Molecular Detection of Neiseria Gonorrheae and Chlamydia Trichomatis Among Infertile Male Client Attending some Health Facilities in the Northwest, Nigeria
DOI:
https://doi.org/10.47430/ujmr.25101.001Keywords:
Multiplex PCR, Chlamydia trachomatis, Neisseria gonorrhoeae, Infertile Male, Semen samplesAbstract
Study’s Excerpt:
• Molecular detection of N. gonorrhoeae and C. trachomatis in infertile men in NW Nigeria is carried out.
• Significant N. gonorrhoeae and C. trachomatis were detected in semen of infertile men studied.
• Infections contribute to male infertility, hence, prompt and proper treatment is critically needed.
Full Abstract:
Background: The purpose of this study was to molecularly detect and evaluate the prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae infections among infertile men that attended some health facilities in some states of the Northwest, Nigeria using a multiplex molecular method, and the possible impact of C. trachomatis and N. gonorrhoeae infections on semen parameters was also noted in the present study. Methods: A total of 383 infertile male semen samples were collected for this study. C. trachomatis and N. gonorrhoeae infections were molecularly detected in the semen samples using the multiplex method. Semen parameters, risk factors, and age were analyzed and collated. Results: A total of 28 and 21 semen samples were found positive for C. trachomatis and N. gonorrhoeae, respectively, with a prevalence of C. trachomatis and N. gonorrhoeae relatively lower—7.3% and 5.5%, respectively. Those with primary infertility had the highest infections, with those with secondary infertility showing the least infection. Conclusions: Our study demonstrated a moderately medium prevalence of C. trachomatis and N. gonorrhoeae infection based on the multiplex PCR detection method. C. trachomatis and N. gonorrhoeae infection could possibly impair the male fertility factor through increased sperm DNA damage.
Downloads
References
Abu Khanjar, R. H., & Al-Azari, I. H. (2022). Diagnosis of Neisseria gonorrhoeae using molecular method in infertility Iraqi male. International Journal of Drug Delivery Technology, 12(1), 361–365.
Abursarah, E. A., Awwad, Z. M., Charvalos, E., & Shehabi, A. A. (2013). Molecular detection of potential sexually transmitted pathogens in semen and urine specimens of infertile and fertile males. Diagnostic Microbiology and Infectious Disease, 77(4), 283–286. https://doi.org/10.1016/j.diagmicrobio.2013.05.018
Ado, M. (2016). History of Kano municipal (Tarauni LGA) of Kano State and North-west Nigeria. Journal of Environmental Issues and Agriculture in Developing Countries, 3(2), 5–6.
Ahmadi, K., Moosavian, M., Mardaneh, M., Pouresmael, O., & Afzali, M. (2023). Prevalence of Chlamydia trachomatis, Ureaplasma parvum, and Mycoplasma genitalium in infertile couples and the effect on semen parameters. Ethiopian Journal of Health Sciences, 33(1). https://doi.org/10.4314/ejhs.v33i1.17
Albert, O., Danie, B., Dan, Y. O., Kweku, B. A., & Frank, A. K. (2014). Semen characteristics of male infertile couples in the Kumasi Metropolis: A study of primary and secondary infertile couples. British Journal of Medicine & Medical Research, 4(6), 1432–1441. https://doi.org/10.9734/BJMMR/2014/5700
Bamikole, H. I., Idemudia, I. B., Imariagbe, E. E., & Ekhaise, F. O. (2020). Prevalence of Chlamydia trachomatis among asymptomatic pregnant women in four local government areas of Delta State. African Journal of Health, Safety and Environment, 1(2), 13–23. https://doi.org/10.52417/ajhse.v1i2.80
Bitet, D. E., Kumurya, A. S., & Sani, A. (2021). Neisseria gonorrhoeae: A cause of male infertility. Open Access Journal of Microbiology and Biotechnology, 6(1), 000183. https://doi.org/10.23880/oajmb-16000183
Chemaitelly, H., Majed, A., Abu-Hijleh, F., et al. (2021). Global epidemiology of Neisseria gonorrhoeae in infertile population: Systematic review, meta-analysis, and meta-regression. Sexually Transmitted Infections, 97(2), 157–169. https://doi.org/10.1136/sextrans-2020-054515
Chen, D., Fan, G., Zhu, X., Chen, Q., Chen, X., Gao, F., Gao, Z., Luo, P., & Gao, Y. (2023). Y chromosome microdeletions in Chinese men with infertility: Prevalence, phenotypes, and intracytoplasmic sperm injection outcomes. Reproductive Biology and Endocrinology, 21, 116. https://doi.org/10.1186/s12958-023-01168-5
Cook, R. L., Hutchison, S. L., Ostergaard, L., Braithwaite, R. S., & Ness, R. B. (2016). Systematic review: Noninvasive testing for Chlamydia trachomatis and Neisseria gonorrhoeae. Annals of Internal Medicine, 142(11), 914–925. https://doi.org/10.7326/0003-4819-142-11-200506070-00010
Duvuru, R., Halabi, M., Omolaoye, T. S., & du Plessis, S. S. (2022). The genetic causes of male infertility: A Middle East and North Africa perspective. F1000Research, 11, 25. https://doi.org/10.12688/f1000research.106950.2
Gimenes, F., Souza, R. P., Bento, J. C., Teixeira, J. J., Maria-Engler, S. S., Bonini, M. G., et al. (2014). Male infertility: A public health issue caused by sexually transmitted pathogens. Nature Reviews Urology, 11(12), 672–687. https://doi.org/10.1038/nrurol.2014.285
Hammami, W., Valani, O., Ben Khalifa, M., Aged, W., Abdelhak, S., Bouzouita, A., Zhioua, F., & Amouri, A. (2024). Prevalence of Y chromosome microdeletions in infertile Tunisian men. Annales de Biologie Clinique, 72(3), 331–336. https://doi.org/10.1684/abc.2014.0962
Hassan, J. S., Salah, R. F., & Gaidan, A. M. (2019). Role of Chlamydia infection in male infertility. Indian Journal of Public Health Research & Development, 10(2), 710–715. https://doi.org/10.5958/0976-5506.2019.00377.2
Kehinde, K. K. (2019). The traditional Sakkiya practice: A public health issue in Northern Nigeria (e-book). Nova Science Publishers.
Kim, Y. S., Kim, J. H., Lee, Y. B., Park, Y. S., Lee, S. H., & Seo, T. J. (2017). Y chromosome microdeletions in infertile men with obstructive azoospermia and severe oligozoospermia. Journal of Reproduction and Infertility, 18(3), 307–315.
Keshinro, B., Crowell, T. A., Nowak, R. G., Adebanjo, S., Peel, S., Gaydos, C. A., Rochingue-S-Hart, C., Baral, S. D., et al. (2016). High prevalence of HIV, Chlamydia trachomatis, and Neisseria gonorrhoeae among men who have sex with men and transgender women attending trusted community centers in Abuja and Lagos, Nigeria. Journal of the International AIDS Society, 19(1), 21270. https://doi.org/10.7448/IAS.19.1.21270
Majnooni, A., Jamedar, S. A., Azimian, A., & Ghazvini, K. (2022). Association of Chlamydia trachomatis and Neisseria gonorrhoeae with female infertility: A systematic review and meta-analysis. Universa Medicina, 41, 302–314. https://doi.org/10.18051/UnivMed.2022.v41.302-314
Mawak, J. D., Dashe, N., Agabi, Y. A., & Panshak, B. W. (2011). Prevalence of Chlamydia trachomatis infection among gynecologic clinic attendees in Jos, Nigeria. Shiraz E-Medical Journal, 2(2), 100–106.
Mbah, C. E., Jasani, A., Aaron, K. J., Akoachere, J.-F., Tita, A. T. N., Geisler, W. M., et al. (2022). Association between Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, and Trichomonas vaginalis and secondary infertility in Cameroon: A case-control study. PLoS ONE, 17(2), e0263186. https://doi.org/10.1371/journal.pone.0263186
Mohammed, H. Q., & Abdul-Mutalab, A. H. (2022). Molecular detection of Neisseria gonorrhoeae and Chlamydia trachomatis in an infertile woman. HIV Nursing, 22(2), 2812–2816.
National Population Commission. (2020). Nigeria demographic and health surveys. Federal Ministry of Health and IRD/Macro International Inc.
Nwankwo, E. O., & Sadiq, M. N. (2014). Prevalence of Chlamydia trachomatis infection among patients at infertility and sexually transmitted diseases clinics in Kano, Northwestern Nigeria. African Health Sciences, 14(3), 672–678. https://doi.org/10.4314/ahs.v14i3.24
Nsofor, C. A., & Eletuoh, H. (2017). Low prevalence of Neisseria gonorrhoeae in Owerri, Nigeria. Medical Journal of Cell Science & Reproduction, 4(2), 45–47. https://doi.org/10.15406/mojcsr.2017.04.00083
Oghbaei, H., Rezaei, Y. R., Niknafar, S., Zarezadeh, R., Sadeghi, M., Latifi, Z., Nouri, M., Fattahi, A., Ahmadi, Y., & Bleisinger, N. (2020). Effects of bacteria on male fertility: Spermatogenesis and sperm function. Life Sciences, 256, 117891. https://doi.org/10.1016/j.lfs.2020.117891
Qing, L., Song, Q., Li-Feng, J., Yanli, H., Liu, G., & Jiang, H. (2017). Prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, and Ureaplasma urealyticum infections using RNA amplification testing in infertile males. Annals of Clinical Microbiology and Antimicrobials, 16, 45. https://doi.org/10.1186/s12941-017-0220-2
Riley, R. D., Ensor, J., Snell, K. I. E., Harrell, F. E. Jr., Martin, G. P., … Reitsma, J. P. (2021). Calculating the sample size required for developing a clinical prediction model. BMJ, 368, m441. https://doi.org/10.1136/bmj.m441
Simoni, M., Bakker, E., Eurlings, M. C., Matthijs, G., Moro, E., … Müller, C. R. (1999). Laboratory guidelines for the molecular diagnosis of Y-chromosomal microdeletions. International Journal of Andrology, 22, 292–299. https://doi.org/10.1046/j.1365-2605.1999.00193.x
Skoracka, K., Eder, P., Łykowska-Szuber, L., Dobrowolska, A., & Krela-Kaźmierczak, I. (2021). Diet and nutritional factors in male (in)fertility—Underestimated factors. Journal of Clinical Medicine, 9(5), 1400. https://doi.org/10.3390/jcm9051400
Uadia, P. O., & Emokpae, A. M. (2017). Male infertility in Nigeria: A neglected reproductive health issue requiring attention. Journal of Basic and Clinical Reproductive Sciences, 4(2), 45–53. https://doi.org/10.4103/2278-960X.161042
Vadim, O. (2024). Semen microbiota are dramatically altered in men with abnormal sperm parameters. Urology. https://doi.org/10.1038/s41598-024-51686-4
Westmann, A. (2018). Semen analysis: Sperm counting test procedure and results. Biology and Microbiology, 124–134.
World Health Organization. (2010). WHO laboratory manual for the examination of human semen and sperm-cervical mucus interaction (5th ed.). Cambridge University Press.
World Health Organization. (2023). Infertility report and global male infertility report. https://www.who.int/news-room/fact-sheets/detail/infertility
Zhai, J., Wang, L., Qiao, X., Zhao, J., Wang, X., & He, X. (2022). Correction: Detection of Neisseria gonorrhoeae and Chlamydia trachomatis infections in pregnant women by multiplex recombinase polymerase amplification. PLoS ONE, 17(7), e0271836. https://doi.org/10.1371/journal.pone.0271836
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Dogo Ezekiel Bitet, Abdulhadi Sale Kumurya, Abubakar Isah Aliyu, Bawa Ega, Joseph M

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.