2653-2655.

Chlamydia trachomatis

Clinical aspects of preventing tubal infertility and ectopic pregnancies

David C Cumming, Dianne Kieren, Ceinwen E Cumming
PMCID: PMC2145897  PMID: 21221352

Abstract

Genital infection with Chlamydia trachomatis is common, often asymptomatic, yet capable of causing extensive pelvic damage leading to infertility and tubal ectopic pregnancy. Reducing the impact of chlamydial infection involves developing and applying reliable criteria for screening sexually active adolescents and adults, using accurate screening methods for both women and men, ensuring that patients comply with the very effective treatment regimens, and effecting behavioural change that will diminish the risk of STD transmission.

Full text

PDF
2647

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bowie W. R., Borrie-Hume C. J., Manzon L. M., Fawcett A., Percival-Smith R. K., Jones H. D. Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in two different populations of women. Can Med Assoc J. 1981 Jun 1;124(11):1477–1479. [PMC free article] [PubMed] [Google Scholar]
  2. Brunham R. C., Maclean I. W., Binns B., Peeling R. W. Chlamydia trachomatis: its role in tubal infertility. J Infect Dis. 1985 Dec;152(6):1275–1282. doi: 10.1093/infdis/152.6.1275. [DOI] [PubMed] [Google Scholar]
  3. Chernesky M. A., Mahony J. B., Castriciano S., Mores M., Stewart I. O., Landis S. J., Seidelman W., Sargeant E. J., Leman C. Detection of Chlamydia trachomatis antigens by enzyme immunoassay and immunofluorescence in genital specimens from symptomatic and asymptomatic men and women. J Infect Dis. 1986 Jul;154(1):141–148. doi: 10.1093/infdis/154.1.141. [DOI] [PubMed] [Google Scholar]
  4. DeBuono B. A., Zinner S. H., Daamen M., McCormack W. M. Sexual behavior of college women in 1975, 1986, and 1989. N Engl J Med. 1990 Mar 22;322(12):821–825. doi: 10.1056/NEJM199003223221206. [DOI] [PubMed] [Google Scholar]
  5. Handsfield H. H., Jasman L. L., Roberts P. L., Hanson V. W., Kothenbeutel R. L., Stamm W. E. Criteria for selective screening for Chlamydia trachomatis infection in women attending family planning clinics. JAMA. 1986 Apr 4;255(13):1730–1734. [PubMed] [Google Scholar]
  6. Henry-Suchet J., Catalan F., Loffredo V., Sanson M. J., Debache C., Pigeau F., Coppin R. Chlamydia trachomatis associated with chronic inflammation in abdominal specimens from women selected for tuboplasty. Fertil Steril. 1981 Nov;36(5):599–605. doi: 10.1016/s0015-0282(16)45857-7. [DOI] [PubMed] [Google Scholar]
  7. Henry-Suchet J., Utzmann C., De Brux J., Ardoin P., Catalan F. Microbiologic study of chronic inflammation associated with tubal factor infertility: role of Chlamydia trachomatis. Fertil Steril. 1987 Feb;47(2):274–277. doi: 10.1016/s0015-0282(16)50005-3. [DOI] [PubMed] [Google Scholar]
  8. Karam G. H., Martin D. H., Flotte T. R., Bonnarens F. O., Joseph J. R., Mroczkowski T. F., Johnson W. D. Asymptomatic Chlamydia trachomatis infections among sexually active men. J Infect Dis. 1986 Nov;154(5):900–903. doi: 10.1093/infdis/154.5.900. [DOI] [PubMed] [Google Scholar]
  9. Kegeles S. M., Adler N. E., Irwin C. E., Jr Sexually active adolescents and condoms: changes over one year in knowledge, attitudes and use. Am J Public Health. 1988 Apr;78(4):460–461. doi: 10.2105/ajph.78.4.460. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Koonings P. P., Bergman A., Ballard C. A. Prostaglandins for enhancing detrusor function after surgery for stress incontinence in women. J Reprod Med. 1990 Jan;35(1):1–5. [PubMed] [Google Scholar]
  11. Levallois P., Rioux J. E., Côté L. Chlamydial infection among females attending an abortion clinic: prevalence and risk factors. CMAJ. 1987 Jul 1;137(1):33–37. [PMC free article] [PubMed] [Google Scholar]
  12. Lewis C. E., Freeman H. E. The sexual history-taking and counseling practices of primary care physicians. West J Med. 1987 Aug;147(2):165–167. [PMC free article] [PubMed] [Google Scholar]
  13. Lindner L. E., Geerling S., Nettum J. A., Miller S. L., Altman K. H. Clinical characteristics of women with chlamydial cervicitis. J Reprod Med. 1988 Aug;33(8):684–690. [PubMed] [Google Scholar]
  14. Livengood C. H., 3rd, Schmitt J. W., Addison W. A., Wrenn J. W., Magruder-Habib K. Direct fluorescent antibody testing for endocervical Chlamydia trachomatis: factors affecting accuracy. Obstet Gynecol. 1988 Nov;72(5):803–809. [PubMed] [Google Scholar]
  15. Mahony J. B., Chernesky M. A. Effect of swab type and storage temperature on the isolation of Chlamydia trachomatis from clinical specimens. J Clin Microbiol. 1985 Nov;22(5):865–867. doi: 10.1128/jcm.22.5.865-867.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Miettinen A., Saikku P., Jansson E., Paavonen J. Epidemiologic and clinical characteristics of pelvic inflammatory disease associated with Mycoplasma hominis, Chlamydia trachomatis, and Neisseria gonorrhoeae. Sex Transm Dis. 1986 Jan-Mar;13(1):24–28. doi: 10.1097/00007435-198601000-00006. [DOI] [PubMed] [Google Scholar]
  17. Märdh P. A., Lind I., Svensson L., Weström L., Møller B. R. Antibodies to Chlamydia trachomatis, Mycoplasma hominis, and Neisseria gonorrhoeae in sera from patients with acute salpingitis. Br J Vener Dis. 1981 Apr;57(2):125–129. doi: 10.1136/sti.57.2.125. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Phillips R. S., Aronson M. D., Taylor W. C., Safran C. Should tests for Chlamydia trachomatis cervical infection be done during routine gynecologic visits? An analysis of the costs of alternative strategies. Ann Intern Med. 1987 Aug;107(2):188–194. doi: 10.7326/0003-4819-107-2-188. [DOI] [PubMed] [Google Scholar]
  19. Remafedi G., Abdalian S. E. Clinical predictors of Chlamydia trachomatis endocervicitis in adolescent women. Looking for the right combination. Am J Dis Child. 1989 Dec;143(12):1437–1442. doi: 10.1001/archpedi.1989.02150240059017. [DOI] [PubMed] [Google Scholar]
  20. Sarov I., Kleinman D., Holcberg G., Potashnik G., Insler V., Cevenini R., Sarov B. Specific IgG and IgA antibodies to Chlamydia trachomatis in infertile women. Int J Fertil. 1986 Jul-Aug;31(3):193–197. [PubMed] [Google Scholar]
  21. Shepard M. K., Jones R. B. Recovery of Chlamydia trachomatis from endometrial and fallopian tube biopsies in women with infertility of tubal origin. Fertil Steril. 1989 Aug;52(2):232–238. doi: 10.1016/s0015-0282(16)60847-6. [DOI] [PubMed] [Google Scholar]
  22. Soong Y. K., Kao S. M., Lee C. J., Lee P. S., Pao C. C. Endocervical chlamydial deoxyribonucleic acid in infertile women. Fertil Steril. 1990 Nov;54(5):815–818. [PubMed] [Google Scholar]
  23. Stamm W. E., Guinan M. E., Johnson C., Starcher T., Holmes K. K., McCormack W. M. Effect of treatment regimens for Neisseria gonorrhoeae on simultaneous infection with Chlamydia trachomatis. N Engl J Med. 1984 Mar 1;310(9):545–549. doi: 10.1056/NEJM198403013100901. [DOI] [PubMed] [Google Scholar]
  24. Sweet R. L. Chlamydial salpingitis and infertility. Fertil Steril. 1982 Nov;38(5):530–533. doi: 10.1016/s0015-0282(16)46629-x. [DOI] [PubMed] [Google Scholar]
  25. Sweet R. L., Draper D. L., Schachter J., James J., Hadley W. K., Brooks G. F. Microbiology and pathogenesis of acute salpingitis as determined by laparoscopy: what is the appropriate site to sample? Am J Obstet Gynecol. 1980 Dec 1;138(7 Pt 2):985–989. doi: 10.1016/0002-9378(80)91093-5. [DOI] [PubMed] [Google Scholar]
  26. Trachtenberg A. I., Washington A. E., Halldorson S. A cost-based decision analysis for Chlamydia screening in California family planning clinics. Obstet Gynecol. 1988 Jan;71(1):101–108. [PubMed] [Google Scholar]
  27. Weström L., Mårdh P. A. Chlamydial salpingitis. Br Med Bull. 1983 Apr;39(2):145–150. doi: 10.1093/oxfordjournals.bmb.a071806. [DOI] [PubMed] [Google Scholar]

Articles from Canadian Family Physician are provided here courtesy of College of Family Physicians of Canada

RESOURCES