IMR Press / CEOG / Volume 40 / Issue 1 / pii/1630388032750-1750214155

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Origianal Research
The value of negative chlamydia trachomatis antibody in prediction of normal tubes in infertile women
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1 Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran (Iran)
Clin. Exp. Obstet. Gynecol. 2013, 40(1), 95–97;
Published: 10 March 2013
Abstract

Objective: To evaluate the value of Chlamydia trachomatis antibody testing in prediction of at least one normal tube in infertile women. Materials and Methods: Eighty infertile women without any history of abdominal or pelvic surgery, pelvic inflammatory disease, and endometriosis were recruited in this cross-sectional study from 2009 to 2010. The patients underwent hysterosalpingography, laparoscopy, and anti Chlamydia trachomatis IgG antibody (CAT) testing. We compared laparoscopy findings and CAT regarding sensitivity, specificity, accuracy, and predicting value of tubal conditions. Results: The CAT was positive in 50 patients (62.5%) and laparoscopy was positive in 32 patients (40%). The CAT was significantly higher in women with tubal disease (1.88 ± 0.34) versus in women with normal tubes (1.21 ± 0.28) (p = 0.003). Five out of 30 sero-negative women had unilateral tubal abnormality and none of them had bilateral tubal obstruction or severe pelvic adhesion. The sensitivity, specificity, positive and negative predictive value, and accuracy of the CAT in prediction of one normal tube were 100%, 42.25%, 18%, 100%, and 48.75%, respectively. Conclusion: The negative predictive value of CAT to predict at least one normal tube in infertile women without history of abdominal or pelvic surgery, pelvic inflammatory disease, and endometriosis was 100%.
Keywords
Chlamydia trachomatis antibody
Fallopian tube evaluation
Female infertility
Predictive value
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