Changes in sexual behavior, as well as the increase in the frequency of intercourse, the number of sexual partners and the use of contraceptive methods (not necessarily condoms) expose couples to a higher incidence of sexually transmitted diseases causing tubo-peritoneal infections, with consequences on fertility. The most frequent are Chlamydia and gonococcus.
Chlamydia trachomatis is a pathogen that has been isolated in most women with tubal infertility, with high titers of anti-Chlamydia antibodies being detected in more than 70% of women with tubal obstruction.
Its clinical spectrum ranges from asymptomatic infections to severe infections that are difficult to treat. The structural alterations associated with Chlamydia trachomatis infection are due to inflammation mediated by tissue damage and injury that occurs after chronic or repeated infections.