Fertility in adolescent women previously treated for genitourinary chlamydial infection

Barry Katz, S. Thom, M. J. Blythe, Janet Arno, V. M. Caine, R. B. Jones

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Study Objective: To obtain follow-up pregnancy data on adolescent women in order to examine the effectiveness of anti-chlamydial therapy in the prevention of early infertility. Design: A longitudinal follow-up of adolescent women originally enrolled in a study of prevalence and recurrence of genital chlamydial infection. Setting: Public health adolescent clinics in Marion County (Indianapolis), Indiana. Participants: Sexually active female patients between 11 and 20 years and receiving gynecological care between October 1985 and February 1990. Interventions: None. Main Outcome Measures: Pregnancy during the follow-up period was ascertained using self-report during a telephone survey and/or the computerized record system of the county hospital. Rates were compared among the women separated into three groups: more than one documented chlamydial infection, a single infection, and no documented infection. Results: Using both data sources, the lowest proportion of women who became pregnant during the follow-up period was observed in the single infection group (34.9%, p = 0.029), but the other two groups were similar (multiple infections 54.2%, no documented infection 51.0%). Among women who were contacted by phone, the overall proportion was higher (68.3%) and did not differ by group even after adjustment for sexual activity and condom use. Conclusions: These data do not show an association between a history of treated genitourinary chlamydial infection and infertility. The frequent monitoring and treatment featured in the original study may have affected this.

Original languageEnglish
Pages (from-to)147-152
Number of pages6
JournalAdolescent and Pediatric Gynecology
Volume7
Issue number3
StatePublished - 1994

Fingerprint

Fertility
Infection
Infertility
County Hospitals
Pregnancy
Information Storage and Retrieval
Condoms
Telephone
Sexual Behavior
Self Report
Public Health
Cross-Sectional Studies
Outcome Assessment (Health Care)
Recurrence
Therapeutics

Keywords

  • Chlamydial infection
  • Infertility
  • Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Katz, B., Thom, S., Blythe, M. J., Arno, J., Caine, V. M., & Jones, R. B. (1994). Fertility in adolescent women previously treated for genitourinary chlamydial infection. Adolescent and Pediatric Gynecology, 7(3), 147-152.

Fertility in adolescent women previously treated for genitourinary chlamydial infection. / Katz, Barry; Thom, S.; Blythe, M. J.; Arno, Janet; Caine, V. M.; Jones, R. B.

In: Adolescent and Pediatric Gynecology, Vol. 7, No. 3, 1994, p. 147-152.

Research output: Contribution to journalArticle

Katz, B, Thom, S, Blythe, MJ, Arno, J, Caine, VM & Jones, RB 1994, 'Fertility in adolescent women previously treated for genitourinary chlamydial infection', Adolescent and Pediatric Gynecology, vol. 7, no. 3, pp. 147-152.
Katz, Barry ; Thom, S. ; Blythe, M. J. ; Arno, Janet ; Caine, V. M. ; Jones, R. B. / Fertility in adolescent women previously treated for genitourinary chlamydial infection. In: Adolescent and Pediatric Gynecology. 1994 ; Vol. 7, No. 3. pp. 147-152.
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