What are the Gynaecologic Health Consequences of Chlamydia Trachomatis Infection in Military Servicewomen?

Research Paper Title

The Gynecologic Health Consequences of Chlamydia trachomatis Infection in Military Servicewomen.

Background

Chlamydia trachomatis is the most common sexually transmitted bacterial infection in the United States.

Within the US military, the age- and race-adjusted chlamydia infection rates among female service members are consistently higher than civilian rates, with a 20% annual acquisition rate among young active-duty women.

The sequelae of chlamydia disproportionately impact women in terms of severity and cost.

Untreated chlamydia progresses to pelvic inflammatory disease in 40% of cases, and is a leading cause of fallopian tube damage and pelvic adhesive disease resulting in ectopic pregnancy, tubal infertility, and acute and chronic pelvic pain.

Tubal infertility is among the leading indications for in vitro fertilisation (IVF) nationally and rates among couples undergoing IVF at military treatment centres are double the national average.

Collectively, chlamydia infection represents a significant resource burden to the military health care system and, in view of the serious gynecologic health sequelae, a significant threat to the readiness of servicewomen.

In this review, the researchers discuss the gynaecologic impact of chlamydia infection within the military, the critical gaps for research funding, and opportunities for intervention.

Reference

Nadeau, C., Fujii, D., Lentscher, J., Haney, A. & Burney, R.O. (2019) The Gynecologic Health Consequences of Chlamydia trachomatis Infection in Military Servicewomen. Seminars in Reproductive Medicine. 36(6), pp.340-350. doi: 10.1055/s-0039-1678752. Epub 2019 Apr 19.

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