Detection of chronic endometritis by diagnostic hysteroscopy in asymptomatic infertile patients.

Polisseni, Fernanda; Bambirra, Eduardo Alves; Camargos, A.F

doi:10.1016/s0015-0282(01)02551-1

Cited by 43 publications

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“…After surgical abortion, inflammation can occur in both the endometrium and the oviduct. Endometritis is chronic inflammation of the inner lining of the uterine cavity, and leads to abnormal uterine bleeding, recurrent spontaneous abortion, and infertility . Chronic endometritis has been reported in 12%–46% of women experiencing infertility who have had hysteroscopy‐guided endometrial biopsies .…”

Section: Discussionmentioning

confidence: 99%

“…Endometritis is chronic inflammation of the inner lining of the uterine cavity, and leads to abnormal uterine bleeding, recurrent spontaneous abortion, and infertility. 13,14 Chronic endometritis has been reported in 12%-46% of women experiencing infertility who have had hysteroscopy-guided endometrial biopsies. [15][16][17] In addition, endometrial polyps, adhesions, submucous myomas, and septa are all considered to have a negative impact on the uterine environment and, therefore, interfere with fertility.…”

Section: Discussionmentioning

confidence: 99%

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Association between induced abortion history and later in vitro fertilization outcomes

Wang

Sun

et al. 2018

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association between induced abortion history and later in vitro fertilization outcomes

Wang

Sun

et al. 2018

Intl J Gynecology & Obste

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“…Because acute endometritis and PID are caused by microorganisms ascending from the lower genital tract, Chlamydia trachomatis and Neisseria gonorrhoeae may be considered the main pathogenic microorganisms of CE. However, a lower detection rate of these bacteria has been reported in CE patients . Within the uterine cavity of CE, common bacteria are usually present, such as Streptococcus spp., Escherichia coli , Enterococcus faecalis , Klebsiella pneumoniae , Staphylococcus spp., Corynebacterium and Mycoplasma / Ureaplasma spp., which are frequently detected in microbial cultures or polymerase chain reaction tests for Mycoplasma/Ureaplasma DNA (Tables ) .…”

Section: Etiologymentioning

confidence: 99%

Review: Chronic endometritis and its effect on reproduction

Kimura

Takebayashi

Ishida

et al. 2019

J of Obstet and Gynaecol

199

144

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Aim Chronic endometritis (CE) is a disease of continuous and subtle inflammation characterized by the infiltration of plasma cells in the endometrial stromal area. Although the clinical significance of CE has been thought in clinical practice for a long time because it is either asymptomatic or presents with subtle symptoms, recent studies have shown the potential adverse effects of CE on fertility. In the present review, we focus on the concept, diagnosis, etiology, pathophysiology, diagnosis, impact on reproduction and treatment for it to understand CE. Methods The published articles were reviewed. Results The prevalence of CE has been found to be 2.8–56.8% in infertile women, 14–67.5% in women with recurrent implantation failure (RIF), and 9.3–67.6% in women with recurrent pregnancy loss. Microorganisms are thought to be a main cause of CE, since antibiotic treatment has been reported to be an effective therapy for CE. Common bacteria are frequently detected in the uterine cavity of CE patients by microbial culture. In CE endometrium, the prevalence of immune cells and decidualization has been reported to be modified, and these modifications are thought to adversely affect fertility. The gold standard for the diagnosis of CE is the histological detection of plasma cells in the stromal area of the endometrium in endometrial specimens, although universally accepted criteria for the diagnosis of CE have not been determined. The treatment currently thought to be most effective for the recovery of fertility in CE is administration of oral antibiotics. Patients whose CE has been cured have been reported to have a higher ongoing pregnancy rate, clinical pregnancy rate, and implantation rate compared with patients with persistent CE. Conclusion CE greatly affects implantation and impairs fertility. Antibiotic administration is an effective therapeutic option. Pregnancy rate in in vitro fertilization is improved when CE is cured by antibiotic.

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“…At conventional CO 2 hysteroscopy, CE is characterized by the presence of areas of red endometrium flushed with a white central point, localized or scattered throughout the cavity, realizing a typical aspect called ‘strawberry aspect’ (6); however, areas of red endometrium may be determined by different causes (vascular wall breaking due to use of CO 2 , hormone effects, hypertension, immunological diseases). This explains why in literature no general agreement exists about the diagnostic usefulness of hysteroscopy in the detection of CE (7).…”

Section: Introductionmentioning

confidence: 99%

Correspondence between hysteroscopic and histologic findings in women with chronic endometritis

Cicinelli

Tinelli

Lepera

et al. 2010

Acta Obstet Gynecol Scand

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Detection of chronic endometritis by diagnostic hysteroscopy in asymptomatic infertile patients.

Cited by 43 publications

References 0 publications

Association between induced abortion history and later in vitro fertilization outcomes

Association between induced abortion history and later in vitro fertilization outcomes

Review: Chronic endometritis and its effect on reproduction

Correspondence between hysteroscopic and histologic findings in women with chronic endometritis

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