Semin Reprod Med 2021; 39(05/06): 227-232
DOI: 10.1055/s-0041-1735199
Review Article

Endometrial Factor in Unexplained Infertility and Recurrent Implantation Failure

Xavier Santamaria
1   Igenomix Foundation, INCLIVA Health Research Institute, Valencia, Spain
2   Vall Hebron Institut de Recerca (VHIR), Barcelona, Spain
,
Carlos Simón
1   Igenomix Foundation, INCLIVA Health Research Institute, Valencia, Spain
3   Department of Obstetrics and Gynecology, University of Valencia, Valencia, Spain
4   Department of Obstetrics and Gynecology, BIDMC, Harvard University, Boston
› Institutsangaben
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Abstract

Unexplained infertility (UI) and recurrent implantation failure (RIF) are diagnoses based on failed pregnancy attempts within current infertility treatment models. Both diagnoses are made when fertility is unexplained based on current diagnostic methods and has no clear cause; UI is diagnosed when testing is inconclusive, and RIF is diagnosed after three failed in vitro fertilization cycles. In both cases, interventions are often introduced without an understanding of the cause of the infertility, frequently leading to frustration for patients and caregivers. Here, we review evidence to support an influence of endometrial factor in patients given these poorly defined diagnoses and possible treatments targeting the endometrium to improve outcomes in these patients.



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Artikel online veröffentlicht:
23. August 2021

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