Association between Chlamydia trachomatis Infection and Male Infertility: A Systematic Review and Meta-Analysis

Masoud Keikha1, Seyed-Abolfazl Hosseininasab-Nodoushan2, Amirhossein Sahebkar3,4,5,6

  • 1Department of Microbiology and Virology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Insights

Chlamydia trachomatis infection is prevalent in infertile men, significantly increasing their risk of infertility. This study confirms a strong association between C. trachomatis and male infertility, highlighting its public health importance.

Area of Science:

  • Reproductive Medicine
  • Infectious Diseases
  • Urology

Background:

  • Chlamydia trachomatis is a common sexually transmitted infection with emerging evidence linking it to sperm dysfunction.
  • The role of C. trachomatis infection in male infertility remains debated despite existing research.
  • Understanding the prevalence and impact of C. trachomatis is crucial for reproductive health strategies.

Approach:

  • A comprehensive systematic literature search was conducted across major scientific databases.
  • Eligibility criteria were applied to select relevant studies for meta-analysis.
  • Statistical analysis was performed to determine the prevalence and odds ratio of infertility associated with C. trachomatis.

Key Points:

  • The pooled prevalence of C. trachomatis infection in infertile males was found to be 20.6%.
  • C. trachomatis infection was associated with a significantly increased risk of male infertility (OR: 2.28).
  • The findings indicate a robust link between C. trachomatis and male infertility.

Conclusions:

  • C. trachomatis infection is highly prevalent in sperm and semen samples of infertile men.
  • The study concludes that C. trachomatis infection significantly elevates the risk of infertility in men.
  • These findings underscore the importance of screening and managing C. trachomatis in cases of male infertility.

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