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A Culture and Education Issue, Chlamydia Trachomatis and Ureplasma Urealyticum.

Date: (16/10/2009)

Facultad de Medicina

Researches have found that infections in the infertile couple are as well caused by the lack of culture and hygiene. Second of two parts.

Dead spermatozoids (reds) and alive (white) infected.

Comes from Infections in the Infertile Couple, the Iceberg’s Peak

By Mayra Silva Almanza
Despite the researches, there is still, in the medical community, a lack of knowledge domain regarding the infertility final causes — on a molecular level. Added to the infectious factor, the Chlamydia trachomatis and the Ureaplasma urealyticum are hard-to-attack intracellular germs. Commonly, the couples do not only face such bacteria, but also the chronic inflammatory reaction and the resulting cicatrizing processes, which are usually severe by the time they decide to receive attention.
“Chlamydia is considered to be the most successful bacteria on earth due to its survival capacity. In can enter any humid mucous — conjunctiva, nose, pharynx, urethra, vagina, and anus— and affects the organs close to the entrance via. Infections such as conjunctivitis, pharyngitis, and tonsillitis are also caused by these bacteria.”
“In the genital apparatus, Chlamydia is not only transmitted sexually, it can be passed on through direct non-sexual contact. For instance via oculus-hand, hand-eye, hand-hand. By coughing or sneezing it is deposited in close objects or it enters the exposed people. There is also the contagion from mother to son, out or inside the womb.
“Even, due to the lack of deepening in the concepts, it is considered to be transmitted only from mother to son when he passes through the labor tract if there is cervicitis, but it is not known that this is also passed on ‘in-utero’, when the fetal membranes are infected. This causes fetal intrauterine death by widespread infection, which is not commonly diagnosed.”

Thus, Doctor Gallegos´ working line extends from the investigation of the importance of infections — considered as sexually transmitted — in the growing marital infertility of unknown causes problematic to the study of these infections non-sexual transmission, as well as the relevancy of the hygiene habits and the limited education in sexual hygiene.
For this and many reasons, Doctor Gallegos emphasizes the education role in search for health in the infertility cases, based on the fact that these are mostly tackled by women and not by men; that there is a stigma around Chlamydia infections, which are thought to be passed on only sexually and that these are intended to heal with brief treatments as if they were new, superficial, and located on a single organ.

The Andrologist´s investigations have been spread not only on national and international scientific events, but they have transcended the population’s education through its contribution in communication massive media, with informative pamphlets and brochures, besides her work at the University’s classrooms.
“This area of investigation motivates us a lot for, in essence, those who belong to the University are educators. I would fight to include in each major at least a brief course that referred to the reproductive health risks and the ways to prevent them.”
“Our goal is also to raise awareness and inform general doctors and those that belong to the related specializations, for them to recognize these infections importance in the common genitourinary and respiratory illnesses, in couples that wish to procreate, and in pregnant women, infants, teenagers, and elders.”
“Likewise, for both them as well as the patients to know that Chlamydia has more transmission routes than just the sexual and with that, to eradicate the ‘promiscuity’ social stigma that characterizes the Sexually Transmitted Diseases, for who is diagnosed infected by this bacteria.
At the end, as it was foreseen by Doctor Guadalupe Gallegos, Chlamydia and Ureaplasma infections of unknown cause became the tip of the iceberg. The problem was the evidence of the lack of education and of the diseases that appear in the lifespan course and which cause is not properly identified.
Currently, at the Andrology Department, they are working in the validation of new therapeutic models for the aforementioned diseases; fighting also to prevent couples that can not procreate to be criticized, rejected and mostly, to seek for human wellness.