Role of Endometrial Receptivity in Unexplained Infertility

作者: Alfredo Guillén Antón , Juan Antonio García Velasco

DOI: 10.1007/978-1-4939-2140-9_17

关键词: Unexplained infertilityBioinformaticsEndometriumEndometrial receptivityEmbryoMicroarraySpermOvulationDiagnosis of exclusionMedicine

摘要: Unexplained infertility is a diagnosis of exclusion after the standard tests for ovulation, tubal patency, and sperm have been performed. Some patients with unexplained may abnormal endometrial receptivity. Human implantation group processes which complex far from being completely understood. During time not only structural but molecular changes also occur. The “window implantation” (WOI) defined as phase in endometrium receptive to embryo. first attempt evaluate was conventional histology specific were noted based on days progesterone exposure. However, this an accurate or reliable evaluation endometrium. Ultrasound can provide limited value study receptivity regarding uterine contractility perfusion. Multiple advances identify markers achieved although it unlikely that single molecule be used clinical setting due inherent complexity overlap molecules receptors related implantation. A test using genomic technology appears promising customized microarray selected genes described important during WOI able samples are thought “receptive” regardless their histology.

参考文章(60)
Bruce A. Lessey, Arthur J. Castelbaum, Stephen W. Sawin, Jinghai Sun, Integrins as markers of uterine receptivity in women with primary unexplained infertility Fertility and Sterility. ,vol. 63, pp. 535- 542 ,(1995) , 10.1016/S0015-0282(16)57422-6
R.W. Noyes, A.T. Hertig, J. Rock, Dating the endometrial biopsy. Fertility and Sterility. ,vol. 1, pp. 3- 25 ,(1950) , 10.1016/S0015-0282(16)30062-0
Arpita Ray, Amit Shah, Anil Gudi, Roy Homburg, Unexplained infertility: an update and review of practice Reproductive Biomedicine Online. ,vol. 24, pp. 591- 602 ,(2012) , 10.1016/J.RBMO.2012.02.021
Thomas Steck, Ralf Giess, Marc W Suetterlin, Monika Bolland, Stephanie Wiest, Uwe G Poehls, Johannes Dietl, Leukaemia inhibitory factor (LIF) gene mutations in women with unexplained infertility and recurrent failure of implantation after IVF and embryo transfer European Journal of Obstetrics & Gynecology and Reproductive Biology. ,vol. 112, pp. 69- 73 ,(2004) , 10.1016/S0301-2115(03)00315-4
JOSÉ A. HORCAJADAS, ANNE RIESEWIJK, FRANCISCO DOMÍNGUEZ, ANA CERVERO, ANTONIO PELLICER, CARLOS SIMÓN, Determinants of Endometrial Receptivity Annals of the New York Academy of Sciences. ,vol. 1034, pp. 166- 175 ,(2004) , 10.1196/ANNALS.1335.019
Evdokia Dimitriadis, Chelsea Stoikos, Martyn Stafford-Bell, Ian Clark, Premila Paiva, Gabor Kovacs, Lois A. Salamonsen, Interleukin-11, IL-11 receptorα and leukemia inhibitory factor are dysregulated in endometrium of infertile women with endometriosis during the implantation window Journal of Reproductive Immunology. ,vol. 69, pp. 53- 64 ,(2006) , 10.1016/J.JRI.2005.07.004
Samuel Smith, Diagnosis and Management of Female Infertility JAMA. ,vol. 290, pp. 1767- 1770 ,(2003) , 10.1001/JAMA.290.13.1767