Correlation between Chlamydia trachomatis endocervicitis and pelvic lesions in infertile patients

Chlamydia trachomatis usually causes asymptomatic cervicitis, but infrequently it spreads upwards to involve the uterus, Fallopian tubes, or peritoneum, causing pelvic inflammatory disease and even results in infertility. In our study, we examined endocervical chlamydial antigens in infertile women and evaluated them laparoscopically thereafter according to a pelvic scoring system based on the R-AFS classification. It has been found that in patients whom were positively tested for chlamydial infection, the total pelvic score was significantly higher than in patients whom were negatively tested. When each examined area was assessed separately, however, only the tubal score was significantly higher in the chlamydia-infected patients. Our study indicated that genital infection with chlamydia trachomatis, may be responsible for infertility if it has involved the Fallopian tubes