Isolation and molecular identification of mycoplasma genitalium from the secretion of genital tract in infertile male and female.

Naeime Mohseni Moghadam, Babak Kheirkhah, Toraj Reza Mirshekari, Majid Fasihi Harandi, Elham Tafsiri
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Abstract

Background: Mycoplasmas can cause acute and chronic diseases at multiple sites with wide-range complications and have been implicated as cofactors in diseases. The infections influenced form genital mycoplasmas specifically Mycoplasma hominis and Mycoplasma genitalium potentially affect reproductive disorders, and infertility.

Objective: Isolation and molecular identification of Mycoplasma genitalium from the genital tract of infertile male and vaginal discharge of infertile female referred to Infertility Center of Kerman in 2013.

Materials and methods: This study was a randomized, prospective study. We included 100 infertile male and 100 infertile female that were referred to the Infertility Center of Kerman. Then for isolation and molecular identification of Mycoplasma genitalium from urethral and vaginal discharge polymerase chain reaction was performed on Mycoplasma genus and genitalium.

Results: From a total of 100 semen samples 45 patients (45%) were mycoplasma-positive and 13 (28.8%) were genitalium species positive. Also, from a total of 100 women samples 43 women (43%) were mycoplasma-positive and 10 (23.2%) were genitalium species positive. Positive samples were sequenced and phylogenetic tree was drawn.

Conclusion: According to the results of this study, a high percentage of infertile male and female were infected with the Mycoplasma genitalium. For prevention of harmful and significant consequences of this infection, we suggest a screening program in symptomatic infertile couples.

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不育男女生殖道分泌物生殖道支原体的分离与分子鉴定。
背景:支原体可在多个部位引起急性和慢性疾病,具有广泛的并发症,并被认为是疾病的辅助因子。生殖道支原体感染,特别是人支原体和生殖道支原体感染可能影响生殖功能障碍和不孕症。目的:从2013年克尔曼不孕不育中心转诊的不孕症男性生殖道及不孕症女性阴道分泌物中分离及分子鉴定生殖支原体。材料与方法:本研究为随机、前瞻性研究。我们纳入了100名不育男性和100名不育女性,他们被转介到克尔曼不育中心。从尿道和阴道分泌物中分离出支原体并进行分子鉴定,对支原体属与生殖道进行聚合酶链反应。结果:100份精液标本中支原体阳性45例(45%),生殖道种阳性13例(28.8%)。此外,在总共100名妇女样本中,43名妇女(43%)支原体阳性,10名妇女(23.2%)生殖器种阳性。对阳性样本进行测序,绘制系统发育树。结论:根据本研究结果,不育男性和女性生殖道支原体感染比例较高。为了预防这种感染的有害和重大后果,我们建议对有症状的不育夫妇进行筛查。
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