Hellstrom W J, Schachter J, Sweet R L, McClure R D
Fertil Steril. 1987 Aug;48(2):337-9. doi: 10.1016/s0015-0282(16)59370-4.
We believe that, without evidence of inflammation (greater than 5 WBC on VB1), there is no indication for routine culture or antibiotic treatment of infertile men. In the presence of active inflammation and positive cultures for chlamydia, treatment with antibiotics is appropriate. However, active inflammation and positive chlamydial cultures were rare findings in our population (2 of 52 and 1 of 52, respectively). Thus, we find no evidence for a role of current asymptomatic mycoplasma or chlamydial infection in male infertility.
我们认为，在没有炎症证据（VB1中白细胞大于5个）的情况下，对不育男性进行常规培养或抗生素治疗没有指征。在存在活动性炎症且衣原体培养阳性时，使用抗生素治疗是合适的。然而，在我们的研究人群中，活动性炎症和衣原体培养阳性是罕见的发现（分别为52例中的2例和52例中的1例）。因此，我们没有发现目前无症状支原体或衣原体感染在男性不育中起作用的证据。
