Articles Tập 67 Số CĐ9-Hội Y học Giới tính 29/07/2026

PREVALENCE OF GENITAL MYCOPLASMA INFECTION AND ASSOCIATED FACTORS IN WOMEN WITH PRIMARY INFERTILITY

Vo Van Chinh1,2,3,4, Tran Thi Nhu Quynh5,6, Le Dinh Duong7,8, Le Minh Tam2,4,5,6
1 Tam Tri Quang Nam General Hospital
2 Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy, Hue University
3 Bệnh viện Đa khoa Tâm Trí Quảng Nam
4 Bộ môn Phụ Sản, Trường Đại học Y Dược, Đại học Huế
5 Center for Obstetrics, Gynecology and Infertility, Hue University of Medicine and Pharmacy Hospital
6 Trung tâm Sản Phụ khoa và Vô sinh, Bệnh viện Trường Đại học Y Dược Huế
7 Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University
8 Khoa Y tế công cộng, Trường Đại học Y Dược, Đại học Huế
DOI: 10.52163/yhc.v67iCD9.5813
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Keywords
Genital Mycoplasma, primary infertility, women, STDs.
Abstract

Objectives: To investigate the prevalence of genital Mycoplasma infection and associated factors among women with primary infertility.

Methods: A cross-sectional study was conducted on 78 women diagnosed with primary infertility at the Center for Reproductive Endocrinology and Infertility, Hue University of Medicine and Pharmacy Hospital. Participants underwent testing for sexually transmitted pathogens, including genital Mycoplasma.

Results: The prevalence of genital Mycoplasma infection in women with primary infertility was 41% (95% CI: 29.9-52.2%), of which Ureaplasma parvum infection (32.1%), Ureaplasma urelyticum (3.8%), co-infection  with Ureaplasma parvum and Ureaplasma urelyticum (5.1%). No cases of Mycoplasma hominis or Mycoplasma genitalium infection were reported. There were no significant associations between genital mycoplasma infection and demographic or clinical characteristics, including age, occupation, educational level, medical history, menstrual characteristics, and sexual behaviors. However, women with a history of infertility treatment had a higher risk of genital Mycoplasma infection compared with those without such history (ORadj = 5.67; 95% CI: 1.50-21.45; p = 0.010), after adjusting for age, education and occupation.

Conclusion: Genital Mycoplasma infection is a noteworthy concern among women with primary infertility, with Ureaplasma parvum being the most frequently detected pathogen. Screening and management of genital infections in women with primary infertility should pay particular attention to those with a history of infertility treatment.

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