The role of genital mycoplasma infection in female infertility: A systematic review and meta-analysis

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dc.contributor.authorTantengco, Ourlad Alzeus G.
dc.contributor.authorde Castro Silva, Mariana [UNESP]
dc.contributor.authorVelayo, Clarissa L.
dc.contributor.institutionUniversity of the Philippines Manila
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2021-06-25T10:50:06Z
dc.date.available2021-06-25T10:50:06Z
dc.date.issued2021-06-01
dc.description.abstractProblem: Recent studies show that lower genital tract infection with genital mycoplasma may be associated with the pathology of female infertility. However, this association remains controversial due to the variable prevalence, sample sizes, and different methods used to diagnose genital mycoplasma infection. The aim of the present meta-analysis was to gain better understanding of the specific impact of genital mycoplasma on female infertility. Method of Study: A systematic review of literature on the association of genital mycoplasma (Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma parvum, and Ureaplasma urealyticum) infection and female infertility was performed using three electronic databases: PubMed, Scopus, and CINAHL, from January 2000 to January 2020. Pooled odds ratio (OR) and 95% confidence intervals for genital mycoplasma infection and female infertility were derived from a fixed effects model. Results: This meta-analysis included eight studies conducted in six countries. Based on the results, women with infertility had a statistically higher odds of having any genital mycoplasma infection (p <.0001) compared to the control group. The pooled OR of all the included studies was 3.82 (95% CI: 2.55, 5.72). There was an unremarkable heterogeneity in all the studies included in this meta-analysis (I2 = 0%, p =.48). A subgroup analysis also showed that M. genitalium, M. hominis, and U. urealyticum infections are significantly associated with female infertility. Conclusion: Our meta-analysis showed a significant association between M. genitalium, M. hominis, and U. urealyticum infections and female infertility. This evidence supports the development of guidelines for the diagnosis and treatment of genital mycoplasma infections to prevent female infertility.en
dc.description.affiliationCollege of Medicine University of the Philippines Manila
dc.description.affiliationDepartment of Pathology Botucatu Medical School Universidade Estadual Paulista UNESP
dc.description.affiliationDepartment of Physiology College of Medicine University of the Philippines Manila
dc.description.affiliationUnespDepartment of Pathology Botucatu Medical School Universidade Estadual Paulista UNESP
dc.identifierhttp://dx.doi.org/10.1111/aji.13390
dc.identifier.citationAmerican Journal of Reproductive Immunology, v. 85, n. 6, 2021.
dc.identifier.doi10.1111/aji.13390
dc.identifier.issn1600-0897
dc.identifier.issn1046-7408
dc.identifier.scopus2-s2.0-85099820653
dc.identifier.urihttp://hdl.handle.net/11449/207174
dc.language.isoeng
dc.relation.ispartofAmerican Journal of Reproductive Immunology
dc.sourceScopus
dc.subjecthuman reproduction
dc.subjectinfection
dc.subjectinflammation
dc.subjectmollicutes
dc.subjectsexually transmitted disease
dc.titleThe role of genital mycoplasma infection in female infertility: A systematic review and meta-analysisen
dc.typeArtigo
unesp.author.orcid0000-0002-4535-8837[1]
unesp.author.orcid0000-0002-2251-9730[2]
unesp.author.orcid0000-0001-7727-2838[3]

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