Vaginal Discharge Relationship To Chlamydia Trachomatis (Ct) In Urine Pcr Examination And Hsg Results In Case Of Infertility In The National Hospital Of Timor Leste

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Evalija Das Dores Fernandes , Ashon Sa’adi , Jimmy Yanuar Annas

Abstract

Background: The cause of transmission of Chlamydia trachomatis (CT) bacteria tends to occur due to sexual intercourse. Chlamydia trachomatis as one of the causes of vaginal discharge is a common occurrence in sexually active women. Causes of infertility can occur due to women's reproductive health problems, namely problems with ovulation dysfunction, endometriosis, poor nutrition, hormonal disorders, to disruption of sperm transport from the cervix to the fallopian tubes. Examination using PCR has a sensitivity and specificity of the polymerase chain reaction (PCR) method of 91.7% and 99.7%, respectively. Purpose: The purpose of this study was to analyze the relationship between vaginal discharge and Chlamydia trachomatis (CT) in infertility by urine PCR examination at the Timor-Leste National Hospital. Methods: This research is an analytical observational study with a cross sectional design. Urine was taken from 30 respondents,  tested using PCR. Results: Characteristics of respondents showed that the most occupations were in the civil servant group (46.7%) and the highest education was in the SMA and S1 groups (46.7%) and all respondents did not use contraception (100%). Respondents with vaginal discharge 53,3% CT positive and no vaginal discharge 66,7% CT negative. The results of the Fisher's Exact test showed that there was a relationship between HSG and CT . with strong correlation strength (C = 0.634; p > 0.001). The results of the Fisher's Exact test showed that there was no conclusion relationship with CT p > 0.05. Conclusion: There is no relationship between vaginal discharge and Chlamydia Trachomatis (CT) in infertility with PCR urine examination at the Timor-Leste National Hospital.

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