The Prevalence of Chlamydial Endometritisin Women with Menorrhagia at an Egyptian Tertiary University Hospital

Abstract

Objective: The goal of this study is to evaluate the prevalence of Chlamydial endometritis in women with menorrhagia attending Ain Shams University Maternity Hospital. Design: Cross-sectional study. Setting: Ain Shams Maternity teaching hospital. Patients and methods: 300 women were divided randomly into two equal arms of 150 women in each one. Intervention: Patients admitted through the reception room or out-patient clinics (hospital department) and they scheduled for Pipelle endometrial sampling. Group I saught medical advice because of menorrhagia while group II were attending the hospital due to any other cause other than vaginal bleeding. Pipelle endometrial biopsy was taken and sent for detection of Chlamydia trachomatis by PCR. Results: In group I, 82 specimens were positive for Chlamydia and the other 68 specimens were negative for Chlamydia while in group II only 22 specimens were PCR positive for chlamydia. There was a statistical significant correlation between positive cases of C. endometritis and abnormal uterine bleeding (AUB). Conclusion: Screening for Chlamydia trachomatis in patients with menorrhagia is recommended. Key words: Chlamydia trachomatis,Menorrhagia