Articles

Detection of genital mycoplasmal infections among infertile females by multiplex PCR

Abstract

Background and Objectives: Women reproductive system is a suitable environment for growth of various pathogen and nonpathogenic microorganisms. Mycoplasmataceae is a family of bacteria which cause oligosymptomatic genital infections. The complications caused by these bacteria may lead to infertility in women. The aim of this study was detection of genital Mycoplasma hominis, Ureaplasmaurealyticum and Mycoplasma genitalium among infertile females who referred to  the infertility clinics.
Materials and Methods: A total of 104 infertile women (in reproductive age) who referred to infertility clinics in the city of Sanandaj, Kurdistan, Iran, from February to May 2013 were selected for this study. Cervical swabs were collected from all patients. The presence of genital Mycoplasmas was detected by multiplex-PCR. All data were analyzed statistically.
Results: Out of 104 patients, 39 cases (37.5%) were infected with U. urealyticum. Mycuplasma. genitalium and M. homimis were detected in 3 (2.9%) of the infertile women. Co-infection was seen in 3.8% of the patients. There was no statistically significant difference between the infections and patient age, educational levels, literacy, situation of employment, age of first sexual intercourse, history of abortion, type of infertility and infertility duration (p value > 0.05).
Conclusions: The data showed a low percentage of infection for M. genitalium and M. hominis in the studied women while the prevalence of U. urealyticum was high. Despite having no symptoms of an ongoing acute inflammation of the reproductive tract, many women may have genital mycoplasmas in the cervix. We concluded that multiplex PCR using a pair of primers is a useful and cost-effective method for diagnosis of female genital infections.

Lee JS, Kim KT, Lee HS, Yang KM, Seo JT, Choe JH. Concordance of Ureaplasma urealyticum and Mycoplasma hominis in infertile couples: impact on semen parameters. Urology 2013;81:1219-1224.

Pellati D, Mylonakis I, Bertoloni G, Fiore C, Andrisani A, Ambrosini G, et al. Genital tract infections and infertility. Eur JObstetGynecol Reprod Biol 2008;140:3-11.

Ombelet W, Cooke I, Dyer S, Serour G, Devroey P.Infertility and the provision of infertility medical services in developing countries. Hum Reprod Update 2008;14:605-621.

Hull M, Glazener C, Kelly N, Conway D, Foster P, Hinton R, et al. Population study of causes, treatment, and outcome of infertility. Brit Med 1985;291(6510):1693.

Falk L, Fredlund H, Jensen J. Signs and symptoms of urethritis and cervicitis among women with or without Mycoplasma genitalium or Chlamydia trachomatis infection. Sex Transm Infect 2005;81:73-78.

Taylor BD, Darville T, Haggerty CL. Does bacterial vaginosis cause pelvic inflammatory disease? Sex Transm Dis 2013;40:117-122.

Amirmozafari N, Mirnejad R, Kazemi B, Sariri E, Bojari MR, Darkahi FD. Comparison of polymerase chain reaction and culture for detection of genital mycoplasma in clinical samples from patients with genital infections. Saudi Med J 2009;30:1401-1405.

Gdoura R, Kchaou W, Ammar-Keskes L, Chakroun N, Sellemi A, Znazen A, et al. Assessment of Chlamydia trachomatis, Ureaplasma urealyticum, Ureaplasma parvum, Mycoplasma hominis, and Mycoplasma genitalium in semen and first void urine specimens of asymptomatic male partners of infertile couples. J Androl 2008;29:198-206.

Dhawan B, Gupta V, Khanna N, Singh M, Chaudhry R. Evaluation of the diagnostic efficacy of PCR for Ureaplasma urealyticum infection in Indian adults with symptoms of genital discharge. Jpn J Infect Dis 2006;59:57.

Balen AH. Infertility in Practice, Fourth Edition: Taylor & Francis; 2014:5-8.

Günyeli İ, Abike F, Dünder İ, Aslan C, Tapısız ÖL, Temizkan O, et al. Chlamydia, Mycoplasma and Ureaplasma infections in infertile couples and effects of these infections on fertility. Arch Gynecol Obstet 2011;283:379-385.

Dabaja AA, Schlegel PN. Medical treatment of male infertility. Transl Androl Urol 2014;3:9-16.

Fenkci V, Yilmazer M, Aktepe O. Have Ureaplasma urealyticum and Mycoplasma hominis infections any significant effect on women fertility? Infez Med 2002;10:220-223.

Rosemond A, Lanotte P, Watt S, Sauget A, Guerif F, Royere D, et al. Systematic screening tests for Chlamydia trachomatis, Mycoplasma hominis and Ureaplasma urealyticum in urogenital specimens of infertile couples. Patholol Biol 2006;54:125-129.

Gdoura R, Kchaou W, Chaari C, Znazen A, Keskes L, Rebai T, et al. Ureaplasmaurealyticum, Ureaplasma parvum, Mycoplasma hominis and Mycoplasma genitalium infections and semen quality of infertile men. BMC Infect 2007;7:129.

Miron ND, Socolov D, Mareş M, Anton G, Nastasa V, Moraru RF, et al. Bacteriological agents which play a role in the development of infertility. Acta Microbiol Immunol Hung 2013;60:41-53.

Verteramo R, Patella A, Calzolari E, Recine N, Marcone V, Osborn J, et al. An epidemiological survey of Mycoplasma hominis and Ureaplasma urealyticum in gynaecological outpatients, Rome, Italy. Epidemiol Infect 2013;141:2650-2657.

Zdrodowska-Stefanow B, Kłosowska W, Ostaszewska- Puchalska I, Bułhak-Kozioł V,

Kotowicz B. Ureaplasma urealyticum and Mycoplasma hominis infection in women with urogenital diseases. Adv Med Sci 2006;51:250-253.

Paavonen J, Miettinen A, Stevens C, Chen K, Holmes K. Mycoplasma hominis in nonspecific vaginitis. Sex Transm Dis. 1982;10(4 Suppl):271-275.

Shafer M, Sweet R, Ohm-Smith M, Shalwitz J, Beck A, Schachter J. Microbiology of the lower genital tract in postmenarchal adolescent girls: differences by sexual activity, contraception, and presence of nonspecific vaginitis. J Pediatr 1985;107:974-981.

Clausen HF, Fedder J, Drasbek M, Nielsen PK, Toft B, Ingerslev HJ, et al. Serological investigation of Mycoplasma genitalium in infertile women. Hum Reprod 2001;16:1866-1874.

Tomusiak A, Heczko PB, Janeczko J, Adamski P, Pilarczyk-Zurek M, Strus M. Bacterial infections of the lower genital tract in fertile and infertile women from the southeastern Poland. Ginekol Pol 2013;84:352-358.

McGowin CL, Anderson-Smits C. Mycoplasma genitalium: an emerging cause of sexually transmitted disease in women. PLoS pathogens 2011;7:e1001324.

Grześko J, Elias M, Mączyńska B, Kasprzykowska U, Tłaczała M, Goluda M. Occurrence of Mycoplasma genitalium in fertile and infertile women. Fertil Steril 2009;91:2376-2380.

Costoya A, Morales F, Borda P, Vargas R, Fuhrer J, Salgado N, et al. Mycoplasmateceae species are not found in Fallopian tubes of women with tubo-peritoneal infertility. Braz J Infect 2012;16:273-278.

Svenstrup HF, Fedder J, Kristoffersen SE, Trolle B, Birkelund S, Christiansen G. Mycoplasma genitalium, Chlamydia trachomatis, and tubal factor infertility—a prospective study. Fertil Steril 2008;90:513-520.

Anagrius C, Lore B, Jensen J. Mycoplasma genitalium: prevalence, clinical significance, and transmission. Sex Transm Infect 2005;81:458-462.

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IssueVol 6 No 6 (2014) QRcode
SectionArticles
Keywords
Mycoplasma genitalium Mycoplasma hominis PCR Ureaplasmaurealyticum

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How to Cite
1.
Mousavi A, Farhadifar F, Mirnejad R, Ramazanzadeh R. Detection of genital mycoplasmal infections among infertile females by multiplex PCR. Iran J Microbiol. 1;6(6):398-403.