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    Does Active Oral Sex Contribute to Female Infertility?

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    Author
    Bavoil, P.M.
    Marques, P.X.
    Brotman, R.
    Date
    2017
    Journal
    Journal of Infectious Diseases
    Publisher
    Oxford University Press
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1093/infdis/jix419
    Abstract
    Based on recent, historical, and circumstantial evidence, we present a multifactorial hypothesis that has potential direct implications on the epidemiology and management of chlamydial infection and disease in humans. We propose that (1) like its veterinary relatives, the oculogenital pathogen Chlamydia trachomatis evolved as a commensal organism of the human gastrointestinal (GI) tract primarily transmissible via the fecal-oral route; (2) in the modern era, C. trachomatis causes "opportunistic" infection at non-GI sites under conditions driven by improved sanitation/hygiene and reduced fecal-oral transmission; and (3) the rise in the practice of oral sex is contributing to the increased prevalence of C. trachomatis in the human GI tract. Infectious organisms produced in the GI tract and reaching the rectum may then chronically contaminate and infect the female urogenital tract, thereby potentially contributing to the most serious sequelae of chlamydial infection in women: pelvic inflammatory disease, ectopic pregnancy, and tubal factor infertility. Copyright 2017 The Author.
    Sponsors
    This work was supported by the NIH-NIAID-STI CRC (grant number U19 AI084044).
    Keyword
    Chlamydia trachomatis
    commensalism
    fecal-oral transmission
    female infertility
    oral sex
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038228982&doi=10.1093%2finfdis%2fjix419&partnerID=40&md5=0e717a63bee7785293f10b970eed1174; http://hdl.handle.net/10713/11110
    ae974a485f413a2113503eed53cd6c53
    10.1093/infdis/jix419
    Scopus Count
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    UMB Open Access Articles 2017

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