Correlation of sugar and protein levels in aspirated peritoneal fluid and serum anti Chlamydia trachomatis antibodies in infertile Sudanese women

Wisal O.M Nabag

Abstract


Background: Infertility remains a major clinical and social problem; the most common cause of infertility is tubal blockage and the common causative organism is Chlamydia trachomatis. Objective: A hospital based
prospective study was conducted at the Minimal Access Gynecology Surgery (MAGS) unit at Omdurman Maternity Hospital from October 2008-March 2010 to investigate the sugar & protein levels in the peritoneal
fluid as well as serum anti Chlamydia antibodies and to correlate the results to laparoscopic findings.
Method: The peritoneal fluid was aspirated from cul-de-sac of 140 infertile women at laparoscopy and sent to the laboratory for estimation of sugar & protein levels, and the sera of subfertile women were tested for the
presence of IgG & IgM antibodies using ELISA.
Results: Tubal blockage was found in 64(44.8%) women. Comparison of abnormal sugar level in patients with blocked and patent tubes as well as serum IgG & IgM antibodies for Chlamydia trachomatis revealed
statistically significant increase in the group with blocked tubes. The protein level revealed statically significant difference in patients with endometriosis
Conclusion: Abnormal level of sugar in the peritoneal fluid has a positive correlation with IgG &IgM antibodies of Chlamydia trachomatis in the sera of infertile women with blocked tubes, while the protein level
is high in cases of endometriosis.
*Correspondening author:Department of Obstetric & Gynecology, Alziem Alazhari University Email:wisnab3@yahoo.com

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ISSN: 1858-5345