Abstract
Assisted reproductive treatment (ART) gave numerous couples the chance to have their
biological child. Improvement in laboratory and culture conditions allows for selection
of embryos with the best developmental potential, although replacement of these top-quality
embryos does not, however, guarantee reproductive success. Endometrial receptivity
is essential for pregnancy establishment and may be the limiting factor for the observed
pregnancy rates with ART. Multiple modalities have been in use to assess endometrial
receptivity, with ultrasound assessment of the endometrial morphology most commonly
used due to its noninvasive nature and availability. Utilization of various “omics”
increases our understanding of endometrial receptivity and selectivity; however, significantly
more work is required to develop clinically relevant and validated tests of endometrial
receptivity and treatments which could improve a suboptimal endometrial milieu. Current
evidence for and against use of various tests of endometrial receptivity in women
undergoing ART is presented in this article.
Keywords
endometrial receptivity - pregnancy rates - assisted reproductive treatment
