Evidence map›Paper›PMID 24475042›Full record

ArticlePloS one2014

Chlamydia detection during the menstrual cycle: a cross-sectional study of women attending a sexual health service.

Dana S Forcey, Jane S Hocking, Sepehr N Tabrizi, Catriona S Bradshaw, Marcus Y Chen, Glenda Fehler, Jessica L Nash, Christopher K Fairley

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Genital Tract and Circulating CD8+ T Cell Phenotypes Vary Across the Menstrual Cycle.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Article
  3. T-Cell Biology in the Female Reproductive Tract: Relevance to HIV Infection.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. The complexity of interactions between female sex hormones andCurrent clinical microbiology reports · 2019
    Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Dana S ForceyMelbourne Sexual Health Centre, Melbourne, Victoria, Australia ; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Jane S HockingMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Sepehr N TabriziDepartment of Clinical Microbiology and Infectious Diseases, Royal Women's Hospital, Melbourne, Victoria, Australia ; Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia.
Catriona S BradshawMelbourne Sexual Health Centre, Melbourne, Victoria, Australia ; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Marcus Y ChenMelbourne Sexual Health Centre, Melbourne, Victoria, Australia ; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Glenda FehlerMelbourne Sexual Health Centre, Melbourne, Victoria, Australia ; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Jessica L NashMelbourne Sexual Health Centre, Melbourne, Victoria, Australia.
Christopher K FairleyMelbourne Sexual Health Centre, Melbourne, Victoria, Australia ; Central Clinical School, Monash University, Melbourne, Victoria, Australia.
Melbourne Sexual Health Centre · AUUniversity of Melbourne · AUMonash University · AURoyal Women's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the detection of chlamydia at different stages of the menstrual cycle.

methodsElectronic medical records for women attending Melbourne Sexual Health Centre between March 2011 and 31(st) December 2012, who were tested for chlamydia by nucleic acid amplification of high vaginal, cervical, or urinary samples, and who recorded a date of last normal menstrual period (LNMP) between 0-28 days were included in the analysis. Logistic regression was used to calculate adjusted odds ratio (aOR) and 95% confidence intervals (CI) for the association of chlamydia with menstrual cycle adjusted by demographics and behavioural variables. Chlamydia and beta globin load were determined on those with stored samples.

resultsOf the 10,017 consultations that included a test for chlamydia and a valid LNMP, there were 417 in which chlamydia was detected. The proportion of samples with chlamydia was greater in the luteal phase (4.8%, 184/3831) than in the follicular phase (3.4%, 233/6816) both in the crude (OR 1.29 95%CI 1.1-1.6, p = 0.01) and adjusted odds ratio (aOR) 1.4 (95%CI 1.1-1.8, p = 0.004). Among women using hormonal contraception, there was no significant association with the luteal phase of the menstrual cycle (aOR 1.3, 95%CI 0.9, 1.8, p = 0.18). Among women not using hormonal contraception, there was a significant association with the luteal phase (aOR 1.6, (95% CI 1.1-2.3, p = 0.007). The chlamydia load was not significantly different in the 329 positive stored samples in weeks 3 and 4 vs weeks 1 and 2 for any site (P>0.12).

conclusionsThe higher detection of chlamydia detection in the luteal phase of the menstrual cycle in only those not taking hormonal contraception suggest that hormonal factors influence chlamydia detection. The absence of a significantly highly chlamydia load in women during the luteal phase raises questions about the mechanism.

Indexed as

Menstrual CycleAdultBacterial Loadbeta-GlobinsChlamydia InfectionsCross-Sectional StudiesFemaleHumansLogistic ModelsOdds RatioVictoriabeta-Globins

Identifiers

PMID24475042
PMCPMC3903481
OpenAlexW1987035765

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.