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Mycoplasma genitalium in Women: Current Knowledge and Research Priorities for This Recently Emerged Pathogen.

Abstract Health consequences of sexually transmitted diseases disproportionately affect women, making it important to determine whether newly emerged pathogens cause sequelae. Although the pathogenic role of Mycoplasma genitalium in male urethritis is clear, fewer studies have been conducted among women to determine its pathogenic role in the female reproductive tract. Pelvic inflammatory disease (PID) is an important cause of infertility and ectopic pregnancy, and Chlamydia trachomatis and Neisseria gonorrhoeae are recognized microbial causes. Emerging data demonstrate an association between M. genitalium and PID, and limited data suggest associations with infertility and preterm birth, yet the attributable risk for female genital tract infections remains to be defined. Further investigations are needed to better define the impact of M. genitalium on women's reproductive health. Importantly, prospective studies evaluating whether screening programs and targeted treatment of M. genitalium improve reproductive outcomes in women are necessary to guide public health policy for this emerging pathogen.
PMID
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Authors

Mayor MeshTerms
Keywords

Mycoplasma genitalium

cervicitis

infertility

pelvic inflammatory disease

preterm birth

Journal Title the journal of infectious diseases
Publication Year Start




PMID- 28838078
OWN - NLM
STAT- MEDLINE
DA  - 20170825
DCOM- 20170905
LR  - 20170906
IS  - 1537-6613 (Electronic)
IS  - 0022-1899 (Linking)
VI  - 216
IP  - suppl_2
DP  - 2017 Jul 15
TI  - Mycoplasma genitalium in Women: Current Knowledge and Research Priorities for
      This Recently Emerged Pathogen.
PG  - S389-S395
LID - 10.1093/infdis/jix198 [doi]
AB  - Health consequences of sexually transmitted diseases disproportionately affect
      women, making it important to determine whether newly emerged pathogens cause
      sequelae. Although the pathogenic role of Mycoplasma genitalium in male
      urethritis is clear, fewer studies have been conducted among women to determine
      its pathogenic role in the female reproductive tract. Pelvic inflammatory disease
      (PID) is an important cause of infertility and ectopic pregnancy, and Chlamydia
      trachomatis and Neisseria gonorrhoeae are recognized microbial causes. Emerging
      data demonstrate an association between M. genitalium and PID, and limited data
      suggest associations with infertility and preterm birth, yet the attributable
      risk for female genital tract infections remains to be defined. Further
      investigations are needed to better define the impact of M. genitalium on women's
      reproductive health. Importantly, prospective studies evaluating whether
      screening programs and targeted treatment of M. genitalium improve reproductive
      outcomes in women are necessary to guide public health policy for this emerging
      pathogen.
CI  - (c) The Author 2017. Published by Oxford University Press for the Infectious
      Diseases Society of America. All rights reserved. For permissions, e-mail:
      [email protected]
FAU - Wiesenfeld, Harold C
AU  - Wiesenfeld HC
AD  - Department of Obstetrics, Gynecology and Reproductive Sciences, University of
      Pittsburgh School of Medicine, and Magee-Womens Research Institute, Pittsburgh,
      Pennsylvania.
FAU - Manhart, Lisa E
AU  - Manhart LE
AD  - Departments of Epidemiology and Global Health, Center for AIDS and STD,
      University of Washington, Seattle.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - J Infect Dis
JT  - The Journal of infectious diseases
JID - 0413675
SB  - AIM
SB  - IM
MH  - Female
MH  - Humans
MH  - Infertility, Female/etiology
MH  - Male
MH  - Mycoplasma Infections/*complications/*diagnosis
MH  - Mycoplasma genitalium/*isolation & purification
MH  - Pelvic Inflammatory Disease/complications/*microbiology
MH  - Pregnancy
MH  - Pregnancy, Ectopic/etiology
MH  - Premature Birth/etiology
MH  - Risk Factors
MH  - Uterine Cervicitis/complications/*microbiology
OTO - NOTNLM
OT  - Mycoplasma genitalium
OT  - cervicitis
OT  - infertility
OT  - pelvic inflammatory disease
OT  - preterm birth
EDAT- 2017/08/26 06:00
MHDA- 2017/09/07 06:00
CRDT- 2017/08/26 06:00
AID - 4040973 [pii]
AID - 10.1093/infdis/jix198 [doi]
PST - ppublish
SO  - J Infect Dis. 2017 Jul 15;216(suppl_2):S389-S395. doi: 10.1093/infdis/jix198.