Medicine school of Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Center for Experimental Research, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Rev Bras Ginecol Obstet. 2022 Jun;44(6):614-620. doi: 10.1055/s-0042-1748023. Epub 2022 May 16.
The impact of (CT) infection on female's fertility is not completely established yet, since the level of evidence associating these factors is still weak. Hence, the goal of the present review is to contribute to a better elucidation of this matter. The electronic database chosen was the Medline/PubMed, with the last survey on May 11, 2021. Publication date was used as a filter, with the previous 5 years having been selected. The following describers were used: AND ; AND AND ; AND low . From the 322 studies screened, 293 that failed to meet our eligibility criteria were excluded. Subsequently, we removed seven studies for not having the possible correlation between CT infections and female infertility as its main focus, and three for being about sexually transmitted infections (STIs) in general. Moreover, two studies designed as reviews were also excluded. Ergo, we included 17 studies in our qualitative analysis. The authors conducted research individually and analyzed carefully the studies selected. As we retrieved the information needed for our study through reading the texts, no contact was made with the authors of the studies selected. This systematic review corroborates the hypothesis that CT infection potentiates female infertility, as 76.47% of the included studies found a positive correlation between them. We conclude that there is an important association between CT infection and female infertility. Ergo, making CT screening part of the infertility investigation routine is relevant and has a reasonable justification.
CT 感染对女性生育力的影响尚未完全确定,因为将这些因素联系起来的证据水平仍然较弱。因此,本综述的目的是更好地阐明这一问题。我们选择的电子数据库是 Medline/PubMed,最后一次检索是在 2021 年 5 月 11 日。使用出版日期作为筛选标准,选择了前 5 年的研究。使用了以下描述符: AND ; AND AND ; AND low 。在筛选出的 322 项研究中,有 293 项因不符合入选标准而被排除。随后,我们又排除了 7 项研究,因为它们没有将 CT 感染与女性不孕之间的可能相关性作为主要焦点;还有 3 项研究是关于一般的性传播感染(STIs)。此外,还排除了两项设计为综述的研究。因此,我们在定性分析中纳入了 17 项研究。作者们独立进行研究,并仔细分析了所选的研究。由于我们通过阅读文本检索到了研究所需的信息,因此没有与所选研究的作者联系。这项系统评价证实了 CT 感染会加剧女性不孕的假设,因为纳入的研究中有 76.47% 发现两者之间存在正相关。我们得出结论,CT 感染与女性不孕之间存在重要关联。因此,将 CT 筛查纳入不孕调查常规是相关的,并且有合理的理由。