P-204: Relative Frequency of Chlamydia Trachomatis Infection in Infertile Women

Background: The majority of Chlamydia trachomatis infections in women are asymptomatic, but they may give rise to tubal infertility. Screening programmes aim at reducing morbidity in individual by early detect and treatment, and at decreasing the overall prevalence of infection in the population. Materials and Methods: A total of 135 women presenting with a history of infertility(n=113(83.7%) primary infertility, n=22(16.3%) secondary infertility) between 20-40 years of age were consecutively induced into this descriptive-analytic study. Specimens were taken from endocervical canal. C.Trachomatis were detected with polymerase chain reaction (PCR). The data collected in check list and analyzed statically using spss (ver.16). Results: C.Trachomatis was detected in 16(19.3%) of 135 asymptomatic infertile women. The over age of patients was 31.50 ± 5.62 near and the most common age range was 35-40 years. 91.9% of patients were housewives and average duration of marriage was 6.33 ± 4.55 near. 35 patients expressed a positive family history of infertility. 9women(18%) had adhesion in hysterosalpingography. There was no statistically difference between PCR positive results to age of patients, type of infertility, obstructed salpingography, family history and duration of infertility. Conclusion: Genital C.trachomatis is the leading cause of tubal factor infertility. The present study shows that C.trachomatis infection could be present in 19.3% of asymptomatic infertile women. Therefore a screening test for C.trachomatis infection is recommended for all women who refer to infertility outpatient departments in Rasht and perhaps other parts of Iran.