Low dosage of prednisone acetate combined with doxycycline in the treatment of chronic endometritis in patients with repeated implantation failure DOI

Yujie Zou,

Ming Lei, Jinli Ding

et al.

American Journal of Reproductive Immunology, Journal Year: 2023, Volume and Issue: 89(6)

Published: May 11, 2023

To retrospectively investigate whether the oral administration of prednisone acetate with doxycycline increases cure rate chronic endometritis (CE) and improves in vitro fertilization (IVF) outcomes patients repeated implantation failure (RIF) CE.In total, 352 RIF were investigated, 128 whom diagnosed CE by hysteroscopy endometrial immunohistochemical analysis. The divided into CD138-positive high-power field (HPF) counts 1-2 ≥3. Forty-five orally administered tablet 5 mg daily 100 twice for 14 consecutive days (group A), 55 B) underwent sampling histological assessment. Twenty-eight C) did not receive any treatment. final reproductive frozen-thawed embryo transfer cycle compared.The total rate, CE(CD138+ HPF counts: 1-2), ≥3) showed no significant difference between groups A B. Logistics regression analysis indicated that human chorionic gonadotropin (hCG)-positive clinical pregnancy fetal heartbeat on day 30 (D30), ongoing was significantly higher group than C. For CE-cured after treatment, hCG-positive D30, B.CE is closely related to occurrence, combined can be a treatment option outcomes, although it does improve compared alone.

Language: Английский

Chronic Endometritis in Infertile Women: Impact of Untreated Disease, Plasma Cell Count and Antibiotic Therapy on IVF Outcome—A Systematic Review and Meta-Analysis DOI Creative Commons
Amerigo Vitagliano, Antonio Simone Laganà, Dominique de Ziegler

et al.

Diagnostics, Journal Year: 2022, Volume and Issue: 12(9), P. 2250 - 2250

Published: Sept. 18, 2022

This systematic review and meta-analysis aims to evaluate the impact of chronic endometritis (CE) its therapy on in vitro fertilization (IVF) outcome. Additionally, we aim investigate whether various degrees CE severity may exert a different effect IVF Ongoing-pregnancy rate/live-birth-rate (OPR/LBR), clinical-pregnancy rate (CPR), miscarriage (MR) were calculated. A total number 4145 patients (from ten studies) included. Women with had lower OPR/LBR (OR 1.97, p = 0.02) CPR 2.28, 0.002) compared those without CE. cure increased 5.33, < 0.0001) 3.64, 0.0001). outcome was comparable between women cured (OPR/LBR, MR: ns). severe 0.43, 0.003) 0.40, 0.0007) mild Mild showed no influence as Based this data analysis, significantly reduces undergoing IVF. Importantly, resolution after antibiotic improves outcome, leading similar unaffected patients. The negative effects be restricted disease, whereas have success.

Language: Английский

Citations

45

Challenges in Clinical Diagnosis and Management of Chronic Endometritis DOI Creative Commons

Tadahiro Yasuo,

Kotaro Kitaya

Diagnostics, Journal Year: 2022, Volume and Issue: 12(11), P. 2711 - 2711

Published: Nov. 5, 2022

Chronic endometritis (CE) is a local mucosal infectious and inflammatory disorder characterized by unusual filtration of CD138(+) endometrial stromal plasmacytes. CE attracting attention due to its potential association with infertility unknown etiology, repeated implantation failure, recurrent pregnancy loss, several maternal/neonatal complications. Due the variance in study design among researchers, universal diagnostic criteria remain be established for clinical diagnosis management CE. This review article aims summarize current knowledge provide insights into unsolved questions on establish guidelines disease from viewpoint human reproduction.

Language: Английский

Citations

31

Prevalence of and risk factors for chronic endometritis in patients with intrauterine disorders after hysteroscopic surgery DOI Creative Commons
Keiji Kuroda,

Akina Yamanaka,

Satoru Takamizawa

et al.

Fertility and Sterility, Journal Year: 2022, Volume and Issue: 118(3), P. 568 - 575

Published: June 17, 2022

Language: Английский

Citations

28

Multi-drug-resistant chronic endometritis in infertile women with repeated implantation failure: trend over the decade and pilot study for third-line oral antibiotic treatment DOI
Kotaro Kitaya, Suguru E. Tanaka, Yoshiyuki Sakuraba

et al.

Journal of Assisted Reproduction and Genetics, Journal Year: 2022, Volume and Issue: 39(8), P. 1839 - 1848

Published: June 2, 2022

Language: Английский

Citations

26

Does antibiotic therapy for chronic endometritis improve clinical outcomes of patients with recurrent implantation failure in subsequent IVF cycles? A systematic review and meta-analysis DOI

Xinghan Cheng,

Zhongying Huang, Zhun Xiao

et al.

Journal of Assisted Reproduction and Genetics, Journal Year: 2022, Volume and Issue: 39(8), P. 1797 - 1813

Published: July 13, 2022

Language: Английский

Citations

23

Precision Medicine for Chronic Endometritis: Computer-Aided Diagnosis Using Deep Learning Model DOI Creative Commons

Masaya Mihara,

Tadahiro Yasuo,

Kotaro Kitaya

et al.

Diagnostics, Journal Year: 2023, Volume and Issue: 13(5), P. 936 - 936

Published: March 1, 2023

Chronic endometritis (CE) is a localized mucosal infectious and inflammatory disorder marked by infiltration of CD138(+) endometrial stromal plasmacytes (ESPC). CE drawing interest in the field reproductive medicine because its association with female infertility unknown etiology, endometriosis, repeated implantation failure, recurrent pregnancy loss, multiple maternal/newborn complications. The diagnosis has long relied on somewhat painful biopsy histopathologic examinations combined immunohistochemistry for CD138 (IHC-CD138). With IHC-CD138 only, may be potentially over-diagnosed misidentification epithelial cells, which constitutively express CD138, as ESPCs. Fluid hysteroscopy emerging an alternative, less-invasive diagnostic tool that can visualize whole uterine cavity real-time enables detection several unique findings associated CE. biases hysteroscopic CE; however, are inter-observer intra-observer disagreements interpretation endoscopic findings. Additionally, due to variances study designs adopted criteria, there exists some dissociation among researchers. To address these questions, novel dual another plasmacyte marker myeloma oncogene 1 currently being tested. Furthermore, computer-aided using deep learning model developed more accurate These approaches have potential contribute reduction human errors biases, improvement performance CE, establishment unified criteria standardized clinical guidelines disease.

Language: Английский

Citations

11

Systematic review and meta-analysis for impacts of oral antibiotic treatment on pregnancy outcomes in chronic endometritis patients DOI
Hideo Kato,

Yuka Yamagishi,

Mao Hagihara

et al.

Journal of Infection and Chemotherapy, Journal Year: 2022, Volume and Issue: 28(5), P. 610 - 615

Published: Jan. 17, 2022

Language: Английский

Citations

19

Risk of spontaneous abortion after antibiotic therapy for chronic endometritis before in vitro fertilization and intracytoplasmic sperm injection stimulation DOI Creative Commons

Haixia Duan,

Xiaojuan Li,

Yuan Hao

et al.

Fertility and Sterility, Journal Year: 2022, Volume and Issue: 118(2), P. 337 - 346

Published: June 9, 2022

Language: Английский

Citations

17

Factors influencing endometrial receptivity in women with recurrent implantation failure DOI Creative Commons

Katarzyna Opuchlik,

Katarzyna Pankiewicz,

Piotr Pierzyński

et al.

BMC Women s Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 9, 2025

Language: Английский

Citations

0

Endometrial preparation protocols did not impact outcomes after frozen-thaw embryo transfer for chronic endometritis treatment DOI Creative Commons

Xiao Shi,

Shuyi Zhang

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 28, 2025

Abstract Background Intended to investigate the potential effects of endometrial preparation procedures on results subsequent frozen embryo transfer (FET) cycles in infertile women with chronic endometritis (CE) following a single course antibiotic therapy. Methods From July 2020 December 2023, 773 patients participated retrospective research. CD138 was immunostained tissues taken during proliferative phase. CE suggested by presence CD138-positive cells stromal cells. Oral antibiotics were administered every patient diagnosis. After cured, had transfers and preparation. This study compared impact different techniques pregnancy outcomes. Results Hormone replacement treatment (HRT), ovulation induction, natural cycle, gonadotrophin-releasing hormone agonist-HRT (GnRH agonist-HRT) regimens did not significantly alter outcome CE. Compared other groups, induction cycle group higher clinical rate implantation rate. However, miscarriage is lower populations. Patients treated who received HRT, GnRH agonist-HRT, differ substantially (P > 0.05). Conclusion cured see any change outcomes as result procedures.

Language: Английский

Citations

0