Abstract
The isolation of ureaplasma, mycoplasma hominis and chlamydia trachomatis from the genital tract was studied in 90 infertile women (24 primary infertile and 66 secondary infertile) and in 100 fertile pregnant women. From each subject, specimens from vagina, cervix, endometrium and urine were taken. Genital mycoplasmas were isolated from 75% of the primary infertility group 63.6% of the secondary infertility group and from 82% of the fertile pregnant group. Isolation rates of ureaplasma were significantly higher than M. hominis isolation rates. In specimens from vagina, cervix and urine genital mycoplasma isolation rates were higher in fertile women than these recorded in infertile women. In endometrium ureaplasma was recovered in 30% of the infertile women and in 20% of the fertile group; Mycoplasma hominis was recovered in 25.5% of the infertile and in 14% of the fertile women, associated or not with vagina or cervix isolation. Mycoplasma isolation from endometrium alone was successful only in infertile cases. Chlamydia trachomatis was isolated in only 5 infertile and in only 3 fertile women and even then associated with mycoplasma isolation. Twenty-five mycoplasma positive infertile women were treated in separate groups by tetracycline, erythromycin or vibramycine. Preliminary data show that from 11 endometrial positive mycoplasma cases, 6 became negative and 2 were pregnant after antibiotic therapy. The treated cases are under subsequent control and final results will be communicated later.
Published Version
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