Đặc điểm lâm sàng nhiễm Chlamydia trachomatis đường sinh dục ở phụ nữ vô sinh đến khám và điều trị tại Bệnh viện Phụ sản Trung ương (2020-2022)

Abstract

Objective: To describe the clinical characteristics in infertile women with infections of Chlamydia trachomatis attending the National Hospital of Obstetrics and Gynecology, Vietnam. Subject and method: A cross-sectional design was conducted between January 2020 and December 2022. A total of 119 infertile women with infections of C. trachomatis and 642 negative controls were selected at the National Hospital of Obstetrics and Gynecology in Hanoi city, Vietnam. All patients were analyzed for C. trachomatis presence by Cobas 4800 CT/NG Test (Roche, Germany) according to the manufacturer’s recommendations. Result: Among infertile women with infections of C. trachomatis, abnormal vaginal discharge (67.22%) was the most frequent, followed by lower abdominal pain (40.34%), vaginal itching (21.01%), dyspareunia (16.81%), vulvar burning (15.13%), painful micturition (15.13%), and abnormal uterine bleeding (5.88%). Cervicitis, vaginitis and fallopian tube occlusion represented 80.67%, 75.63%, and 45.45%, respectively. The ratio of all clinical manifestations in infertile women with C. trachomatis infection was significantly higher than that in subfertile patients without C. trachomatis infection. Conclusion: The syndromes and signs in infertile women who have C. trachomatis infection are quite widespread but not for specific diagnosis.