Role of mycoplasma in infertility

ABSTRACT

Twenty five couples attending an infertility clinic had been investigated to determine the cause of their infertility. These couples with unexplained infertility were part of a much larger group of patients who originally presented to the clinic with infertility. The organism have been isolated from semen and the cervical mucus of fertile and infertile couples. A higher frequency of positive culture was found in the semen of infertile men. Statistical study indicated, decreased sperm motility in ejaculates containing mycoplasms but not significant in their distribution in infertile couples. However, a definite causal relationship between mycoplasma and unexplained infertility has not been established. It is advisable to screen either all female or male infertility patients or patients with unexplained infertility for mycoplasma. If cultures are positive, specially for u. urealyticum, treatment of both partners is indicated. Treatment depends on tetracycline, or doxycycline or erythromycin