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Chronic prostatitis, chlamydia trachomatis and infertility.

J Suominen, M Grönroos, P Terho

International Journal of Andrology

|October 1, 1983

Summary

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Chlamydia trachomatis infection is linked to asymptomatic chronic prostatitis in infertile men. This infection may negatively impact male fertility.

Area of Science:

Urology
Immunology
Microbiology

Background:

Male infertility affects a significant portion of the population.
Chronic prostatitis is a common condition in men, often with unclear etiology.
Chlamydia trachomatis is a known sexually transmitted pathogen.

Purpose of the Study:

To investigate the association between Chlamydia trachomatis infection and seminal abnormalities in infertile men.
To determine the prevalence of Chlamydial IgA antibodies in infertile men with seminal leucocytosis and decreased acid phosphatase activity.
To compare these findings with fertile men and infertile men without prostatitis.

Main Methods:

Solid-phase radioimmunoassay was used to detect Chlamydia trachomatis IgA antibodies in semen.

Related Experiment Videos

Seminal leucocytosis and acid phosphatase activity were measured.

Study included 71 infertile men and 56 fertile men.

Main Results:

Chlamydial IgA antibodies were detected in 51.1% of infertile men with seminal leucocytosis and low acid phosphatase (asymptomatic chronic prostatitis).
This prevalence was significantly higher than in fertile men (23.2%) and infertile men without prostatitis (26.9%).
Decreased seminal acid phosphatase activity was observed in infertile men with Chlamydial IgA antibodies.

Conclusions:

Chlamydia trachomatis appears to be a common cause of prostatitis.
The presence of Chlamydia trachomatis infection may negatively impact male fertility.
Asymptomatic chronic prostatitis associated with Chlamydia trachomatis warrants further investigation in infertile populations.