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Sexually transmitted diseases and infertility
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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 (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
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Metadata
- 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.
- 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)
- 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
- 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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