Relation of Tubal Infertility to History of Sexually Transmitted Diseases

We studied the history of sexually transmitted diseases in 283 nulliparous women diagnosed with infertility due to tubal adhesions or occlusion and 3,833 women admitted for delivery at seven collaborating hospitals. The adjusted risks of tubal infertility associated with the history of each sexually...

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Bibliographic Details
Published in:American journal of epidemiology 1993-03, Vol.137 (5), p.577-584
Main Authors: Grodstein, Francine, Goldman, Marlene B., Cramer, Daniel W.
Format: Article
Language:English
Subjects:
Adult
Age Factors
Biological and medical sciences
Birth control
Case-Control Studies
Fallopian Tube Diseases - epidemiology
Fallopian Tube Diseases - etiology
Female
Gonorrhea - complications
Gynecology. Andrology. Obstetrics
Humans
infertility
Infertility, Female - epidemiology
Infertility, Female - etiology
Logistic Models
Medical sciences
Neisseria gonorrhoeae
Odds Ratio
Risk Factors
Salpingitis - complications
sexually transmitted diseases
Sexually Transmitted Diseases - complications
Sterility. Assisted procreation
Tissue Adhesions - epidemiology
Tissue Adhesions - etiology
Trichomonas vaginalis
Trichomonas Vaginitis - complications
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Summary:We studied the history of sexually transmitted diseases in 283 nulliparous women diagnosed with infertility due to tubal adhesions or occlusion and 3,833 women admitted for delivery at seven collaborating hospitals. The adjusted risks of tubal infertility associated with the history of each sexually transmitted disease were estimated by the odds ratios obtained by multiple logistic regression. Women who reported prior infection with gonorrhea were at a significantly increased risk of tubal infertility (relative odds = 2.4, 95% confidence interval 1.3–4.4). In addition, the risk of tubal infertility was almost twice as high in women who recalled previous trichomoniasis compared with women with no such infection (relative odds = 1.9, 95% confidence interval 1.3–2.8). Furthermore, there was a trend of increasing risk with an increasing number of episodes of gonorrhea or trictiomoniasis.
ISSN:0002-9262
1476-6256
DOI:10.1093/oxfordjournals.aje.a116711