Genital infections are a real public health problem in developed countries. They have serious consequences such as ectopic pregnancy (EP), chronic pelvic pain, premature delivery, miscarriage, cervical cancer and even infertility. The objective of this study was to determine the epidemiological and microbiological profile of genital infections among infertile women in the cities of Ngaoundéré and Garoua. This descriptive study was carried out in the Protestant and regional hospitals, as well as the military and regional hospitals serving the cities of Ngaoundéré and Garoua, over a period of five months, from August 2020 to January 2021. Women of reproductive age (15 to 45 years) who met the inclusion criteria, gave their informed consent, and had at least one consultation in the gynecology department of the aforementioned hospitals for infertility made up our population. Thus, the study included 100 women, or 50 women per city. A pre-tested questionnaire was employed to get data from the subjects. Blood samples were taken for chlamydia testing, and cervical-vaginal samples were taken for microbiological analysis (PCV+ATB and mycoplasma testing). The gathered information. SphinxPlus. V5 was the program used to analyze the data that were collected. Ninety-six percent of the 100 women who participated in this study had a vaginal infection. The infertile women's modal age range was 26–35 years old, with a mean age of 29. Of the women, 54% were housewives, 33% had completed their elementary; education, and 55 were in monogamous marriages. At 65%, secondary infertility was the most prevalent type. 5.15 years was the average length of infertility. Abortions accounted for 41% of the patients' histories, whereas genital infections made up 69%. When the infertile women's vaginal pH was analyzed, the majority (69%) had a pH > 4.5. Chlamydia trachomatis (28.41%), Ureaplasma urealyticum (22.63%), Candidas albicans (20.58%), Gardnerella vaginalis (14.40%), Mycoplasma hominis (9.46%), Candidas spp (1.65%), Staphylococcus (1.64%), Trichomonas vaginalis (0.82%), and Neisseria gonorrhoeae (0.41%) were among the microbiological analyses of the samples. The etiological identification of genital infections and infertility of infectious or tubal origin, which can be avoided with early intervention, is greatly aided by microbiology.
Published in | Central African Journal of Public Health (Volume 10, Issue 6) |
DOI | 10.11648/j.cajph.20241006.13 |
Page(s) | 242-256 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Ngaoundere, Garoua, Microbiology, Infertility, Genital Infection
[1] | Judlin P. Mise au point Mycoplasmes génitaux Genitalmycoplasmas. Gynécologie Obstétrique & Fertilité. 2003; 31: 954–959. |
[2] | Koanga Mogtomo ML, Ngo NJjiki A, Longang AM, Kojom Foko LP, Embolo E, Kom B et al. Prévalence des germes impliqués dans les infections vaginales chez les femmes camerounaises et facteurs de risque. 2016 February; 10(1): 255-268. Lansac-salpingite. 2009. |
[3] | Nsagha DS, Zofou D, Assob JCN, Njunda AL, Nchang CD, Mvo Ngum N et al. The Epidemiology of Trichomonas vaginalis, Gardnerella vaginalis and Candida albicans Co-Infections in Women Attending the Yaounde University Teaching Hospital. Am. J. Epidemiol. Infect. Dis. 2015 January; 3(2): 28-31. |
[4] | Pellati D, Mylonakis I, Bertoloni G, Fiore C, Andrisani A, Ambrosini G et al. Genital tract infections and infertility. Eur. J. Obstet. Gynecol. Reprod. Biol. 2008; 140(1): 3-11. |
[5] | Cravello L. Infections génitales de la femme. Leucorrhées. La Revue du Praticien. 2001; 51: 2255-2261. |
[6] | Mai Abdessalem H. Facteurs de risque de l’infertilité féminine dans l’ouest de l’Algérie (Région d’Oran et Sidi Bel Abbes). Thèse en Science Biologique. Université DjillaliLiabés de Sidi Bel-Abbés; 2016, 49 p. |
[7] | Maubon A, Pouquet M, Piver P, Mazet N, Viala-Trentini M et Rouanet JP. Imagerie de l’infertilité féminine. J Radiol. 2008; 89: 172-8. |
[8] | Stefano Palomba, Susanna Santagni, Karen Gibbins, Giovanni Battista La Sala, Robert M. Silver (2016). Pregnancy complications in spontaneous and assisted conceptions of women with infertility and subfertility factors. A comprehensive review. Reproductive BioMedicine OnlineVol. 33 Issue 5p 612–628 Published online: August 21, 2016. |
[9] | Belley Priso E, Tchenté Nguefack C, Nguemgne C, Nana Njamen T, TailaWinie, Banag E. l’infertilité à l’hôpital général de douala: Aspects épidémiologiques et radiologiques (à propos de 658 cas). Journal Afrique imagerie médicale. 2015; 2 (7): 16-23. |
[10] | Neossi Guena M, Tiodjio Ketcha S, Alapha Zilbinkai F, Gonsu Fotsing J. Profil épidémio clinique, échographique et hystérosalpingographique de l’infertilité féminine à l’Hôpital Régional de Ngaoundéré. Journal Africain d’Imagerie Médicale. 2018; 10 (4): 185-193. |
[11] | Ahmadi, M. H., Mirsalehian, A., & Bahador, A. (2016). Association of Chlamydia trachomatis with infertility and clinical manifestations: a systematic review and meta-analysis of case-control studies. Infectious Diseases, 48(7), 517-523. |
[12] | Passos, L. G., Terraciano, P., Wolf, N., de Oliveira, F. D. S., de Almeida, I., & Passos, E. P. (2022). The correlation between Chlamydia trachomatis and female infertility: a systematic review. Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics, 44(06), 614-620. |
[13] | Brook, I. (2002). Microbiology and management of polymicrobial female genital tract infections in adolescents. Journal of Pediatric and Adolescent Gynecology, 15(4), 217-226. |
[14] | Zhang, Z., Li, Y., Lu, H., Li, D., Zhang, R., Xie, X., & Mei, X. (2022). A systematic review of the correlation between Trichomonas vaginalis infection and infertility. Acta tropica, 236, 106693. |
[15] | Jacques Ravela, Pawel Gajer, Zaid Abdob, G. Maria Schneider, Sara S. K. Koenig, Stacey L. McCulle, Shara Karlebach, Reshma Gorle, Jennifer Russell, Carol O. Tacket, Rebecca M. Brotman, Catherine C. Davis, Kevin Ault, Ligia Peralta, and Larry J. Forney. (2011). Vaginal microbiome of reproductive-age women. 108 (supplement_1) 4680-4687 |
[16] | MacDonald, N. E., & Brunham, R. (1997). The effects of undetected and untreated sexually transmitted diseases: Pelvic inflammatory disease and ectopic pregnancy in Canada. The Canadian Journal of Human Sexuality, 6(2), 161-171. |
[17] | Nunzia Cannovo, Elena Bianchini, Luciana Gironacci, Elisabetta Garbati, Filiberto Di Prospero, Mariano Cingolani, Roberto Scendoni, Piergiorgio Fedeli. (2024). Sexually Transmitted Infections in Adolescents and Young Adults: A Cross Section of Public Health. Int. J. Environ. Res. Public Health 2024, 21(4), 501; |
[18] | David M, Bamberger MD (2020). Trends in Sexually Transmitted Infections Mo Med; 117(4): 324-327. |
[19] | Okigbo, C. C., & Speizer, I. S. (2015). Determinants of sexual activity and pregnancy among unmarried young women in urban Kenya: a cross-sectional study. PloS one, 10(6), e0129286. |
[20] | Lichtenstein B, Desmond RA, Schwebke JR. Partnership concurrency status and condom use among women diagnosed with Trichomonas vaginalis. Women's Health Issues. 2008 Sep 1; 18(5): 369-74. |
[21] |
Samkange-Zeeb, F., Mikolajczyk, R. T., & Zeeb, H. (2012). Awareness and knowledge of sexually transmitted diseases among secondary school students in two German cities. Journal of Community Health, 38(2), 293–300.
https://doi.org/10.1007/s10900-012-9614-4 Search in Google Scholar. |
[22] | Utibe S Ebong and Olusesan A Makinde (2021). Determinants of treatment seeking behaviour for sexually transmitted infections in Nigeria. Afr J Reprod Health 2021; 25: 105-112). |
[23] |
World Health Organization. Sexually transmitted infections (STIs) fact sheet. 2021. Available from:
https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis) |
[24] | Laura Gazal Passos; Paula Terraciano; Nicole Wolf; Fernanda dos Santos de Oliveira; Isabel de Almeida; Eduardo Pandolfi Passos (2022). The Correlation between Chlamydia Trachomatis and Female Infertility: A Systematic Review. Rev Bras Ginecol Obstet; 44(6): 614–620. |
[25] | Dzidzo R. Yirenya-Tawiah, Mercy M. Ackumey and Kwabena M. Bosompem (2016). Knowledge and awareness of genital involvement and reproductive health consequences of urogenital schistosomiasis in endemic communities in Ghana: a cross-sectional study. Reproductive Health (2016) 13: 117 |
[26] | Mohanty, T., Doke, P. P. & Khuroo, S. R. (2023). Effect of bacterial vaginosis on preterm birth: a meta-analysis. Arch Gynecol Obstet 308, 1247–1255. |
[27] | Singh S, Singh SK. (2021) Psychological health and well-being in patients with sexually transmitted infections: A prospective cross-sectional study. Indian J Sex Transm Dis; 42: 125-31. |
[28] | Bretz, L. A., Keshwani, N., & Raphael, M. (2023). Relationship between mental health diagnoses and sexually transmitted infections. Bulletin of the Menninger Clinic, 87(2), 115-134. |
[29] | Ochsendorf, F. R. (2008). Sexually transmitted infections: impact on male fertility. Andrologia, 40(2), 72-75. |
[30] | Silva, M. (2002). The effectiveness of school-based sex education programs in the promotion of abstinent behavior: A meta-analysis. Health Education Research, 17(4), 471-481. |
[31] | Goggins, E. R., Chamberlain, A. T., Kim, T. G., Young, M. R., Jamieson, D. J., & Haddad, L. B. (2020). Patterns of Screening, Infection, and Treatment of Chlamydia trachomatis and Neisseria gonorrhea in Pregnancy. Obstetrics & Gynecology, 135(4), 799-807. |
APA Style
Yemele, D. M., Djamilatou, L., Talom, B. T., Balkissou, B., Nodem, S. F. S., et al. (2024). Microbiological Profile of Vaginal Swabs from Infertile Women in the Cities of Ngaoundere and Garoua, Cameroon. Central African Journal of Public Health, 10(6), 242-256. https://doi.org/10.11648/j.cajph.20241006.13
ACS Style
Yemele, D. M.; Djamilatou, L.; Talom, B. T.; Balkissou, B.; Nodem, S. F. S., et al. Microbiological Profile of Vaginal Swabs from Infertile Women in the Cities of Ngaoundere and Garoua, Cameroon. Cent. Afr. J. Public Health 2024, 10(6), 242-256. doi: 10.11648/j.cajph.20241006.13
AMA Style
Yemele DM, Djamilatou L, Talom BT, Balkissou B, Nodem SFS, et al. Microbiological Profile of Vaginal Swabs from Infertile Women in the Cities of Ngaoundere and Garoua, Cameroon. Cent Afr J Public Health. 2024;10(6):242-256. doi: 10.11648/j.cajph.20241006.13
@article{10.11648/j.cajph.20241006.13, author = {Didiane Mefokou Yemele and Leïla Djamilatou and Benjamin Tangue Talom and Bello Balkissou and Steve Francky Sohanang Nodem and Aurelie Dahlia Yemeli Piankeu and Rosine Dicko Newe and Siméon Pierre Chegaing Fodouop}, title = {Microbiological Profile of Vaginal Swabs from Infertile Women in the Cities of Ngaoundere and Garoua, Cameroon }, journal = {Central African Journal of Public Health}, volume = {10}, number = {6}, pages = {242-256}, doi = {10.11648/j.cajph.20241006.13}, url = {https://doi.org/10.11648/j.cajph.20241006.13}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20241006.13}, abstract = {Genital infections are a real public health problem in developed countries. They have serious consequences such as ectopic pregnancy (EP), chronic pelvic pain, premature delivery, miscarriage, cervical cancer and even infertility. The objective of this study was to determine the epidemiological and microbiological profile of genital infections among infertile women in the cities of Ngaoundéré and Garoua. This descriptive study was carried out in the Protestant and regional hospitals, as well as the military and regional hospitals serving the cities of Ngaoundéré and Garoua, over a period of five months, from August 2020 to January 2021. Women of reproductive age (15 to 45 years) who met the inclusion criteria, gave their informed consent, and had at least one consultation in the gynecology department of the aforementioned hospitals for infertility made up our population. Thus, the study included 100 women, or 50 women per city. A pre-tested questionnaire was employed to get data from the subjects. Blood samples were taken for chlamydia testing, and cervical-vaginal samples were taken for microbiological analysis (PCV+ATB and mycoplasma testing). The gathered information. SphinxPlus. V5 was the program used to analyze the data that were collected. Ninety-six percent of the 100 women who participated in this study had a vaginal infection. The infertile women's modal age range was 26–35 years old, with a mean age of 29. Of the women, 54% were housewives, 33% had completed their elementary; education, and 55 were in monogamous marriages. At 65%, secondary infertility was the most prevalent type. 5.15 years was the average length of infertility. Abortions accounted for 41% of the patients' histories, whereas genital infections made up 69%. When the infertile women's vaginal pH was analyzed, the majority (69%) had a pH > 4.5. Chlamydia trachomatis (28.41%), Ureaplasma urealyticum (22.63%), Candidas albicans (20.58%), Gardnerella vaginalis (14.40%), Mycoplasma hominis (9.46%), Candidas spp (1.65%), Staphylococcus (1.64%), Trichomonas vaginalis (0.82%), and Neisseria gonorrhoeae (0.41%) were among the microbiological analyses of the samples. The etiological identification of genital infections and infertility of infectious or tubal origin, which can be avoided with early intervention, is greatly aided by microbiology. }, year = {2024} }
TY - JOUR T1 - Microbiological Profile of Vaginal Swabs from Infertile Women in the Cities of Ngaoundere and Garoua, Cameroon AU - Didiane Mefokou Yemele AU - Leïla Djamilatou AU - Benjamin Tangue Talom AU - Bello Balkissou AU - Steve Francky Sohanang Nodem AU - Aurelie Dahlia Yemeli Piankeu AU - Rosine Dicko Newe AU - Siméon Pierre Chegaing Fodouop Y1 - 2024/11/20 PY - 2024 N1 - https://doi.org/10.11648/j.cajph.20241006.13 DO - 10.11648/j.cajph.20241006.13 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 242 EP - 256 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20241006.13 AB - Genital infections are a real public health problem in developed countries. They have serious consequences such as ectopic pregnancy (EP), chronic pelvic pain, premature delivery, miscarriage, cervical cancer and even infertility. The objective of this study was to determine the epidemiological and microbiological profile of genital infections among infertile women in the cities of Ngaoundéré and Garoua. This descriptive study was carried out in the Protestant and regional hospitals, as well as the military and regional hospitals serving the cities of Ngaoundéré and Garoua, over a period of five months, from August 2020 to January 2021. Women of reproductive age (15 to 45 years) who met the inclusion criteria, gave their informed consent, and had at least one consultation in the gynecology department of the aforementioned hospitals for infertility made up our population. Thus, the study included 100 women, or 50 women per city. A pre-tested questionnaire was employed to get data from the subjects. Blood samples were taken for chlamydia testing, and cervical-vaginal samples were taken for microbiological analysis (PCV+ATB and mycoplasma testing). The gathered information. SphinxPlus. V5 was the program used to analyze the data that were collected. Ninety-six percent of the 100 women who participated in this study had a vaginal infection. The infertile women's modal age range was 26–35 years old, with a mean age of 29. Of the women, 54% were housewives, 33% had completed their elementary; education, and 55 were in monogamous marriages. At 65%, secondary infertility was the most prevalent type. 5.15 years was the average length of infertility. Abortions accounted for 41% of the patients' histories, whereas genital infections made up 69%. When the infertile women's vaginal pH was analyzed, the majority (69%) had a pH > 4.5. Chlamydia trachomatis (28.41%), Ureaplasma urealyticum (22.63%), Candidas albicans (20.58%), Gardnerella vaginalis (14.40%), Mycoplasma hominis (9.46%), Candidas spp (1.65%), Staphylococcus (1.64%), Trichomonas vaginalis (0.82%), and Neisseria gonorrhoeae (0.41%) were among the microbiological analyses of the samples. The etiological identification of genital infections and infertility of infectious or tubal origin, which can be avoided with early intervention, is greatly aided by microbiology. VL - 10 IS - 6 ER -