Evidence map›Paper›PMID 26310245›Full record

ReviewClinical microbiology reviews2015

Human and Pathogen Factors Associated with Chlamydia trachomatis-Related Infertility in Women.

S Menon, P Timms, J A Allan, K Alexander, L Rombauts, P Horner, M Keltz, J Hocking, W M Huston

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
8.9field-weighted citation impact, top 1% 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

76 citing papers in PubMed, 1 synthesis or guideline pooled it, 147 citations in OpenAlex.

  1. Global epidemiology ofSexually transmitted infections · 2021
    Pooled it
  2. ThemBio · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. UnveilingiScience · 2025
    Article
  9. Biomedicines · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Pathogens (Basel, Switzerland) · 2025
    Article
  14. mSphere · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Anti-chlamydial activity of vaginal fluids: new evidence from anFrontiers in cellular and infection microbiology · 2024
    Article
  19. Review
  20. Article

16 more citing papers are in PubMed but not listed here.

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

9 authors at 6 institutions in 3 countries.

S MenonInstitute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia.
P TimmsInstitute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Maroochydore, QLD, Australia.
J A AllanWesley and St. Andrews Research Institute, The Wesley Hospital, Auchenflower, QLD, Australia UC Health Clinical School, The Wesley Hospital, Auchenflower, QLD, Australia.
K AlexanderInstitute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia.
L RombautsMIMR-PH Institute of Medical Research, Monash, VIC, Australia.
P HornerSchool of Social and Community Medicine, University of Bristol, Bristol, United Kingdom Bristol Sexual Health Centre, University Hospital Bristol NHS Foundation Trust, Bristol, United Kingdom.
M KeltzWESTMED Reproductive Services, New York, New York, USA Icahn School of Medicine at Mt. Sinai Hospital, New York, New York, USA.
J HockingCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Carlton South, VIC, Australia.
W M HustonInstitute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia w.huston@qut.edu.au.ORCID http://orcid.org/0000-0002-0879-1287
Queensland University of Technology · AUMonash Institute of Medical Research · AUMount Sinai Hospital · USThe University of Melbourne · AUUniversity Hospitals Bristol NHS Foundation Trust · GBWesley Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chlamydia trachomatis is the most common bacterial sexually transmitted pathogen worldwide. Infection can result in serious reproductive pathologies, including pelvic inflammatory disease, ectopic pregnancy, and infertility, in women. However, the processes that result in these reproductive pathologies have not been well defined. Here we review the evidence for the human disease burden of these chlamydial reproductive pathologies. We then review human-based evidence that links Chlamydia with reproductive pathologies in women. We present data supporting the idea that host, immunological, epidemiological, and pathogen factors may all contribute to the development of infertility. Specifically, we review the existing evidence that host and pathogen genotypes, host hormone status, age of sexual debut, sexual behavior, coinfections, and repeat infections are all likely to be contributory factors in development of infertility. Pathogen factors such as infectious burden, treatment failure, and tissue tropisms or ascension capacity are also potential contributory factors. We present four possible processes of pathology development and how these processes are supported by the published data. We highlight the limitations of the evidence and propose future studies that could improve our understanding of how chlamydial infertility in women occurs and possible future interventions to reduce this disease burden.

Indexed as

Chlamydia InfectionsChlamydia trachomatisFemaleHumansInfertilityPregnancyRisk Factors

Identifiers

PMID26310245
PMCPMC4548260
OpenAlexW2123485925

What OpenQuestion holds

Textmetadata
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.