Chronic endometritis impairs embryo implantation in patients with repeated implantation failure: A retrospective study

Autor: Yuye Li, Yanhong Xu, Shuyi Yu, Shenglai Lin, Wanru Chen, Ruochun Lian, Lianghui Diao, Haixiang Sun, Lijun Ding, Yong Zeng
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Taiwanese Journal of Obstetrics & Gynecology, Vol 61, Iss 6, Pp 984-988 (2022)
Druh dokumentu: article
ISSN: 1028-4559
DOI: 10.1016/j.tjog.2021.01.034
Popis: Objective: To assess whether chronic endometritis (CE) affects embryo implantation in patients with repeated implantation failure (RIF). Materials and methods: We retrospectively analyzed 126 RIF patients who were never diagnosed with CE and received no prior antibiotic therapy. Endometrial specimens obtained by endometrial scratching during mid-luteal phase were immunostained by CD138, a hallmark plasmacyte marker, to identify CE. Pregnancy outcome in RIF patients who underwent IVF-ET frozen-embryo within transfers 6 months after endometrial scratching was compared between women with and without CE. Results: The prevalence of CE in patients with RIF was found to be 11.9% (15/126). Moreover, a significantly reduced clinical pregnancy rate was observed in RIF patients with CE (20% vs. 46.85%; p = 0.04). The live birth rate also exhibited a decreasing trend in RIF patients with CE, although there was no statistically significant difference (20% vs. 41.58%; p = 0.109). Conclusions: CE may be involved in the failure of embryo implantation and reduced clinical pregnancy outcome in patients with RIF.
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