ABSTRACT
The roles of gonorrhea and non-gonococcal urethritis due to Chlamydia trachomatis in the etiology of
infertility due to tubal occlusion have been established by various studies. Hysterosalphingography WSG)
is done to investigate tubal patency. This study was aimed at finding the prevalence of Wptomatic
sexually transmitted infections (STIs) in women being investigated for infertility in a tertiary institution.
Methods: This was a cross-sectional study of asymptomatic infertile women referred for pre-HSG
screening. Detailed medical history, Endocervical and high vaginal swabs were collected to establish
diagnosis of STIs following clinical examination and informed consent. These specimens were evaluated
microscopically for Chlamydia trachomatis and bacterial vaginosis. Endocervical secretions were
Gram-stained for intracellular Gram - Negative diplococci and suspected isolates were confirmed as
Neisseriagonorrhoeae by standard laboratory methods.
Results: There were 250 participants with a mean age of 34.6 years (SD = 5.4, range = 25 -49). The mean
age of sexual debut of participants was 21.5 years (SD = 4.3). Fifty-six (22.5%) of the women engaged in
oral sex while 53 (2 1.2 %) shared their spouses with other sexual partners. 1 7.7% had previous PID, 43.1%
of them has vaginal discharge syndrome. The commonest ST1 was Vulvo- vaginal candidiasis (24.4%) and
others were bacterial vaginosis (18.4%), Chlamydia cervicitis ( 17.6% ), trichomoniasis (11.2% ), and
gonomhea ( 2.4 % ).
Conclusion: The procedure of HSG is invasive and asymptomatic infections in the cervix can be dislodged
and propagated by injectionof contrast to the fallopian tubes thus causing tubal blockage. ~outinPer e-HSG
screening for occult STIs is encouraged to avoid iatrogenic Pelvic Inflammatoty Disease
O.M, A (2021). Pattern Of Asymptomatic Sexually Transmitted Infections In Women Undergoing Hysterosalpingography For Infertility Evaluation In Ibadan Nigeria. Afribary. Retrieved from https://tracking.afribary.com/works/pattern-of-asymptomatic-sexually-transmitted-infections-in-women-undergoing-hysterosalpingography-for-infertility-evaluation-in-ibadan-nigeria
O.M, ATALABI "Pattern Of Asymptomatic Sexually Transmitted Infections In Women Undergoing Hysterosalpingography For Infertility Evaluation In Ibadan Nigeria" Afribary. Afribary, 23 Apr. 2021, https://tracking.afribary.com/works/pattern-of-asymptomatic-sexually-transmitted-infections-in-women-undergoing-hysterosalpingography-for-infertility-evaluation-in-ibadan-nigeria. Accessed 06 Nov. 2024.
O.M, ATALABI . "Pattern Of Asymptomatic Sexually Transmitted Infections In Women Undergoing Hysterosalpingography For Infertility Evaluation In Ibadan Nigeria". Afribary, Afribary, 23 Apr. 2021. Web. 06 Nov. 2024. < https://tracking.afribary.com/works/pattern-of-asymptomatic-sexually-transmitted-infections-in-women-undergoing-hysterosalpingography-for-infertility-evaluation-in-ibadan-nigeria >.
O.M, ATALABI . "Pattern Of Asymptomatic Sexually Transmitted Infections In Women Undergoing Hysterosalpingography For Infertility Evaluation In Ibadan Nigeria" Afribary (2021). Accessed November 06, 2024. https://tracking.afribary.com/works/pattern-of-asymptomatic-sexually-transmitted-infections-in-women-undergoing-hysterosalpingography-for-infertility-evaluation-in-ibadan-nigeria