Prevalence of Chlamydia trachomatis Infection in Thai Men with Pyospermia

Thamkhantho M, MD, FRCOG, MSc¹, Chayachinda C, MD, MSc¹, Chantrapanichkul P, MD¹

Affiliation : ¹ Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Objective: To demonstrate the prevalence of Chlamydia trachomatis infection in the semen of Thai men with pyospermia.
Materials and Methods: A randomized controlled trial examining the effect of coenzyme Q10 in the seminal fluid of Thai men with pyospermia, tested for C. trachomatis infection using a polymerase chain reaction, was carried out. The participants that underwent semen analysis at the Siriraj Infertility Clinic between March 2014 and February 2015 were included. Pyospermia was referred to a white blood cell count (WBC) of greater than 1 million per 1 mL of seminal fluid according to World Health organization criteria 2010.
Results: One out of eighty-four specimens tested positive for C. trachomatis (1.2%). The mean age of the present participants was 36.6±5.7 years. Four men had symptomatic genital infections, while the participant who had a positive test for chlamydia experienced no symptoms. The positive specimen had a WBC count of 1.5 ×10⁶/mL.
Conclusion: The prevalence of C. trachomatis infection in semen of Thai men with pyospermia was 1.2%. C. trachomatis infection can be asymptomatic.
Received 26 Dec 2019 | Revised 3 Jan 2020 | Accepted 6 Jan 2020

Keywords : Chlamydia trachomatis , Pyospermia

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