[Chlamydia trachomatis in men with impaired fertility].
OBJECTIVE
The objective of the prospective study was to assess whether there exists a relationship between the results of positive laboratory tests for the presence of Chlamydia infection (assessment of the presence of Chlamydia trachomatis in the ejaculate by the DNA amplification method, IgA and IgG antichlamydia antibodies in the ejaculate and serum), an abnormal spermiogram and total number of sexual partners in men from infertile couples examined at the Gynaecological and Obstetric Clinic of the First Medical Faculty, Charles University Prague.


METHODS
Prospective clinical study.


METHODS
Department of Gynaec.-Obstet., the 1st Medical Faculty of the Charles University, Prague, Czech Republic--Institut of Clinical Biochemy, the 1st Medical Faculty of Charles University, Prague, Czech Republic.


METHODS
101 men were examined. In all the spermiogram was evaluated according to WHO criteria. Specific antichlamydial antibodies IgA and IgG is serum and the ejaculate were assessed by the ELISA method. Evidence of the DNA portion of Chlamydia trachomatis was provided by the MEIA method. Amplification of DNA by LCR was made on a Thermocycler. By means of an aimed questionnaire the number of all sexual partners was assessed. The men were divided into three groups with 1-5, 6-9 and with 10 or more partners. Patients where Chlamydia infection was detected were treated with Ig Azitromycin and their spermiogram was checked 6-8 weeks after treatment. The results of the examination were tested by the chi square test.


RESULTS
An abnormal spermiogram was found in 44 (44%) of the examined subjects. With the increasing number of sexual partners the number of men with pathospermia increased. In none LCR for the presence of Chlamydia trachomatis was positive in the ejaculate. In 15 examined patients IgA antichlamydia antibodies were found in the ejaculate. At the same time in all an abnormal spermiogram was found and 11 (73%) of them had six or more sexual partners. After treatment in 8 (62%) of 13 (two did not attend the check-up) marked improvement of the spermiogram occurred.


CONCLUSIONS
IgA antichlamydial antibodies in the ejaculate proved in 62% of the examined men with an abnormal spermiogram a useful indicator of infection in the genital tract. With the increasing number of sexual partners the number of pathospermias increased.
Rezácová
J
J
Gynek.-porod. klinika 1. LF UK a VFN, Praha.
Masata
J
J
Pribylová
M
M
Drazd'áková
M
M
D000328:Adult; D000907:Antibodies, Bacterial / Q000032:analysis; D002690:Chlamydia Infections / Q000150:complications* / Q000175:diagnosis; D002692:Chlamydia trachomatis / Q000276:immunology; D006801:Humans; D007248:Infertility, Male / Q000175:diagnosis / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013076:Sperm Count
D000907:Antibodies, Bacterial