Sexually transmitted diseases and infertility

Tsevat, Danielle G.; Wiesenfeld, Harold C.; Parks, Caitlin; Peipert, Jeffrey F.

doi:10.1016/j.ajog.2016.08.008

Cited by 449Reproductive tract infections researchGynecological conditions and treatmentsReproductive Health and Technologies

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Sexually transmitted diseases and infertility

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Tsevat, Danielle G., Wiesenfeld, Harold C., Parks, Caitlin, Peipert, Jeffrey F.·2017·American Journal of Obstetrics and Gynecology

DOI 10.1016/j.ajog.2016.08.008PMC PMC5193130

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Abstract

Female infertility, including tubal factor infertility, is a major public health concern worldwide. Most cases of tubal factor infertility are attributable to untreated sexually transmitted diseases that ascend along the reproductive tract and are capable of causing tubal inflammation, damage, and scarring. Evidence has consistently demonstrated the effects of Chlamydia trachomatis and Neisseria gonorrhoeae as pathogenic bacteria involved in reproductive tract morbidities including tubal factor infertility and pelvic inflammatory disease. There is limited evidence in the medical literature that other sexually transmitted organisms, including Mycoplasma genitalium, Trichomonas vaginalis, and other microorganisms within the vaginal microbiome, may be important factors involved in the pathology of infertility. Further investigation into the vaginal microbiome and other potential pathogens is necessary to identify preventable causes of tubal factor infertility. Improved clinical screening and prevention of ascending infection may provide a solution to the persistent burden of infertility.

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Especially in LMICs, tubal disease with ensuing infertility also arises from complications of unsafe abortion, postpartum sepsis, pelvic tuberculosis, bilharzial salpingitis, and iatrogenic tubal obstructions.
“Especially in LMICs, tubal disease with ensuing infertility also arises from complications of unsafe abortion, postpartum sepsis, pelvic tuberculosis, bilharzial salpingitis, and iatrogenic tubal obstructions (Serour et al., 1988; Scholes et al., 1996; Tsevat et al., 2017).”
From Declining global fertility rates and the implications for family planning and family building: an IFFS consensus document based on a narrative review of the literature (2024) · cites this paper as Tsevat et al., 2017
The 'Vaginal Microbiome and Other Potential Pathogens' section says genital tuberculosis is a significant cause of infertility in developing countries and can cause irreversible tubal damage. The Overview also reports that tubal factor infertility is disproportionately common there. Our copy does not support the other listed causes: unsafe abortion, postpartum sepsis, bilharzial salpingitis, or iatrogenic tubal obstruction. (LLM, conf=0.88)
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Untitled work
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Cross-cultural validation of the short version of the Food Disgust Scale in ten countries
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Population-attributable fraction of tubal factor infertility associated with chlamydia
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Authors: Tsevat, D. G., Wiesenfeld, H. C., Parks, C., & Peipert, J. F.
Affiliations: Washington University in St. Louis (US)
University of Pittsburgh (US)
Indiana University Indianapolis (US)
Corresponding author: Peipert, Jeffrey F.
ORCID: Tsevat, Danielle G.
Wiesenfeld, Harold C.
Parks, Caitlin
Peipert, Jeffrey F.
Venue: American Journal of Obstetrics and Gynecology
Publisher: Elsevier BV
Published: 2017-01
Volume: 216
Issue: 1
Pages: 1-9
ISSN: 0002-9378 (ISSN-L)
DOI: 10.1016/j.ajog.2016.08.008
PMC: PMC5193130
OpenAlex: W2560903427
Cited by: 449
References: 132
Citations by year: 2026: 39 · 2025: 55 · 2024: 64 · 2023: 51 · 2022: 63 · 2021: 66 · 2020: 51 · 2019: 32 · 2018: 18 · 2017: 8
FWCI: 2.24
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: American Journal of Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
IUScholarWorks (Indiana University) (submittedVersion)
Funders: National Institutes of Health (KL2TR000450)
National Center for Advancing Translational Sciences
Topics: Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
Keywords: sexually transmitted infections, female infertility, tubal infertility, Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis, pelvic inflammatory disease, ascending infection, salpingitis, vaginal microbiota, infertility screening
MeSH terms: Pelvic Inflammatory Disease, Chlamydia Infections, Chlamydia trachomatis, Female, Gonorrhea, Humans, Infertility, Female, Mycoplasma Infections, Neisseria gonorrhoeae, Sexually Transmitted Diseases, Trichomonas vaginalis, Trichomonas Vaginitis, Mycoplasma genitalium

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